Perceptions of the local food environment and fruit and vegetable intake in the Eastern Caribbean Health Outcomes research Network (ECHORN) Cohort study.
Perceptions of the local food environment and fruit and vegetable intake in the Eastern Caribbean Health Outcomes research Network (ECHORN) Cohort study.
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DOI：
10.1016/j.pmedr.2022.101694
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发表时间：
2022-04
影响因子：
2.8
通讯作者：
Nunez-Smith M
中科院分区：
文献类型：
--
作者：
Oladele CR;Colón-Ramos U;Galusha D;Tran E;Adams OP;Maharaj RG;Nazario CM;Nunez M;Pérez-Escamilla R;Nunez-Smith M
东加勒比海地区的FV消费量较低。FV消费根据对质量和可负担性的看法而有所不同。感知的可负担性与更大的FV消费相关。负担能力和FV消费之间的关系因粮食不安全而不同。在美国和其他高收入国家进行的研究表明，当地的食物环境会影响对心血管健康有保护作用的饮食摄入量。然而，很少有研究考察加勒比海地区的这种关系。这项研究旨在确定东加勒比海地区对当地食物环境的看法是否与水果和蔬菜的摄入量有关，那里的水果和蔬菜的日摄入量仍低于推荐水平。对东加勒比健康结果研究网络队列研究(ECS)基线数据(2013-2016年)进行了横断面分析，这些数据来自巴巴多斯、波多黎各、特立尼达和多巴哥以及美属维尔京群岛。美国国家癌症研究所饮食筛查问卷被用来衡量每日的FV摄入量。现有的量表被用来评估参与者对食物环境的看法(可获得性、可负担性和质量)。采用卡方检验和泊松回归分析。参与者报告平均每天吃一份FV。在那些认为FV通常/总是负担得起、可获得和高质量的人中，平均每天的摄入量更高。多变量结果显示，FV和可负担性之间存在统计学上的显著关联。与那些认为FV不总是负担得起的人相比，认为FV负担得起的人每天多吃0.10次FV(p=0.02)。食品不安全改变了可负担性和FV摄入量之间的联系。这项研究强调了在东加勒比地区消费FV的可负担性的重要性，以及这种关系可能如何因粮食不安全而改变。
Consumption of FV is low in the Eastern Caribbean. FV consumption varied according to perceptions of quality and affordability. Perceived affordability was associated with greater FV consumption. The relationship between affordability and FV consumption varied by food insecurity. Studies conducted in the US and other high-income countries show that the local food environment influences dietary intakes that are protective for cardiovascular health. However, few studies have examined this relationship in the Caribbean. This study aimed to determine whether perceptions of the local food environment were associated with fruit and vegetable (FV) intake in the Eastern Caribbean, where daily FV intake remains below recommended levels. Cross-sectional analysis of Eastern Caribbean Health Outcomes Research Network Cohort Study (ECS) baseline data (2013–2016) from Barbados, Puerto Rico, Trinidad and Tobago, and US Virgin Islands was conducted in 2020. The National Cancer Institute Dietary Screener Questionnaire was adapted to measure daily servings of FV. Existing scales were used to assess participant perceptions of the food environment (availability, affordability, and quality). Chi-square tests and Poisson regression were used for analyses. Participants reported eating one mean daily serving of FV. Mean daily intake was higher among those who perceived FV as usually/always affordable, available, and high quality. Multivariate results showed statistically significant associations between FV and affordability. Persons who perceived FV as affordable had 0.10 more daily servings of FV compared to those who reported FV as not always affordable (p = 0.02). Food insecurity modified the association between affordability and FV intake. This study highlights the importance of affordability in consumption of FV in the Eastern Caribbean, and how this relationship may be modified by food insecurity.
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DOI：
10.26633/rpsp.2018.191
发表时间：
2018-01-01
期刊：
Revista panamericana de salud publica = Pan American journal of public health
影响因子：
--
作者：
Foster, Nicole;Thow, Anne Marie;Samuels, T Alafia
通讯作者：
Samuels, T Alafia
影响因子：
3.2
作者：
Gustafson, Alison A.;Sharkey, Joseph;Ammerman, Alice S.
通讯作者：
Ammerman, Alice S.
影响因子：
5.4
作者：
Guell, Cornelia;Brown, Catherine R.;Unwin, Nigel
通讯作者：
Unwin, Nigel
DOI：
10.1080/09540121.2017.1348597
发表时间：
2018-01-01
影响因子：
1.7
作者：
Derose, Kathryn P.;Rios-Castillo, Israel;Martinez, Homero
通讯作者：
Martinez, Homero
影响因子：
5.9
作者：
Haynes E;Bhagtani D;Iese V;Brown CR;Fesaitu J;Hambleton I;Badrie N;Kroll F;Guell C;Brugulat-Panes A;Saint Ville A;Benjamin-Neelon SE;Foley L;Samuels TA;Wairiu M;Forouhi NG;Unwin N;On Behalf Of The Community Food And Health CFaH Team
通讯作者：
On Behalf Of The Community Food And Health CFaH Team