Objective and self-reported factors associated with food-environment perceptions and fruit-and-vegetable consumption: a multilevel analysis.
Objective and self-reported factors associated with food-environment perceptions and fruit-and-vegetable consumption: a multilevel analysis.
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DOI：
10.5888/pcd11.130324
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发表时间：
2014-03-27
影响因子：
5.5
通讯作者：
Glanz K
中科院分区：
文献类型：
--
作者：
Lucan SC;Hillier A;Schechter CB;Glanz K
很少有研究评估人们对社区环境的看法与客观措施的比较，或者自我报告和客观的社区措施与水果和蔬菜的消费量有何关系。对宾夕法尼亚州费城的4,399名居民进行了电话调查，提供了关于个人、家庭、社区（自定义）、食品环境感知以及水果和蔬菜消费的数据。其他关于社区（人口普查区）或“扩展社区”（人口普查区加上四分之一英里的缓冲区）的数据来自美国人口普查局、费城警察局、宾夕法尼亚州东南部交通管理局和联邦补充营养援助计划。混合效应多层次逻辑回归模型研究了食品环境感知，水果和蔬菜消费，个人，家庭和邻里特征之间的关联。邻里食品环境（超市的可达性，生产的可用性，食品杂货的质量）的看法是强烈相关的彼此，但不一致或显着相关的客观邻里措施或自我报告的水果和蔬菜消费。我们发现，种族和教育的差异，水果和蔬菜的消费，即使调整后的食品环境的看法和个人，家庭和邻里的特点。在扩展社区拥有超市与更好地感知超市访问相关（拥有传统超市的调整优势比为2.04 [95%CI，1.68-2.46];拥有有限品种超市的调整优势比为1.28 [95%CI，1.02-1.59]），但不会增加水果和蔬菜的消费。模型显示，邻里犯罪和公共交通之间存在一些违反直觉的联系。我们发现客观和自我报告的邻里措施之间的关联有限。无论邻里环境如何，个体水果和蔬菜消费的社会人口学差异都很明显。在城市社区增加超市可能会改善居民对超市可达性的看法，但可能不会增加他们的水果和蔬菜消费。
Few studies have assessed how people’s perceptions of their neighborhood environment compare with objective measures or how self-reported and objective neighborhood measures relate to consumption of fruits and vegetables. A telephone survey of 4,399 residents of Philadelphia, Pennsylvania, provided data on individuals, their households, their neighborhoods (self-defined), their food-environment perceptions, and their fruit-and-vegetable consumption. Other data on neighborhoods (census tracts) or “extended neighborhoods” (census tracts plus 1-quarter–mile buffers) came from the US Census Bureau, the Philadelphia Police Department, the Southeastern Pennsylvania Transportation Authority, and the federal Supplemental Nutrition Assistance Program. Mixed-effects multilevel logistic regression models examined associations between food-environment perceptions, fruit-and-vegetable consumption, and individual, household, and neighborhood characteristics. Perceptions of neighborhood food environments (supermarket accessibility, produce availability, and grocery quality) were strongly associated with each other but not consistently or significantly associated with objective neighborhood measures or self-reported fruit-and-vegetable consumption. We found racial and educational disparities in fruit-and-vegetable consumption, even after adjusting for food-environment perceptions and individual, household, and neighborhood characteristics. Having a supermarket in the extended neighborhood was associated with better perceived supermarket access (adjusted odds ratio for having a conventional supermarket, 2.04 [95% CI, 1.68–2.46]; adjusted odds ratio for having a limited-assortment supermarket, 1.28 [95% CI, 1.02–1.59]) but not increased fruit-and-vegetable consumption. Models showed some counterintuitive associations with neighborhood crime and public transportation. We found limited association between objective and self-reported neighborhood measures. Sociodemographic differences in individual fruit-and-vegetable consumption were evident regardless of neighborhood environment. Adding supermarkets to urban neighborhoods might improve residents’ perceptions of supermarket accessibility but might not increase their fruit-and-vegetable consumption.
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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：
2.2
作者：
Procter, K. L.;Clarke, G. P.;Cade, J.
通讯作者：
Cade, J.
影响因子：
3.2
作者：
Williams, Lauren K.;Thornton, Lukar;Crawford, David
通讯作者：
Crawford, David
影响因子：
6.3
作者：
Inglis, V.;Ball, K.;Crawford, D.
通讯作者：
Crawford, D.
DOI：
10.4278/ajhp.071204127
发表时间：
2009-03
期刊：
American journal of health promotion : AJHP
影响因子：
--
作者：
Zenk SN;Lachance LL;Schulz AJ;Mentz G;Kannan S;Ridella W
通讯作者：
Ridella W