Morland Kimberly, Filomena Susan
Department of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA.
Prev Med. 2008 Sep;47(3):289-93. doi: 10.1016/j.ypmed.2008.03.009. Epub 2008 Mar 20.
The objective of this study was to describe food shopping patterns for urban seniors and measure the influence of neighborhood and individual level factors on intake of fresh fruits and vegetables.
Between September 2005 and August 2006, 314 Black, White and Latino participants from ten Brooklyn Senior Centers were interviewed about types of produce recently purchased, satisfaction with selection, cost and quality of produce, intake of produce, and location of food store used to purchase produce.
Individual level factors (race/ethnicity and age) were significantly associated with produce intake. Although environmental and distance factors did not reach statistical significance in multivariate models, living or shopping in a Black or racially mixed neighborhood was positively associated with the reported number of servings per day of fruits and vegetables. Also, a greater proportion of Blacks traveled more than a mile to do primary food shopping and most seniors do not shop within their residential census tract. Blacks and Latinos consumed less produce than Whites.
This study illuminates a number of important factors about the delivery of foods to urban seniors and how those seniors navigate their local environment to obtain healthy diets, measured here as intake of fruits and vegetables. The albeit small increase in servings per day associated with distance traveled to primary food stores does suggest that fruits and vegetables are not locally available and therefore presents an opportunity for policy makers and city planners to develop areas where healthy food options are convenient for consumers.
本研究旨在描述城市老年人的食品购买模式,并衡量社区和个体层面因素对新鲜水果和蔬菜摄入量的影响。
2005年9月至2006年8月期间,对来自布鲁克林十个老年中心的314名黑人、白人和拉丁裔参与者进行了访谈,内容包括最近购买的农产品类型、对选择的满意度、农产品的成本和质量、农产品摄入量以及用于购买农产品的食品店位置。
个体层面因素(种族/族裔和年龄)与农产品摄入量显著相关。尽管环境和距离因素在多变量模型中未达到统计学显著性,但在黑人社区或种族混合社区生活或购物与报告的每日水果和蔬菜份数呈正相关。此外,更大比例的黑人前往一英里以外的地方进行主要食品购物,并且大多数老年人不在其居住的普查区范围内购物。黑人和拉丁裔的农产品消费量低于白人。
本研究揭示了一些关于向城市老年人提供食品以及这些老年人如何在当地环境中获取健康饮食(此处以水果和蔬菜摄入量衡量)的重要因素。尽管与前往主要食品店的距离相关的每日份数增加幅度较小,但这确实表明水果和蔬菜并非在当地都可获得,因此为政策制定者和城市规划者提供了一个机会,来开发便于消费者获取健康食品选择的区域。