Department of Allied Health Sciences, University of Connecticut, 263 Farmington Avenue, MC 6229, Farmington, CT 06030-6229, USA.
Public Health Nutr. 2012 Oct;15(10):1973-8. doi: 10.1017/S1368980011003387. Epub 2012 Jan 10.
Literature on food environments has expanded rapidly, yet most research focuses on stores and community characteristics without integrating customer-level data. The present study combines customer shopping behaviour with store food inventory data.
Face-to-face interviews were conducted with customers shopping in corner stores to measure food shopping behaviour, household food security and demographics. Store inventories were conducted to measure availability of healthy food in corner stores. Multilevel logistic regression models estimated the probability of customers purchasing a food item given the availability of that item in the store.
Nineteen corner stores in Hartford, CT, USA, average size 669 ft(2) (62.15 m(2)).
Sample of 372 customers.
The majority of customers were Black or Hispanic (54 % and 40 %, respectively) and 61 % experienced food insecurity. For each additional type of fruits or vegetables available in the store, the estimated odds of a customer purchasing fruits increased by 12 % (P = 0.03) and the odds for purchasing vegetables increased by 15 % (P = 0.01). Customers receiving the Supplemental Nutrition Assistance Program (SNAP) were 1.7 times as likely to purchase fruit as those not receiving SNAP (P = 0.04). Greater availability of reduced-fat milk was not associated with increased likelihood of customers purchasing reduced-fat milk.
There is a positive association between fruit and vegetable variety and the probability that a customer purchases fruits and vegetables. Increasing the selection of produce in corner stores may increase their consumption by food-insecure and low-income residents at risk for health disparities. These findings have implications for future store interventions and food policies.
食品环境相关文献增长迅速,但大部分研究都集中在商店和社区特征上,而没有整合顾客层面的数据。本研究将顾客购物行为与商店食品库存数据相结合。
通过面对面访谈,对在街角商店购物的顾客进行了食品购物行为、家庭食品保障和人口统计学调查。对商店库存进行了调查,以衡量街角商店中健康食品的供应情况。采用多水平逻辑回归模型,估计了在商店有某种商品的情况下,顾客购买某种食品的概率。
美国康涅狄格州哈特福德市的 19 家街角商店,平均面积 669 平方英尺(62.15 平方米)。
372 名顾客。
大多数顾客是黑人或西班牙裔(分别为 54%和 40%),61%的人经历过食品不安全。商店中每增加一种水果或蔬菜的种类,顾客购买水果的几率就会增加 12%(P=0.03),购买蔬菜的几率就会增加 15%(P=0.01)。接受补充营养援助计划(SNAP)的顾客购买水果的可能性是未接受 SNAP 的顾客的 1.7 倍(P=0.04)。低脂牛奶的供应增加与顾客购买低脂牛奶的可能性增加无关。
水果和蔬菜种类的增加与顾客购买水果和蔬菜的概率之间存在正相关关系。增加街角商店农产品的选择可能会增加弱势和低收入居民的消费,这些居民面临健康差异的风险。这些发现对未来的商店干预和食品政策具有启示意义。