Black Christina, Moon Graham, Baird Janis
Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital Tremona Road, Southampton SO16 6YD, England, UK.
Geography and Environment University of Southampton, University Road, Southampton SO17 1BJ, England, UK.
Health Place. 2014 May;27:229-42. doi: 10.1016/j.healthplace.2013.09.015. Epub 2013 Oct 17.
This review summarises the evidence for inequalities in community and consumer nutrition environments from ten previous review articles, and also assesses the evidence for the effect of the community and consumer nutrition environments on dietary intake. There is evidence for inequalities in food access in the US but trends are less apparent in other developed countries. There is a trend for greater access and availability to healthy and less healthy foods relating to better and poorer dietary outcomes respectively. Trends for price show that higher prices of healthy foods are associated with better dietary outcomes. More nuanced measures of the food environment, including multidimensional and individualised approaches, would enhance the state of the evidence and help inform future interventions.
本综述总结了前十篇综述文章中关于社区和消费者营养环境不平等的证据，并评估了社区和消费者营养环境对饮食摄入影响的证据。在美国，有证据表明食物获取存在不平等，但在其他发达国家，这种趋势不太明显。分别与更好和更差的饮食结果相关的健康和不健康食品的获取和供应存在增加的趋势。价格趋势表明，健康食品价格较高与更好的饮食结果相关。对食物环境进行更细致入微的衡量，包括多维和个性化方法，将提升证据状况，并有助于为未来的干预措施提供信息。
