Department of Public Health Food Studies and Nutrition, Syracuse University, Syracuse, NY 13244, USA.
Human Development and Family Studies, Auburn University, Auburn, AL 36849, USA.
Int J Environ Res Public Health. 2018 Nov 28;15(12):2676. doi: 10.3390/ijerph15122676.
This paper describes the development, reliability, and convergent validity of a practical tool-the Convenience Store Supportive Healthy Environment for Life-Promoting Food (SHELF) Audit. Audit items included: a variety of fresh, processed, and frozen fruits and vegetables; low-fat dairy products; healthy staples and frozen meals; healthy food incentive programs; items sold in check-out areas; portion/cup sizes; and pricing. Each audit item was scored using a five-point semantic-differential scale (1 = provides little or no support for healthful foods to 5 = provides high support for healthful foods). Convergent validity was examined by comparing the SHELF audit to Ghirardelli et al. and Laska et al. store audits. Statistical analysis included: Factor analysis, ANOVA, and Spearman correlations. SHELF included three factors: a Fruits/Vegetables scale (eight items, α = 0.79; total potential points = 34); a Healthy Foods scale (four items, α = 0.72; total potential points = 16); and a Supports scale (four items, α = 0.685; total potential points = 16). Only 6% of the 124 convenience stores assessed scored in the most healthful range (46⁻66). The assessed drug stores ( = 15) scored higher than convenience stores ( = 81) on the Healthy Foods and Supports scales but not the Fruits/Vegetables scale. The SHELF sub-scores were highly correlated with other audit tools indicating convergent validity. The SHELF convenience store audit is a valid, reliable tool for assessing the degree to which convenience stores support healthfulness regarding Fruits/Vegetables, Healthy Foods, and Supports for choosing healthy.
本文描述了一种实用工具——便利店支持健康促进食品的便利环境(SHELF)审计的开发、可靠性和收敛有效性。审计项目包括:各种新鲜、加工和冷冻水果和蔬菜;低脂乳制品;健康主食和冷冻餐;健康食品激励计划;结账区销售的商品;份量/杯大小;以及定价。每个审计项目都使用五点语义差异量表(1=对健康食品的支持很少或没有,5=对健康食品的支持很高)进行评分。通过将 SHELF 审计与 Ghirardelli 等人和 Laska 等人的商店审计进行比较,检验了收敛有效性。统计分析包括:因素分析、方差分析和 Spearman 相关分析。SHELF 包括三个因素:水果/蔬菜量表(八项,α=0.79;总潜在分数=34);健康食品量表(四项,α=0.72;总潜在分数=16);和支持量表(四项,α=0.685;总潜在分数=16)。在评估的 124 家便利店中,只有 6%的便利店得分处于最健康的范围(46-66)。评估的药店(=15)在健康食品和支持量表上的得分高于便利店(=81),但在水果/蔬菜量表上的得分则不然。SHELF 子量表与其他审计工具高度相关,表明具有收敛有效性。SHELF 便利店审计是一种有效、可靠的工具,用于评估便利店在水果/蔬菜、健康食品以及选择健康食品的支持方面的健康程度。