Vedovato Gabriela M, Rehman Zoya N, Bunzl Natasha B, Trude Angela C B
Federal University of Sao Paulo, Institute of Health and Society, 136 Silva Jardim, Santos, SP, 11015-020, Brazil.
New York University, Steinhardt School of Culture, Education, and Human Development, Department of Nutrition and Food Studies, 411 Lafayette St, 5th floor, New York, NY, 10003, USA.
Appetite. 2025 Feb 1;206:107798. doi: 10.1016/j.appet.2024.107798. Epub 2024 Dec 4.
Food decision-making among urban consumers of low income is comprised of a complex interplay of strategies, influenced by sociodemographic and environmental factors. This study was conducted in the Bronx, New York City, a borough marked by disparities and limited healthy food access. The study aimed to co-develop with urban consumers of low income a conceptual framework representing food procurement decision-making, with special attention paid to the multifaceted dynamics of food acquisition in the context of food insecurity. In-depth interviews and focus group discussions were conducted with bodega customers and food pantry clients to inform a food procurement decision tree. The framework illustrated the hierarchical order of food sources and coping strategies influenced by factors like household income, food assistance program participation, perceived access to food sources, living conditions, and immigration status. While grocery stores and supermarkets were the primary food sources, secondary sources like bodegas and food pantries were relied upon when physical or financial access was constrained, and superstores when resources were available. Farmers' markets and online grocery shopping were tertiary sources and oftentimes unrealistic options for participants. This study highlights the challenges faced by consumers of low income in accessing healthy food and underscores the need for food pantries to meet nutritional and cultural food needs. The findings emphasize the importance of considering contextual factors in interventions and policies to address food insecurity and their implications on community health.
低收入城市消费者的食品决策由多种策略复杂地相互作用构成，受到社会人口和环境因素的影响。本研究在纽约市布朗克斯区进行，该行政区存在各种差异且健康食品获取机会有限。该研究旨在与低收入城市消费者共同开发一个代表食品采购决策的概念框架，特别关注粮食不安全背景下食品获取的多方面动态。对杂货店顾客和食品救济站客户进行了深入访谈和焦点小组讨论，以形成食品采购决策树。该框架说明了受家庭收入、食品援助计划参与情况、对食品来源的感知获取、生活条件和移民身份等因素影响的食品来源和应对策略的层次顺序。虽然杂货店和超市是主要的食品来源，但当身体或经济获取受限，以及资源可用时依赖便利店和食品救济站等次要来源，以及大型超市。农贸市场和在线杂货店购物是第三来源，对参与者来说往往是不现实的选择。本研究强调了低收入消费者在获取健康食品方面面临的挑战，并强调了食品救济站满足营养和文化食品需求的必要性。研究结果强调了在干预措施和政策中考虑背景因素以解决粮食不安全问题及其对社区健康影响的重要性。
