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描述一元店不健康的消费食品环境,并按邻里种族构成探究差异。

Characterizing the Unhealthy Consumer Food Environment of Dollar Stores and Exploring Differences by Neighborhood Racial Composition.

作者信息

Sundermeir Samantha M, Matsuzaki Mika, Zhang Angela, Obi Jane C, Gittelsohn Joel, Winkler Megan R

机构信息

Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.

Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.

出版信息

J Nutr Educ Behav. 2025 Jul 12. doi: 10.1016/j.jneb.2025.06.007.

DOI:10.1016/j.jneb.2025.06.007
PMID:40650649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12313204/
Abstract

OBJECTIVE

To characterize the overall availability, price, and promotional placement of food and beverage products at dollar stores and explore differences in the food environment by neighborhood racial composition in Atlanta, Georgia.

METHODS

A cross-sectional assessment of the food environment was conducted at 25 dollar stores. Measures included availability, affordability, and promotion of fresh produce, salty snacks, sweet snacks, sugar-sweetened beverages (SSBs), and water. Store neighborhoods were categorized as majority-Black (MB) or non-majority-Black (NMB) neighborhoods using American Community Survey data. Kruskal Wallis and chi-square tests (test of independence) were used to test for differences across neighborhood racial composition.

RESULTS

Only 2 stores sold fresh produce, whereas all offered and most promoted sweet snacks, salty snacks, and SSBs. Compared with NMB neighborhoods, prices for SSBs and salty snacks were significantly lower in MB neighborhoods (P < 0.05).

CONCLUSIONS AND IMPLICATIONS

The dollar store food environment lacks fresh produce and comprises largely unhealthy food options. Findings suggest dollar stores in MB neighborhoods may provide lower prices for unhealthy food and beverages.

摘要

目的

描述一元店食品和饮料产品的总体可获得性、价格及促销情况,并探讨佐治亚州亚特兰大市不同种族构成社区的食品环境差异。

方法

对25家一元店的食品环境进行横断面评估。评估指标包括新鲜农产品、咸味零食、甜味零食、含糖饮料(SSB)和水的可获得性、可负担性及促销情况。利用美国社区调查数据将商店所在社区分为黑人占多数(MB)或非黑人占多数(NMB)社区。采用Kruskal Wallis检验和卡方检验(独立性检验)来检验不同种族构成社区之间的差异。

结果

只有2家商店销售新鲜农产品,而所有商店都提供且大多数商店促销甜味零食、咸味零食和含糖饮料。与非黑人占多数社区相比,黑人占多数社区的含糖饮料和咸味零食价格显著更低(P < 0.05)。

结论与启示

一元店的食品环境缺乏新鲜农产品,主要由不健康的食品选择构成。研究结果表明,黑人占多数社区的一元店可能提供价格更低的不健康食品和饮料。

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本文引用的文献

1
"The Dollar Store Got It Going On": Understanding Food Shopping Patterns and Policy Preferences among Dollar Store Shoppers with Low Incomes.“一元店生意兴隆”:了解低收入一元店购物者的食品购买模式和政策偏好
Curr Dev Nutr. 2024 Sep 13;8(10):104457. doi: 10.1016/j.cdnut.2024.104457. eCollection 2024 Oct.
2
Perspective: Food Access at Dollar Stores and Its Implications for Public Health-Report of a Workshop on Identifying Research Priorities.观点:一元店的食品供应及其对公共卫生的影响——确定研究重点研讨会报告
Adv Nutr. 2024 Dec;15(12):100319. doi: 10.1016/j.advnut.2024.100319. Epub 2024 Oct 11.
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Mending the gap: Measurement needs to address policy implementation through a health equity lens.
弥合差距:测量需要通过健康公平视角来解决政策实施问题。
Transl Behav Med. 2024 Mar 21;14(4):207-214. doi: 10.1093/tbm/ibae004.
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Structural racism and geographic access to food retailers in the United States: A scoping review.美国的结构性种族主义与食品零售商的地理位置可达性:范围综述。
Health Place. 2023 Sep;83:103089. doi: 10.1016/j.healthplace.2023.103089. Epub 2023 Aug 7.
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In-Store Marketing and Supermarket Purchases: Associations Overall and by Transaction SNAP Status.店内营销与超市购物:总体关联度及交易 SNAP 状况。
Am J Prev Med. 2023 Oct;65(4):587-595. doi: 10.1016/j.amepre.2023.02.029. Epub 2023 Mar 4.
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Dollar Stores and Food Access for Rural Households in the United States, 2008‒2020.2008 年至 2020 年美国农村家庭的美元商店与食物获取
Am J Public Health. 2023 Mar;113(3):331-336. doi: 10.2105/AJPH.2022.307193. Epub 2023 Jan 19.
7
Local Measures to Curb Dollar Store Growth: A Policy Scan.遏制美元商店扩张的地方措施:政策扫描。
Nutrients. 2022 Jul 28;14(15):3092. doi: 10.3390/nu14153092.
8
Improving urban food systems requires emphasizing nutrition equity in interventions and policy action.改善城市粮食系统需要在干预措施和政策行动中强调营养公平。
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A Market Basket Assessment: Prices and Availability of Healthy Foods Across SNAP-Authorized Food Outlets in Counties With High Obesity Rates in Mississippi.市场篮子评估:密西西比州高肥胖率县的 SNAP 授权食品销售点的健康食品价格和供应情况。
Prev Chronic Dis. 2021 Dec 2;18:E99. doi: 10.5888/pcd18.210173.
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A systematic review of the influences of food store product placement on dietary-related outcomes.食品商店产品陈列对饮食相关结果影响的系统评价。
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