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Perceptions of the food environment are associated with fast-food (not fruit-and-vegetable) consumption: findings from multi-level models.
Int J Public Health. 2012 Jun; 57(3):599-608.IJ

Abstract

OBJECTIVES

Diets low in fruits and vegetables and/or high in fast foods are associated with obesity and chronic diseases. Such diets may relate to different aspects of neighborhood food environments. We sought to evaluate if people's perceptions of their neighborhood food environment are associated with reported fruit-and-vegetable and fast-food consumption.

METHODS

Cross-sectional analysis of a community health survey from Philadelphia, PA and four surrounding suburban counties (n = 10,450 individuals). We used mixed-effects multi-level Poisson models, nesting individuals within neighborhoods-i.e. census tracts (n = 991).

RESULTS

Negative perceptions of the food environment (perceived difficulty finding fruits and vegetables, having to travel outside of one's neighborhood to get to a supermarket, and perceived poor grocery quality) were each directly associated with fast-food consumption (incident rate ratios [IRRs] 1.31, 1.06, 1.20; p < 0.001, 0.04, < 0.001 respectively), but not significantly associated with fruit-and-vegetable consumption.

CONCLUSIONS

Perceived difficulty finding or accessing produce and high-quality groceries may support the eating of more fast food. Neighborhoods where food-environment perceptions are worst might benefit from interventions to improve availability, accessibility, and quality of healthy foods, towards shifting consumption away from fast foods.

Authors+Show Affiliations

Department of Family and Social Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA. slucan@yahoo.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21773839

Citation

Lucan, Sean C., and Nandita Mitra. "Perceptions of the Food Environment Are Associated With Fast-food (not Fruit-and-vegetable) Consumption: Findings From Multi-level Models." International Journal of Public Health, vol. 57, no. 3, 2012, pp. 599-608.
Lucan SC, Mitra N. Perceptions of the food environment are associated with fast-food (not fruit-and-vegetable) consumption: findings from multi-level models. Int J Public Health. 2012;57(3):599-608.
Lucan, S. C., & Mitra, N. (2012). Perceptions of the food environment are associated with fast-food (not fruit-and-vegetable) consumption: findings from multi-level models. International Journal of Public Health, 57(3), 599-608. https://doi.org/10.1007/s00038-011-0276-2
Lucan SC, Mitra N. Perceptions of the Food Environment Are Associated With Fast-food (not Fruit-and-vegetable) Consumption: Findings From Multi-level Models. Int J Public Health. 2012;57(3):599-608. PubMed PMID: 21773839.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceptions of the food environment are associated with fast-food (not fruit-and-vegetable) consumption: findings from multi-level models. AU - Lucan,Sean C, AU - Mitra,Nandita, Y1 - 2011/07/20/ PY - 2011/02/02/received PY - 2011/07/04/accepted PY - 2011/06/30/revised PY - 2011/7/21/entrez PY - 2011/7/21/pubmed PY - 2012/9/27/medline SP - 599 EP - 608 JF - International journal of public health JO - Int J Public Health VL - 57 IS - 3 N2 - OBJECTIVES: Diets low in fruits and vegetables and/or high in fast foods are associated with obesity and chronic diseases. Such diets may relate to different aspects of neighborhood food environments. We sought to evaluate if people's perceptions of their neighborhood food environment are associated with reported fruit-and-vegetable and fast-food consumption. METHODS: Cross-sectional analysis of a community health survey from Philadelphia, PA and four surrounding suburban counties (n = 10,450 individuals). We used mixed-effects multi-level Poisson models, nesting individuals within neighborhoods-i.e. census tracts (n = 991). RESULTS: Negative perceptions of the food environment (perceived difficulty finding fruits and vegetables, having to travel outside of one's neighborhood to get to a supermarket, and perceived poor grocery quality) were each directly associated with fast-food consumption (incident rate ratios [IRRs] 1.31, 1.06, 1.20; p < 0.001, 0.04, < 0.001 respectively), but not significantly associated with fruit-and-vegetable consumption. CONCLUSIONS: Perceived difficulty finding or accessing produce and high-quality groceries may support the eating of more fast food. Neighborhoods where food-environment perceptions are worst might benefit from interventions to improve availability, accessibility, and quality of healthy foods, towards shifting consumption away from fast foods. SN - 1661-8564 UR - https://www.unboundmedicine.com/medline/citation/21773839/Perceptions_of_the_food_environment_are_associated_with_fast_food__not_fruit_and_vegetable__consumption:_findings_from_multi_level_models_ L2 - https://link.springer.com/article/10.1007/s00038-011-0276-2 DB - PRIME DP - Unbound Medicine ER -