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Geographic Differences in the Dietary Quality of Food Purchases among Participants in the Nationally Representative Food Acquisition and Purchase Survey (FoodAPS).
Nutrients. 2019 May 30; 11(6)N

Abstract

Objective grocery transactions may reflect diet, but it is unclear whether the diet quality of grocery purchases mirrors geographic and racial/ethnic disparities in diet-related diseases. This cross-sectional analysis of 3961 households in the nationally representative Food Acquisition and Purchase Survey evaluated geographic and racial/ethnic disparities in grocery purchase quality. Respondents self-reported demographics and recorded purchases over 7 days; the Healthy Eating Index (HEI) 2015 assessed diet quality. Survey-weighted multivariable-adjusted regression determined whether there were geographic and racial/ethnic differences in HEI-15 scores. Respondents were, on average, 50.6 years, non-Hispanic white (NHW) (70.3%), female (70.2%), and had attended some college (57.8%). HEI-15 scores differed across geographic region (p < 0.05), with the highest scores in the West (57.0 ± 0.8) and lowest scores in the South (53.1 ± 0.8), and there was effect modification by race/ethnicity (p-interaction = 0.02). Regionally, there were diet disparities among NHW and non-Hispanic black (NHB) households; NHWs in the South had HEI-15 scores 3.2 points lower than NHWs in the West (p = 0.003). Southern NHB households had HEI-15 scores 8.1 points lower than Western NHB households (p = 0.013). Racial/ethnic disparities in total HEI-15 by region existed in the Midwest and South, where Hispanic households in the Midwest and South had significantly lower diet quality than NHW households. Heterogeneous disparities in the diet quality of grocery purchases by region and race/ethnicity necessitate tailored approaches to reduce diet-related disease.

Authors+Show Affiliations

Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI 02881, USA. maya_vadiveloo@uri.edu.AgroParis Tech., 75231 Paris, Ile-de-France, France. elie.perraud@agroparistech.fr.Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI 02881, USA. haleyparker@uri.edu.College of Global Public Health, New York University, New York, NY 10012, USA. fcj211@nyu.edu.College of Global Public Health, New York University, New York, NY 10012, USA. niyati.parekh@nyu.edu. New York University School of Medicine, New York, NY 10016, USA. niyati.parekh@nyu.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31151225

Citation

Vadiveloo, Maya, et al. "Geographic Differences in the Dietary Quality of Food Purchases Among Participants in the Nationally Representative Food Acquisition and Purchase Survey (FoodAPS)." Nutrients, vol. 11, no. 6, 2019.
Vadiveloo M, Perraud E, Parker HW, et al. Geographic Differences in the Dietary Quality of Food Purchases among Participants in the Nationally Representative Food Acquisition and Purchase Survey (FoodAPS). Nutrients. 2019;11(6).
Vadiveloo, M., Perraud, E., Parker, H. W., Juul, F., & Parekh, N. (2019). Geographic Differences in the Dietary Quality of Food Purchases among Participants in the Nationally Representative Food Acquisition and Purchase Survey (FoodAPS). Nutrients, 11(6). https://doi.org/10.3390/nu11061233
Vadiveloo M, et al. Geographic Differences in the Dietary Quality of Food Purchases Among Participants in the Nationally Representative Food Acquisition and Purchase Survey (FoodAPS). Nutrients. 2019 May 30;11(6) PubMed PMID: 31151225.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Geographic Differences in the Dietary Quality of Food Purchases among Participants in the Nationally Representative Food Acquisition and Purchase Survey (FoodAPS). AU - Vadiveloo,Maya, AU - Perraud,Elie, AU - Parker,Haley W, AU - Juul,Filippa, AU - Parekh,Niyati, Y1 - 2019/05/30/ PY - 2019/04/19/received PY - 2019/05/20/revised PY - 2019/05/23/accepted PY - 2019/6/2/entrez PY - 2019/6/4/pubmed PY - 2020/1/7/medline KW - Food Acquisition and Purchase Survey (FoodAPS) KW - Healthy Eating Index KW - diet quality KW - geographic disparities KW - grocery purchase quality KW - racial/ethnic disparities JF - Nutrients JO - Nutrients VL - 11 IS - 6 N2 - Objective grocery transactions may reflect diet, but it is unclear whether the diet quality of grocery purchases mirrors geographic and racial/ethnic disparities in diet-related diseases. This cross-sectional analysis of 3961 households in the nationally representative Food Acquisition and Purchase Survey evaluated geographic and racial/ethnic disparities in grocery purchase quality. Respondents self-reported demographics and recorded purchases over 7 days; the Healthy Eating Index (HEI) 2015 assessed diet quality. Survey-weighted multivariable-adjusted regression determined whether there were geographic and racial/ethnic differences in HEI-15 scores. Respondents were, on average, 50.6 years, non-Hispanic white (NHW) (70.3%), female (70.2%), and had attended some college (57.8%). HEI-15 scores differed across geographic region (p < 0.05), with the highest scores in the West (57.0 ± 0.8) and lowest scores in the South (53.1 ± 0.8), and there was effect modification by race/ethnicity (p-interaction = 0.02). Regionally, there were diet disparities among NHW and non-Hispanic black (NHB) households; NHWs in the South had HEI-15 scores 3.2 points lower than NHWs in the West (p = 0.003). Southern NHB households had HEI-15 scores 8.1 points lower than Western NHB households (p = 0.013). Racial/ethnic disparities in total HEI-15 by region existed in the Midwest and South, where Hispanic households in the Midwest and South had significantly lower diet quality than NHW households. Heterogeneous disparities in the diet quality of grocery purchases by region and race/ethnicity necessitate tailored approaches to reduce diet-related disease. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/31151225/Geographic_Differences_in_the_Dietary_Quality_of_Food_Purchases_among_Participants_in_the_Nationally_Representative_Food_Acquisition_and_Purchase_Survey__FoodAPS__ L2 - https://www.mdpi.com/resolver?pii=nu11061233 DB - PRIME DP - Unbound Medicine ER -