{"id":59086,"date":"2014-03-01T00:00:00","date_gmt":"2018-12-04T07:16:18","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/objective-and-self-reported-factors-associated-with-food-environment\/"},"modified":"2018-12-04T08:16:18","modified_gmt":"2018-12-04T07:16:18","slug":"objective-and-self-reported-factors-associated-with-food-environment","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/objective-and-self-reported-factors-associated-with-food-environment\/","title":{"rendered":"Objective and self-reported factors associated with food-environment perceptions and fruit-and-vegetable consumption: a multilevel analysis."},"content":{"rendered":"

INTRODUCTION<\/strong>
\nFew studies have assessed how people's perceptions of their neighborhood environment compare with objective measures or how self-reported and objective neighborhood measures relate to consumption of fruits and vegetables.<\/p>\n

METHODS<\/strong>
\nA telephone survey of 4,399 residents of Philadelphia, Pennsylvania, provided data on individuals, their households, their neighborhoods (self-defined), their food-environment perceptions, and their fruit-and-vegetable consumption. Other data on neighborhoods (census tracts) or "extended neighborhoods" (census tracts plus 1-quarter-mile buffers) came from the US Census Bureau, the Philadelphia Police Department, the Southeastern Pennsylvania Transportation Authority, and the federal Supplemental Nutrition Assistance Program. Mixed-effects multilevel logistic regression models examined associations between food-environment perceptions, fruit-and-vegetable consumption, and individual, household, and neighborhood characteristics.<\/p>\n

RESULTS<\/strong>
\nPerceptions of neighborhood food environments (supermarket accessibility, produce availability, and grocery quality) were strongly associated with each other but not consistently or significantly associated with objective neighborhood measures or self-reported fruit-and-vegetable consumption. We found racial and educational disparities in fruit-and-vegetable consumption, even after adjusting for food-environment perceptions and individual, household, and neighborhood characteristics. Having a supermarket in the extended neighborhood was associated with better perceived supermarket access (adjusted odds ratio for having a conventional supermarket, 2.04 [95% CI, 1.68-2.46]; adjusted odds ratio for having a limited-assortment supermarket, 1.28 [95% CI, 1.02-1.59]) but not increased fruit-and-vegetable consumption. Models showed some counterintuitive associations with neighborhood crime and public transportation.<\/p>\n

CONCLUSION<\/strong>
\nWe found limited association between objective and self-reported neighborhood measures. Sociodemographic differences in individual fruit-and-vegetable consumption were evident regardless of neighborhood environment. Adding supermarkets to urban neighborhoods might improve residents' perceptions of supermarket accessibility but might not increase their fruit-and-vegetable consumption.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-59086","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Department of Family and Social Medicine, Albert Einstein College of Medicine | Montefiore Medical Center, 1300 Morris Park Ave, Block Building, Room 410, Bronx, NY 10461. 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