Factors Associated With the Use of Community Food Resources: Andersen Model Application for Future Interventions

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior Pub Date : 2024-08-01 DOI:10.1016/j.jneb.2024.05.070

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引用次数: 0

Abstract

Objective

The study objective is to examine the factors associated with the use of different community food resources using the Andersen Model.

Target Audience

Adults

Program Description

In a cross-sectional study conducted among 1,830 adults 18 years and older on REDCap (a web-based platform) through Amazon Mechanical Turk.

Evaluation Methods

Participants were asked about their socio-demographics, motivation for shopping decisions, shopping transportation modes and estimated travel time, food security status, and perceived community-level food-related needs. This information was organized into predisposing, enabling, and need factors (predictors) that are related to food access using the Andersen Model. The outcome variables were about how they use different community food resources, such as healthy food retail stores, less healthy food retail stores, food assistance programs, food service resources, and mobile food resources. Descriptive and hierarchical regression analyses were conducted using SAS, with significance set at p < 0.05.

Results

The participants have a mean age of 37.9 ± 12.1 years; were predominantly White (87.6%), non-Hispanic (85.8%), and urban residents (56.6%). Majority use the supermarkets (66%), supercenters (55%), and friend's/relative's places (53.2%) as their food resources. Predisposing factors that were statistically associated with the use of different community food resources were age, marital status, race, ethnicity, and household size. The enabling factors included travel time, transportation mode, income, and motivator of shopping decisions such as coupons and great sales, use of WIC benefits, and delivery services. The need factors included food security and community-level food-related needs such as culturally relevant and low-price foods. However, these vary by the types of food resources.

Conclusions

Recommendations include designing multi-level initiatives that would transform food stores and programs' food offerings, distribution logistics, and transportation access into conduits for healthier food access among underserved populations.

Funding

None

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使用社区食品资源的相关因素：安徒生模型在未来干预措施中的应用

目标研究目标是利用安徒生模型研究与使用不同社区食品资源相关的因素。目标受众成人项目描述在 REDCap（一个基于网络的平台）上通过亚马逊 Mechanical Turk 对 1830 名 18 岁及以上的成年人进行的一项横断面研究。评估方法询问参与者的社会人口统计、购物决策动机、购物交通方式和预计旅行时间、食品安全状况以及感知到的社区级食品相关需求。根据安徒生模型，这些信息被归纳为与食物获取相关的倾向因素、有利因素和需求因素（预测因素）。结果变量涉及他们如何使用不同的社区食品资源，如健康食品零售店、不太健康的食品零售店、食品援助计划、食品服务资源和流动食品资源。结果参与者的平均年龄为（37.9 ± 12.1）岁；主要为白人（87.6%）、非西班牙裔（85.8%）和城市居民（56.6%）。大多数人的食物来源是超市（66%）、超级市场（55%）和朋友/亲戚家（53.2%）。据统计，年龄、婚姻状况、种族、民族和家庭规模是与使用不同社区食物资源相关的倾向性因素。有利因素包括出行时间、交通方式、收入以及购物决策的动机，如优惠券和大减价、使用 WIC 福利和送货服务。需求因素包括食品安全和社区层面的食品相关需求，如文化相关食品和低价食品。结论建议包括设计多层次的倡议，将食品商店和计划的食品供应、配送物流和交通便利转变为服务不足人群获得更健康食品的渠道。

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来源期刊

Journal of Nutrition Education and Behavior 医学-学科教育

CiteScore

4.20

自引率

11.50%

发文量

379

审稿时长

44 days

期刊介绍： The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.