基于空间和描述性分析的肯尼亚内罗毕三种粮食环境市场粮食多样性评估

IF 4.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Lucy Apiyo Adundo, Sofie Annys
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引用次数: 0

摘要

食品环境(FE)是消费者获取和消费食品的交互界面。在过去的二十年里,由于生活方式的改变、全球化、经济差距和超市化,FE发生了变化。此外,对食品环境的研究主要集中在高收入国家。我们的研究显示了利用市场食物多样性(MFD)评估内罗毕这个快速城市化城市食物环境的新颖性。我们利用从妇女最低膳食多样性(MDD-W)工具得出的市场食物多样性评估了内罗毕三个收入区域的食物环境。在2023年8 - 12月,我们使用全球定位系统(GPS)和基于列表的问卷调查来绘制3548个食品摊贩的地图。描述性统计数据显示,与正式供应商(14%)相比,非正式供应商(86%)在三个收入区域中占主导地位。与其他收入地区相比,高收入地区的特点是存在更多的正式供应商(24.2%)。商贩之间的食物组差异有统计学意义。研究表明,不健康食品在三个收入地区仍然占主导地位。高收入地区的市场粮食多样性最高(3.11),而低收入地区(2.71)和中等收入地区(2.35)的市场粮食多样性最高。我们的研究结果强调需要实施政策,支持当地的食品环境,促进获得更健康和更有营养的饮食,特别是在内罗毕等低收入和中等收入国家(LMICs)快速城市化的城市。区分收入区域突出了地方政策官员进行干预的必要性,以促进整个定居点获得更健康的食品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing Market Food Diversity of Three Food Environments of Nairobi, Kenya, Using Spatial and Descriptive Analyses.

The food environment (FE) is the interface where consumers interact to acquire and consume their food. Over the last two decades, the FE has changed due to lifestyle changes, globalization, economic disparities, and supermarketization. In addition, research on the food environment has focused mostly on high-income countries. Our study shows the novelty of assessing the food environment using the market food diversity (MFD) in Nairobi, a rapidly urbanizing city. We assessed the food environment of three income regions of Nairobi-using market food diversity derived from the Minimum Dietary Diversity of Women (MDD-W) tool. In August-December 2023, we used the Global Positioning System (GPS) and a list-based questionnaire to map 3548 food vendors. Descriptive statistics show that informal vendors (86%) dominated across the three income regions compared to formal vendors (14%). The high-income region was characterized by the presence of more formal vendors (24.2%) compared to the other income regions. There were statistically significant differences in food group variations among vendors. The study shows that unhealthy foods remain dominant across the three income regions. Market food diversity was highest in the high-income (3.11) region compared to the low- (2.71) and middle-income (2.35) regions. Our results underscore the need for policy implementation that supports local food environments that promote access to healthier and more nutritious diets, particularly in rapidly urbanizing cities of low- and middle-income countries (LMICs) such as Nairobi. Distinguishing income regions highlights the need for local policy officials to intervene to promote access to much healthier foods across the settlements.

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来源期刊
Journal of Urban Health-Bulletin of the New York Academy of Medicine
Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
3.00%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.
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