Cited by 172Food Security and Health in Diverse PopulationsNutrition, Health and Food BehaviorUrban Transport and Accessibility

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Urban Food Environments and Residents’ Shopping Behaviors

Cannuscio, Carolyn C., Tappe, Karyn, Hillier, Amy, Buttenheim, Alison, Karpyn, Allison, Glanz, Karen·2013·American Journal of Preventive Medicine

DOI 10.1016/j.amepre.2013.06.021

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Abstract

Background Food environments may promote or undermine healthy behaviors, but questions remain regarding how individuals interact with their local food environments.Purpose This study incorporated an urban food environment audit as well as an examination of residents' food shopping behaviors within that context.Methods In 2010, the research team audited the variety and healthfulness of foods available in 373 Philadelphia stores, using the validated Nutrition Environment Measures Survey in Stores (NEMS-S); higher scores indicate more diverse and healthful food inventories. The team also surveyed urban residents (n=514) regarding their food shopping. Descriptive and multivariate analyses (conducted in 2012) assessed variation in retail food environments and in shoppers' store choices.Results Corner and convenience stores were common (78.6% of food retail outlets) and had the lowest mean NEMS-S scores of any store type. Most participants (94.5%) did their primary food shopping at higher-scoring chain supermarkets, and the majority of participants did not shop at the supermarket closest to home. Supermarket offerings varied, with significantly fewer healthful foods at supermarkets closest to the homes of disadvantaged residents. In multivariate analyses, participants were significantly more likely to shop at supermarkets closest to home if those supermarkets had higher NEMS-S scores.Conclusions These data suggest that, when possible, shoppers chose supermarkets that offered more variety and more healthful foods. Findings from this study also reinforce concern regarding unhealthy immediate food environments for disadvantaged residents, who disproportionately relied on nearby stores with more limited food items. Interventions to improve nutrition and health should address not only food store proximity but also diversity of healthful foods available.

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Authors: Cannuscio, C. C., Tappe, K., Hillier, A., Buttenheim, A., Karpyn, A., & Glanz, K.
Affiliations: University of Pennsylvania (US)
The Food Trust (US)
Corresponding author: Cannuscio, Carolyn C.
ORCID: Cannuscio, Carolyn C.
Tappe, Karyn
Hillier, Amy
Buttenheim, Alison
Karpyn, Allison
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2013-11
Volume: 45
Issue: 5
Pages: 606-614
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/j.amepre.2013.06.021
OpenAlex: W2080013037
Cited by: 172
References: 47
Citations by year: 2026: 4 · 2025: 13 · 2024: 9 · 2023: 16 · 2022: 15 · 2021: 15 · 2020: 18 · 2019: 10 · 2018: 16 · 2017: 21 · 2016: 16 · 2015: 11 · 2014: 8
FWCI: 21.05
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Social Sciences › Transportation › Urban Transport and Accessibility
Keywords: urban food environment, food shopping behavior, food retail outlets, supermarket choice, convenience stores, corner stores, socioeconomic disparities, Philadelphia
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Choice Behavior, Commerce, Data Collection, Female, Food Supply, Humans, Male, Middle Aged, Residence Characteristics, Socioeconomic Factors, Urban Population, Philadelphia, Health Behavior, Multivariate Analysis, Young Adult, Food, Organic

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Urban Food Environments and Residents’ Shopping Behaviors

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