Objective and Self-Reported Factors Associated With Food-Environment Perceptions and Fruit-And-Vegetable Consumption: A Multilevel Analysis

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Lucan, Sean C. ; Hillier, Amy ; Schechter, Clyde B. ; Glanz, Karen
• Description:
  Introduction ; Few 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. ; Methods ; A 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. ; Results ; Perceptions 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. ; Conclusion ; We 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.
• Subjects:
  • Adult
  • Data Collection
  • Diet
  • Environment
  • Feeding Behavior
  • Female
  • Fruit
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  More +
• Source:
  Prev Chronic Dis. 11.
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  Philadelphia, PA
• Volume:
  11
• Download URL:
  https://stacks.cdc.gov/view/cdc/22291/cdc_22291_DS1.pdf
• File Type:
  [PDF - 611.67 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:2d05aa6fb8916ae1791896c1e245f05d6a5928cff50cfb62ed59047ae4689e6ae8515ff0c91a70ec8a8fa6ba6264fb2ea22ab15c0c3fa098657cca4b2b7ae532