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dc.contributor.authorPechey, Rachelen
dc.contributor.authorMonsivais, Pabloen
dc.date.accessioned2015-05-27T12:02:19Z
dc.date.available2015-05-27T12:02:19Z
dc.date.issued2015-07-07en
dc.identifier.citationAmerican Journal of Preventive Medicine 2015, 49(6): 868–877. doi:10.1016/j.amepre.2015.04.020en
dc.identifier.issn0749-3797
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/248023
dc.description.abstractINTRODUCTION: Both socioeconomic status and supermarket choice have been associated with diet quality. This study aimed to assess the contributions of: (1) supermarket choice and (2) shopping behaviors to (a) the healthfulness of purchases and (b) social patterning in purchases. METHODS: Observational panel data on purchases of fruit and vegetables and less healthy foods/beverages from 2010 were obtained for 24,879 households, stratified by occupational social class (analyzed 2014). Households’ supermarket choice was determined by whether they ever visited market-defined high-price and/or low-price supermarkets. Analyses also explored extent of use within supermarket choice groups. Shopping behaviors included trip frequency, trip size, and number of store chains visited. RESULTS: Households using low-price (and not high-price) supermarkets purchased significantly lower percentages of energy from fruit and vegetables and higher percentages of energy from less healthy foods/beverages than households using high-price (and not low-price) supermarkets. When controlling for socioeconomic status and shopping behaviors, the effect of supermarket choice was largely maintained for fruit and vegetables, but reduced for less healthy foods/beverages. The extent of use of low- or high-price supermarkets had limited effects on outcomes. More frequent trips and fewer small trips were associated with healthier purchasing for both outcomes, while visiting more store chains was associated with higher percentages of energy from fruit and vegetables. CONCLUSIONS: While both supermarket choice and shopping behaviors influence healthfulness of purchases, neither appeared to contribute to socioeconomic differences. Moreover, differences between supermarket environments may not be primary drivers of the influence of supermarket choice.
dc.description.sponsorshipThe study was funded by the Department of Health Policy Research Programme (http://prp.dh.gov.uk/) (Policy Research Unit in Behaviour and Health [PR-UN-0409-10109]). The Department of Health had no role in the study design, data collection, analysis, interpretation, or decision to submit for publication. The research was conducted independently of the funders, and the views expressed in this paper are those of the authors and not necessarily those of the Department of Health in England. Pablo Monsivais also received support from the Centre for Diet and Activity Research, a United Kingdom Clinical Research Collaboration Public Health Research Centre of Excellence funded by the British Heart Foundation, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust. None of these funders played any role in the study design, data collection, analysis, interpretation, or decision to submit for publication.
dc.languageEnglishen
dc.language.isoenen
dc.publisherElsevier
dc.rightsCreative Commons Attribution 4.0
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleSupermarket choice, shopping behavior, socioeconomic status and food purchasesen
dc.typeArticle
dc.description.versionThis is the final version of the article. It first appeared from Elsevier via http://dx.doi.org/10.1016/j.amepre.2015.04.020en
prism.endingPage877
prism.publicationDate2015en
prism.publicationNameAmerican Journal of Preventive Medicineen
prism.startingPage868
prism.volume49en
dc.rioxxterms.funderBHF
dc.rioxxterms.funderESRC
dc.rioxxterms.funderMRC
dc.rioxxterms.funderNIHR
dc.rioxxterms.funderWellcome Trust
dcterms.dateAccepted2015-04-21en
rioxxterms.versionofrecord10.1016/j.amepre.2015.04.020en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2015-07-07en
dc.contributor.orcidPechey, Rachel [0000-0002-6558-388X]
dc.contributor.orcidMonsivais, Pablo [0000-0002-7088-6674]
dc.identifier.eissn1873-2607
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idMRC (MR/K023187/1)
pubs.funder-project-idESRC (ES/G007462/1)
pubs.funder-project-idWellcome Trust (087636/Z/08/Z)


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Creative Commons Attribution 4.0
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