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Perceived Availability of Healthy and Unhealthy Foods in the Community, Work, and Higher Education Settings across Five Countries: Findings from the International Food Policy Study 2018.

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cam.depositDate2022-03-22
cam.issuedOnline2022-05-11
cam.orpheus.counter3
cam.orpheus.successWed May 25 11:13:24 BST 2022 - Embargo updated
dc.contributor.authorContreras-Manzano, Alejandra
dc.contributor.authorNieto, Claudia
dc.contributor.authorJáuregui, Alejandra
dc.contributor.authorPérez Ferrer, Carolina
dc.contributor.authorVanderlee, Lana
dc.contributor.authorBarquera, Simón
dc.contributor.authorSacks, Gary
dc.contributor.authorAdams, Jean
dc.contributor.authorThrasher, James F
dc.contributor.authorHammond, David
dc.contributor.orcidContreras-Manzano, Alejandra [0000-0003-1576-5922]
dc.contributor.orcidJáuregui, Alejandra [0000-0001-9158-2007]
dc.contributor.orcidVanderlee, Lana [0000-0001-5384-1821]
dc.contributor.orcidBarquera, Simón [0000-0003-1854-4615]
dc.contributor.orcidSacks, Gary [0000-0001-9736-1539]
dc.contributor.orcidAdams, Jean [0000-0002-5733-7830]
dc.date.accessioned2022-03-24T00:30:18Z
dc.date.available2022-03-24T00:30:18Z
dc.date.issued2022-06-13
dc.date.updated2022-03-22T16:00:09Z
dc.description.abstractBACKGROUND: Food environments play a key role in dietary behavior and vary due to different contexts, regulations, and policies. OBJECTIVES: This study aimed to characterize the perceived availability of healthy and unhealthy foods in 3 different settings in 5 countries. METHODS: We analyzed data from the 2018 International Food Policy Study, a cross-sectional survey of adults (18-100 y, n = 22,824) from Australia, Canada, Mexico, the United Kingdom (UK), and the USA. Perceived availability of unhealthy (junk food and sugary drinks) and healthy foods (fruit or vegetables, healthy snacks, and water) in the community, workplace, and university settings were measured (i.e. not available, available for purchase, or available for free). Differences in perceived availability across countries were tested using adjusted multinomial logistic regression models. RESULTS: Across countries, unhealthy foods were perceived as highly available in all settings; in university and work settings unhealthy foods were perceived as more available than healthy foods. Australia and Canada had the highest perceived availability of unhealthy foods (range 87.5-90.6% between categories), and the UK had the highest perceived availability of fruits and vegetables for purchase (89.3%) in the community. In university and work settings, Mexico had the highest perceived availability for purchase of unhealthy foods (range 69.9-84.9%). The USA and the UK had the highest perceived availability of fruits and vegetables for purchase (65.3-66.3%) or for free (21.2-22.8%) in the university. In the workplace, the UK had high perceived availability of fruits and vegetables for purchase (40.2%) or for free (18.5%), and the USA had the highest perceived availability of junk food for free (17.3%). CONCLUSIONS: Across countries, unhealthy foods were perceived as highly available in all settings. Variability between countries may reflect differences in policies and regulations. Results underscore the need for the continuation and improvement of policy efforts to generate healthier food environments.
dc.description.sponsorshipSources of support Funding for this project was provided by a Canadian Institutes of Health Research (CIHR) Project Grant, with additional support from an International Health Grant, the Public Health Agency of Canada (PHAC), and a CIHR – PHAC Applied Public Health Chair (Hammond). Funders had no role in designing the study, collecting, analyzing, and interpreting the data, drafting the manuscript nor the decision to publish findings. The supporting sources had no involvement or restrictions regarding publication. Conflict of Interest and Funding Disclosure – Alejandra Contreras-Manzano works in a civil society organization funded by Bloomberg Philanthropies, Claudia Nieto was awarded with the healthy food policy fellowship from Vital Strategies. Jean Adams is supported by the Medical Research Council (grant number MC_UU_00006/7). David Hammond has served as a paid expert witness on behalf of public health authorities in the legal challenge to San Francisco’s health warning ordinance for sugar-sweetened beverages. No other financial disclosures were reported by the authors of this paper.
dc.identifier.doi10.17863/CAM.82749
dc.identifier.eissn1541-6100
dc.identifier.issn0022-3166
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/335317
dc.language.isoeng
dc.publisherElsevier BV
dc.publisher.urlhttp://dx.doi.org/10.1093/jn/nxac070
dc.rightsAll Rights Reserved
dc.rights.urihttp://www.rioxx.net/licenses/all-rights-reserved
dc.subjectcommunity
dc.subjectfood environment
dc.subjectfood policy
dc.subjectperceived availability
dc.subjectuniversity
dc.subjectwork environment
dc.subjectAdult
dc.subjectCross-Sectional Studies
dc.subjectFruit
dc.subjectHumans
dc.subjectNutrition Policy
dc.subjectSnacks
dc.subjectVegetables
dc.titlePerceived Availability of Healthy and Unhealthy Foods in the Community, Work, and Higher Education Settings across Five Countries: Findings from the International Food Policy Study 2018.
dc.typeArticle
dcterms.dateAccepted2022-03-15
prism.publicationNameJ Nutr
pubs.funder-project-idMRC (MC_UU_00006/7)
pubs.licence-display-nameApollo Repository Deposit Licence Agreement
pubs.licence-identifierapollo-deposit-licence-2-1
rioxxterms.typeJournal Article/Review
rioxxterms.versionAM
rioxxterms.versionofrecord10.1093/jn/nxac070

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