Adaptation and Evaluation of the Nutrition Environment Measures Survey in Stores to Assess Mediterranean Food Environments (NEMS-S-MED)
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Título: | Adaptation and Evaluation of the Nutrition Environment Measures Survey in Stores to Assess Mediterranean Food Environments (NEMS-S-MED) |
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Autor/es: | Martínez-García, Alba | Díez, Julia | Fernández-Escobar, Carlos | Trescastro-López, Eva María | Pereyra-Zamora, Pamela | Ariza, Carles | Bilal, Usama | Franco, Manuel |
Grupo/s de investigación o GITE: | Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia |
Palabras clave: | Food environment | Food retail | Measurement | Nutrition Environment Measures Surveys |
Área/s de conocimiento: | Enfermería |
Fecha de publicación: | 25-sep-2020 |
Editor: | MDPI |
Cita bibliográfica: | Martínez-García A, Díez J, Fernández-Escobar C, Trescastro-López EM, Pereyra-Zamora P, Ariza C, Bilal U, Franco M. Adaptation and Evaluation of the Nutrition Environment Measures Survey in Stores to Assess Mediterranean Food Environments (NEMS-S-MED). International Journal of Environmental Research and Public Health. 2020; 17(19):7031. https://doi.org/10.3390/ijerph17197031 |
Resumen: | The Nutrition Environment Measures Surveys are valid and reliable measures of community and consumer food environments. This article describes the adaptation and evaluation of the Nutrition Environment Measures Survey in Stores (NEMS-S) for Mediterranean urban contexts (NEMS-S-MED). Trained raters used the adapted NEMS-S-MED tool to observe and rate food outlets in 21 census tracts and 43 food stores across the city of Madrid, Spain. We evaluated inter-rater and intra-rater reliabilities, construct validity, and the tool’s ability to discriminate between store types and between stores by area-level Socio-Economic Status (SES). Overall, the mean NEMS-S-MED score was 20.7 (SD = 9.8), which ranged from 7 to 43. Most food items displayed substantial or almost perfect inter-rater and intra-rater agreements; the percentage agreement across availability items was almost perfect and kappa statistics were also very high (median κ = 1.00 for inter-rater; κ = 0.92 for intra-rater). Furthermore, the NEMS-S-MED tool was able to discriminate between store types and census tracts of different SES. The adapted NEMS-S-MED instrument is a reliable and valid audit tool to assess the consumer food environment in Mediterranean urban contexts. Well-constructed measurement tools, such as the NEMS-S-MED, may facilitate the development of effective policy interventions to increase healthy food access and affordability. |
Patrocinador/es: | A.M.-G. was funded by a predoctoral fellowship offered to trainee researchers from the University of Alicante (UAFPU2017-047). J.D. was supported by the Alicia Llácer grant for Young Epidemiologists (14th edition) awarded by the Spanish Society of Epidemiology. U.B. was supported by a grant from the Office of the Director of the National Institutes of Health under award number DP5OD26429. This study was funded by the European Research Council under the European Union’s Seventh Framework Program (FP7/2007–2013/ERC Starting Grant Heart Healthy Hoods Agreement no. 623 336893). |
URI: | http://hdl.handle.net/10045/109486 |
ISSN: | 1661-7827 (Print) | 1660-4601 (Online) |
DOI: | 10.3390/ijerph17197031 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
Revisión científica: | si |
Versión del editor: | https://doi.org/10.3390/ijerph17197031 |
Aparece en las colecciones: | Investigaciones financiadas por la UE INV - SALUD - Artículos de Revistas INV - BALMIS - Artículos de Revistas |
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