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A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality

In the U.S., preterm birth disproportionately impacts certain racial/ethnic groups, with Black women experiencing preterm birth at a rate 50% higher than other groups. Among the numerous factors that likely contribute to these increased rates are neighborhood characteristics, such as food environmen...

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Detalles Bibliográficos
Autores principales: Evenosky, Sarah, Lewis, Eleanor, DiSantis, Katherine I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623881/
https://www.ncbi.nlm.nih.gov/pubmed/34836108
http://dx.doi.org/10.3390/nu13113845
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author Evenosky, Sarah
Lewis, Eleanor
DiSantis, Katherine I.
author_facet Evenosky, Sarah
Lewis, Eleanor
DiSantis, Katherine I.
author_sort Evenosky, Sarah
collection PubMed
description In the U.S., preterm birth disproportionately impacts certain racial/ethnic groups, with Black women experiencing preterm birth at a rate 50% higher than other groups. Among the numerous factors that likely contribute to these increased rates are neighborhood characteristics, such as food environment. In this mixed-methods case study, we evaluated how pregnant women living in a predominately minority, lower income community with high preterm birth rates navigate and perceive their food environment. Qualitative interviews were performed to assess perceptions of food environment (n = 7) along with geographic and observational assessments of their food environment. Participants traveled an average of 2.10 miles (SD = 1.16) and shopped at an average of 3 stores. They emphasized the importance of pricing and convenience when considering where to shop and asserted that they sought out healthier foods they thought would enhance their pregnancy health. Observational assessments of stores’ nutrition environment showed that stores with lower nutritional scores were in neighborhoods with greater poverty and a higher percent Black population. Future policies and programmatic efforts should focus on improving nutrition during pregnancy for women living in communities with high rates of poor birth outcomes. Availability, affordability, and accessibility are key aspects of the food environment to consider when attempting to achieve birth equity.
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spelling pubmed-86238812021-11-27 A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality Evenosky, Sarah Lewis, Eleanor DiSantis, Katherine I. Nutrients Communication In the U.S., preterm birth disproportionately impacts certain racial/ethnic groups, with Black women experiencing preterm birth at a rate 50% higher than other groups. Among the numerous factors that likely contribute to these increased rates are neighborhood characteristics, such as food environment. In this mixed-methods case study, we evaluated how pregnant women living in a predominately minority, lower income community with high preterm birth rates navigate and perceive their food environment. Qualitative interviews were performed to assess perceptions of food environment (n = 7) along with geographic and observational assessments of their food environment. Participants traveled an average of 2.10 miles (SD = 1.16) and shopped at an average of 3 stores. They emphasized the importance of pricing and convenience when considering where to shop and asserted that they sought out healthier foods they thought would enhance their pregnancy health. Observational assessments of stores’ nutrition environment showed that stores with lower nutritional scores were in neighborhoods with greater poverty and a higher percent Black population. Future policies and programmatic efforts should focus on improving nutrition during pregnancy for women living in communities with high rates of poor birth outcomes. Availability, affordability, and accessibility are key aspects of the food environment to consider when attempting to achieve birth equity. MDPI 2021-10-28 /pmc/articles/PMC8623881/ /pubmed/34836108 http://dx.doi.org/10.3390/nu13113845 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Evenosky, Sarah
Lewis, Eleanor
DiSantis, Katherine I.
A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality
title A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality
title_full A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality
title_fullStr A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality
title_full_unstemmed A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality
title_short A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality
title_sort mixed methods case study of food shopping in a community with high infant mortality
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623881/
https://www.ncbi.nlm.nih.gov/pubmed/34836108
http://dx.doi.org/10.3390/nu13113845
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