Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지
DOI QR코드

DOI QR Code

Qualitative Study on the Perception of Community Food-accessibility Environment among Urban Older Adults

도시지역 일부 노인에서 지역사회 식품의 접근성 측면에서의 식품환경 인식에 대한 질적 연구

  • Yang, Narae (Department of Food Science and Nutrition, Dankook University) ;
  • Kim, Kirang (Department of Food Science and Nutrition, Dankook University)
  • Received : 2020.04.01
  • Accepted : 2020.04.17
  • Published : 2020.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study explored the community food environmental factors affecting food purchasing using a qualitative research methodology for the elderly as well as the various food environments under their socioeconomic diversity. Methods: For the qualitative data collection, this study interviewed 20 elderly people aged 65 years or more, who participated in a public health program or lunch services operated by the senior welfare center in Seoul. Five dimensions, such as availability, physical accessibility, affordability, acceptability, and accommodation suggested in previous studies, were used to identify the community food environmental factors. Results: The elderly participants showed overall similarities to the concepts derived from existing studies on the five dimensions of food accessibility environment. In addition, other important food accessibility environmental factors that were not present in previous studies, such as acceptability for a product of domestic origin, delivery service to home, and small-packaged food sales, were derived. On the other hand, the concept of some subjects differed depending on the household income and specifically for the physical accessibility concept. This showed that the close distance factor from a grocery store at home might not apply to older adults in low-income households in Korea. Conclusions: This study found that five dimensions of the food environment suggested by previous studies could also be applied to vulnerable older adults in Korea. On the other hand, the socioeconomic characteristics of individuals and households would affect the perspectives of their local food environments differently. The findings of this study could help in the development of tools for evaluating the community food environment.

Keywords

References

  1. Lee K, Kim SH, Heo SY, Choi JH, Park IH. The consumer behavior survey for food 2018. Naju: Korea Rural Economic Institute; 2018.
  2. Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS et al. Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2019; 393(10184): 1958-1972. https://doi.org/10.1016/S0140-6736(19)30041-8
  3. Lee CH, Lee SE, Jang MJ, Choe JS, Park YH, Kim Y. An analysis of food purchase accessibility and availability for rural households: The cases of Bibong-myeon and Maesong-myeon, Hwaseong-si. Korean J Community Living Sci 2014; 25(4): 581-600. https://doi.org/10.7856/kjcls.2014.25.4.581
  4. Kim DH, Lee CK, Seo DY. Food deserts in Korea? A GIS analysis of food consumption patterns at sub-district level in Seoul using the KNHANES 2008-2012 data. Nutr Res Pract 2016; 10(5): 530-536. https://doi.org/10.4162/nrp.2016.10.5.530
  5. Haynes-Maslow L, Leone LA. Examining the relationship between the food environment and adult diabetes prevalence by country economic and racial composition: an ecological study. BMC Public Health 2017; 17(1): 648. https://doi.org/10.1186/s12889-017-4658-0
  6. Shim JE, Hwang JY, Kin K. Objective and perceived food environment and household economic resources related to food insecurity in older adults living alone in rural areas. BMC Geriatr 2019; 19(1): 234. https://doi.org/10.1186/s12877-019-1231-y
  7. Momosaki R, Wakabayashi H, Maeda K, Shamoto H, Nishioka S, Kojima K et al. Association between food store availability and the incidence of functional disability among communitydwelling older adults: Results from the Japanese gerontological evaluation cohort study. Nutrients 2019; 11(10): 2369. https://doi.org/10.3390/nu11102369
  8. Dean WR, Sharkey JR. Rural and urban differences in the associations between characteristics of the community food environment and fruit and vegetable intake. J Nutr Educ Behav 2011; 43(6): 426-433. https://doi.org/10.1016/j.jneb.2010.07.001
  9. Glanz K, Sallis JF, Saelens BE, Frank LD. Healthy nutrition environments: Concepts and measures. Am J Health Promot 2005; 19(5): 330-333. https://doi.org/10.4278/0890-1171-19.5.330
  10. Boswell N, Byrne R, Davies PSW. Family food environment factors associated with obesity outcomes in early childhood. BMC Obes 2019; 6(1): 1-11. https://doi.org/10.1186/s40608-018-0224-2
  11. Bodor JN, Rose D, Farley TA, Swalm C, Scott SK. Neighbourhood fruit and vegetable availability and consumption: The role of small food stores in an urban environment. Public Health Nutr 2008; 11(4): 413-420. https://doi.org/10.1017/s1368980007000493
  12. Jetter KM, Cassady DL. The availability and cost of healthier food alternatives. Am J Prev Med 2006; 30(1): 38-44. https://doi.org/10.1016/j.amepre.2005.08.039
  13. Moore LV, Diez Roux AV, Nettleton JA, Jacobs DR. Associations of the local food environment with diet quality: A comparison of assessments based on surveys and geographic information systems. Am J Epidemiol 2008; 167(8): 917-924. https://doi.org/10.1093/aje/kwm394
  14. Lytle LA. Measuring the food environment: State of the science. Am J Prev Med 2009; 36(4): 134-144. https://doi.org/10.1016/j.amepre.2009.01.018
  15. Bryant M, Sahota P, Santorelli G, Hill A. An exploration and comparison of food and drink availability in homes in a sample of families of White and Pakistani origin within the UK. Public Health Nutr 2014; 18(7): 1197-1205. https://doi.org/10.1017/S1368980014000147
  16. Mercille G, Richard L, Gauvin L, Kestens Y, Shatenstein B, Daniel M et al. The food environment and diet quality of urbandwelling older women and men: Assessing the moderating role of diet knowledge. Can J Public Health 2016; 107(1): eS34-eS41. https://doi.org/10.17269/CJPH.107.5309
  17. Caspi CE, Sorensen G, Subramanian SV, Kawachi I. The local food environment and diet: A systematic review. Health Place 2012; 18(5): 1172-1187. https://doi.org/10.1016/j.healthplace.2012.05.006
  18. Drewnowski A, Vernez Moudon A, Jiao J, Aggarwal A, Charreire H, Chaix B. Food shopping behaviors and socioeconomic status influence obesity rates in Seattle and in Paris. Int J Obes (Lond) 2014; 38(2): 306-314. https://doi.org/10.1038/ijo.2013.97
  19. Williams LK, Thornton L, Ball K, Crawford D. Is the objective food environment associated with perceptions of the food environment? Public Health Nutr 2012; 15(2): 291-298. https://doi.org/10.1017/S1368980011001947
  20. Glaser BG, Strauss AL. The discovery of grounded theory: Strategies for qualitative research. New York: Aldine; 1967.
  21. Shin GR. Basics of qualitative research: Techniques and procedures for developing grounded theory (translated version). 1st ed. United States of America original written by Strauss A, Corbin JM. Seoul: Hyunmoonsa; 2001. p. 91-110.
  22. Centers for Disease Control and Prevention. Health effects of limited access to healthy food: obesity, chronic disease, and poor nutrition [internet]. Centers for Disease Control and Prevention; 2010 [cited 2020 Jan 10]. Available from: https://www.cdc.gov/healthyplaces/healthtopics/healthyfood/obesity.htm
  23. Sharkey JR, Johnson CM, Dean WR. Food access and perceptions of the community and household food environment as correlates of fruit and vegetable intake among rural seniors. BMC Geriatr 2010; 10(1): 32. https://doi.org/10.1186/1471-2318-10-32
  24. Glanz K. Measuring food environments: A historical perspective. Am J Prev Med 2009; 36(4): S93-S98. https://doi.org/10.1016/j.amepre.2008.09.012
  25. Green SH, Glanz K. Development of the perceived nutrition environment measures survey. Am J Prev Med 2015; 49(1): 50-61. https://doi.org/10.1016/j.amepre.2015.02.004
  26. Pitt E, Gallegos D, Comans T, Cameron C, Thornton L. Exploring the influence of local food environments on food behaviours: A systematic review of qualitative literature. Public Health Nutr 2017; 20(13): 2393-2405. https://doi.org/10.1017/S1368980017001069
  27. Love P, Whelan J, Bell C, McCracken J. Measuring rural food environments for local action in Australia: A systematic critical synthesis review. Int J Environ Res Public Health 2019; 16(13): 2416. https://doi.org/10.3390/ijerph16132416
  28. Gustafson AA, Sharkey J, Samuel-Hodge CD, Jones-Smith J, Folds MC, Cai J et al. Perceived and objective measures of the food store environment and the association with weight and diet among low-income women in North Carolina. Public Health Nutr 2011; 14(6): 1032-1038. https://doi.org/10.1017/s1368980011000115
  29. Black C, Moon G, Baird J. Dietary inequalities: What is the evidence for the effect of the neighbourhood food environment? Health Place 2014; 27: 229-242. https://doi.org/10.1016/j.healthplace.2013.09.015
  30. Lytle LA, Sokol RL. Measures of the food environment: A systematic review of the field, 2007-2015. Health Place 2017; 44: 18-34. https://doi.org/10.1016/j.healthplace.2016.12.007
  31. Giskes K, Van Lenthe FJ, Brug J, Mackenbach JP, Turrell G. Socioeconomic inequalities in food purchasing: The contribution of respondent-perceived and actual (objectively measured) price and availability of foods. Prev Med 2007; 45(1): 41-48. https://doi.org/10.1016/j.ypmed.2007.04.007
  32. Vilaro MJ, Barnett TE, Mathews A, Pomeranz J, Curbow B. Income differences in social control of eating behaviors and food choice priorities among southern rural women in the US: A qualitative study. Appetite 2016; 107: 604-612. https://doi.org/10.1016/j.appet.2016.09.003
  33. Park E. A comparison of community health status by region and an investigation of related factors using community health indicators. J. Korean Acad 2012; 23(1): 31-39.

Cited by

  1. Analysis of Accessibility Changes to Neighborhood Food Environment and Food Desert Phenomenon in Seoul, Korea : Focused on the High-density Areas of Low-income Older Adults vol.56, pp.1, 2020, https://doi.org/10.17208/jkpa.2021.02.56.1.137
  2. 광주광역시 서구 재가노인의 노쇠정도에 따른 영양상태 vol.26, pp.5, 2021, https://doi.org/10.5720/kjcn.2021.26.5.382