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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Autores principales:	Sarah Evenosky, Eleanor Lewis, Katherine I. DiSantis
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	pregnancy nutrition food environment birth equity health disparities underserved populations Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/c07a719da11840eaa9db7a379fdb5459
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spelling	oai:doaj.org-article:c07a719da11840eaa9db7a379fdb54592021-11-25T18:34:39ZA Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality10.3390/nu131138452072-6643https://doaj.org/article/c07a719da11840eaa9db7a379fdb54592021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3845https://doaj.org/toc/2072-6643In 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 (<i>n</i> = 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.Sarah EvenoskyEleanor LewisKatherine I. DiSantisMDPI AGarticlepregnancynutritionfood environmentbirth equityhealth disparitiesunderserved populationsNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3845, p 3845 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pregnancy nutrition food environment birth equity health disparities underserved populations Nutrition. Foods and food supply TX341-641
spellingShingle	pregnancy nutrition food environment birth equity health disparities underserved populations Nutrition. Foods and food supply TX341-641 Sarah Evenosky Eleanor Lewis Katherine I. DiSantis A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality
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 (<i>n</i> = 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.
format	article
author	Sarah Evenosky Eleanor Lewis Katherine I. DiSantis
author_facet	Sarah Evenosky Eleanor Lewis Katherine I. DiSantis
author_sort	Sarah Evenosky
title	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_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_sort	mixed methods case study of food shopping in a community with high infant mortality
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c07a719da11840eaa9db7a379fdb5459
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A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality

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