Evidence map›Paper›PMID 32075027›Full record

ArticleNutrients2020

Snapshots of Urban and Rural Food Environments: EPOCH-Based Mapping in a High-, Middle-, and Low-Income Country from a Non-Communicable Disease Perspective.

Mark Spires, Aravinda Berggreen-Clausen, Francis Xavier Kasujja, Peter Delobelle, Thandi Puoane, David Sanders, Meena Daivadanam

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Impact of Street Food Availability on Nutritional Intake and Diet-Related Health Outcomes: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
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  10. Diet Therapy and Public Health.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 5 countries.

Mark SpiresSchool of Public Health, University of the Western Cape, Bellville 7535, South Africa.ORCID 0000-0002-1767-2511
Aravinda Berggreen-ClausenDepartment of Food Studies, Nutrition and Dietetics, Uppsala University, 75122 Uppsala, Sweden.
Francis Xavier KasujjaDepartment of Epidemiology and Biostatistics, School of Public Health, Makerere University, Kampala, Uganda.ORCID 0000-0002-4081-2826
Peter DelobelleSchool of Public Health, University of the Western Cape, Bellville 7535, South Africa.ORCID 0000-0002-9016-7458
Thandi PuoaneSchool of Public Health, University of the Western Cape, Bellville 7535, South Africa.ORCID 0000-0001-8871-9260
David SandersSchool of Public Health, University of the Western Cape, Bellville 7535, South Africa.
Meena DaivadanamDepartment of Food Studies, Nutrition and Dietetics, Uppsala University, 75122 Uppsala, Sweden.ORCID 0000-0002-9532-6059
University of the Western Cape · ZAUppsala University · SECity, University of London · GBMakerere University · UGVrije Universiteit Brussel · BE

Funding

Crown Princess Margareta's Memorial Foundation -Horizon 2020 643692
6 · The paper itself

Abstract

A changing food environment is implicated as a primary contributor to the increasing levels of non-communicable diseases (NCDs). This study aimed to generate snapshots of selected external food environments to inform intervention strategies for NCD prevention in three countries: Uganda (low income), South Africa (middle income) and Sweden (high income), with one matched pair of urban-rural sites per country. Fifty formal and informal food retail outlets were assessed, and descriptive and comparative statistical analyses were performed. We found that formal food retail outlets in these countries had both positive and negative traits, as they were the main source of basic food items but also made unhealthy food items readily available. The Ugandan setting had predominantly informal outlets, while the Swedish setting had primarily formal outlets and South Africa had both, which fits broadly into the traditional (Uganda), mixed (South Africa) and modern (Sweden) conceptualized food systems. The promotion of unhealthy food products was high in all settings. Uganda had the highest in-community advertising, followed by South Africa and Sweden with the lowest, perhaps related to differences in regulation and implementation. The findings speak to the need to address contextual differences in NCD-related health interventions by incorporating strategies that address the food environment, and for a critical look at regulations that tackle key environment-related factors of food on a larger scale.

Indexed as

FoodFood MarketsFood SupplyHealth PromotionIncomePovertyRural PopulationUrban PopulationCross-Sectional StudiesHumansNoncommunicable DiseasesSouth AfricaSwedenUgandafood environmentfood promotionfood retail outletslow-, middle- and high-income countries

Identifiers

PMID32075027
PMCPMC7071357
OpenAlexW3005749686

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.