ArticleInternational journal of environmental research and public health2020
Adaptation and Evaluation of the Nutrition Environment Measures Survey in Stores to Assess Mediterranean Food Environments (NEMS-S-MED).
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed.
- Mapping the Healthiness of Campus Food Environments in Nigeria: In-Store Retail and Outdoor Advertising Assessments at Selected Universities-The NigeFE Study.International journal of environmental research and public health · 2026Article
- Development of a Mediterranean Diet Recipe Index (MedRI).Nutrients · 2025Article
- Development and validation of a food retail environment analysis protocol in Iran.Public health nutrition · 2025Article
- Adaptation and evaluation of the Nutrition Environment Measures Survey in Restaurants for the Spanish Mediterranean context (NEMS-R-MED).Frontiers in public health · 2025Article
- Article
- Enhanced Measurement of Sugar-Sweetened Beverage Marketing to Young Immigrant Children in Grocery Store Environments.Nutrients · 2023Article
- Food availability and affordability in a Mediterranean urban context: associations by store type and area-level socio-economic status.Public health nutrition · 2023Article
- Retail Food Environment around Schools in Barcelona by Neighborhood Socioeconomic Status: Implications for Local Food Policy.International journal of environmental research and public health · 2022Article
- Development and Validation of a Set of Instruments to Measure Food Environments.International journal of environmental research and public health · 2022Review
- Refining the Nutrition Environment Measures Survey (NEMS) for Healthy Community Stores: Adaptations to Capture Alternative Food Retailers and Align with Dietary Guidelines.International journal of environmental research and public health · 2022Article
- Adaption and reliability of the Nutrition Environment Measures for stores (NEMS-S) instrument for use in urban areas of Chile.BMC public health · 2022Article
- Prevalence of Overweight and Obesity in Children of Immigrant Origin in Spain: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Residents' Insights on Their Local Food Environment and Dietary Behaviors: A Cross-City Comparison Using Photovoice in Spain.International journal of environmental research and public health · 2021Article
- Cultural Adaptation and Evaluation of the Perceived Nutrition Environment Measures Survey to the Mediterranean Spanish Context (NEMS-P-MED).Nutrients · 2020Article
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8 authors.
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Abstract
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.
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