ArticleInternational journal of environmental research and public health2021
Consumer Food Environment Healthiness Score: Development, Validation, and Testing between Different Types of Food Retailers.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Evidence Gaps in Assessments of the Healthiness of Online Supermarkets Highlight the Need for New Monitoring Tools: a Systematic Review.Current atherosclerosis reports · 2022Pooled it
- Association Between Food Environment Characteristics and Overweight and Anemia in Socially Vulnerable Children Living in Favelas.International journal of environmental research and public health · 2026Article
- Socio-Environmental Typologies and Incidence of Dental Caries from Childhood to Adolescence among Youth in Montreal: The QUALITY Cohort.Caries research · 2026Article
- The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women.Public health nutrition · 2025Article
- Development, validity and reliability of the street food and beverage tool.Public health nutrition · 2025Article
- Association Between the Food Environment Around Schools and Food Consumption of Adolescents in Large and Small Municipalities in Southern Brazil.International journal of environmental research and public health · 2024Article
- University Food Environment Assessment Methods and Their Implications: Protocol for a Systematic Review.JMIR research protocols · 2024Article
- Consumer nutrition environment measurements for nutrient-dense food availability and food sustainability: a scoping review.Archives of public health = Archives belges de sante publique · 2024Article
- 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
- Ultra-processed foods should be central to global food systems dialogue and action on biodiversity.BMJ global health · 2022Article
- Ultra-Processed Food Availability and Sociodemographic Associated Factors in a Brazilian Municipality.Frontiers in nutrition · 2022Article
- Development and Application of Healthiness Indicators for Commercial Establishments That Sell Foods for Immediate Consumption.Foods (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to develop and validate a scoring system, based on AUDITNOVA, to assess the healthiness of the consumer food environment, considering food availability, price, advertising, and placement strategies. Audited data of 650 food retailers were used to develop, validate, and test the consumer food environment healthiness score. To compose the score, the reference was the Dietary Guidelines for the Brazilian Population. The total and subscores were standardized for a scale from 0 to 100. Construct validity was assessed using the Kruskal-Wallis Dunn tests. Cronbach's alpha coefficients were calculated to determine the consistency of the scores. The median score was 33.7 (p25 = 26.9; p75 = 42.1). The public and private specialized indoor fresh food markets showed the highest medians; otherwise, bakeries and food retailers with the predominant sale of ultra-processed foods showed the lowest. The score was able to satisfactorily classify the extreme food retailer groups by the predominant sale of fresh or minimally processed foods and the predominant sale of ultra-processed foods. The results of Cronbach's alpha showed excellent internal consistency (α = 0.91). The score helped to provide an overall assessment of consumer food environment healthiness and was able to classify food retailer groups as healthy and unhealthy according to the degree of processing of the available foods.
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