ArticlePreventive medicine reports2022
Perceptions of the local food environment and fruit and vegetable intake in the Eastern Caribbean Health Outcomes research Network (ECHORN) Cohort study.
Article in Preventive medicine reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Perception of the Food Environment and Availability of Unprocessed and Ultra-Processed Foods in the Households of Brazilian Schoolchildren During the COVID-19 Pandemic.International journal of environmental research and public health · 2026Article
- Exploring Oral Health Challenges and Barriers to Dental Care Among Children in Cabo Verde: A Qualitative Study.Public health challenges · 2026Article
- A mixed-methods study of food environment and consumer perception in Catalonia.BMC public health · 2025Article
- Food insecurity and hypertension prevalence, awareness, and control in the Eastern Caribbean Health Outcomes Research Network Study.PLOS global public health · 2025Article
- Addressing non-communicable disease management during disasters in the US Virgin Islands: a mixed methods study.Frontiers in public health · 2025Article
- Perceptions of the neighbourhood food environment and food insecurity of families with children during the Covid-19 pandemic.BMC public health · 2024Article
- Consumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean.Public health nutrition · 2023Article
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Authors and funding
10 authors.
Funding
Abstract
introductionStudies conducted in the US and other high-income countries show that the local food environment influences dietary intakes that are protective for cardiovascular health.However, few studies have examined this relationship in the Caribbean. This study aimed to determine whether perceptions of the local food environment were associated with fruit and vegetable (FV) intake in the Eastern Caribbean, where daily FV intake remains below recommended levels.
methodsCross-sectional analysis of Eastern Caribbean Health Outcomes Research Network Cohort Study (ECS) baseline data (2013-2016) from Barbados, Puerto Rico, Trinidad and Tobago, and US Virgin Islands was conducted in 2020. The National Cancer Institute Dietary Screener Questionnaire was adapted to measure daily servings of FV. Existing scales were used to assess participant perceptions of the food environment (availability, affordability, and quality). Chi-square tests and Poisson regression were used for analyses.
resultsParticipants reported eating one mean daily serving of FV. Mean daily intake was higher among those who perceived FV as usually/always affordable, available, and high quality. Multivariate results showed statistically significant associations between FV and affordability. Persons who perceived FV as affordable had 0.10 more daily servings of FV compared to those who reported FV as not always affordable (p = 0.02). Food insecurity modified the association between affordability and FV intake.
conclusionsThis study highlights the importance of affordability in consumption of FV in the Eastern Caribbean, and how this relationship may be modified by food insecurity.
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