Evidence map›Paper›PMID 39018304›Full record

ArticlePloS one2024

Associations between the neighbourhood food environment and food and drink purchasing in England during lockdown: A repeated cross-sectional analysis.

Alexandra Irene Kalbus, Laura Cornelsen, Andrea Ballatore, Steven Cummins

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Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Alexandra Irene KalbusDepartment of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0002-7388-7074
Laura CornelsenDepartment of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Andrea BallatoreDepartment of Digital Humanities, King's College London, London, United Kingdom.
Steven CumminsDepartment of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0002-3957-4357

Funding

Medical Research Council MR/P021999/1
6 · The paper itself

Abstract

introductionEvidence for the effect of neighbourhood food environment (NFE) exposures on diet in the UK is mixed, potentially due to exposure misclassification. This study used the first national COVID-19 lockdown in England as an opportunity to isolate the independent effects of the NFE exposure on food and drink purchasing, and assessed whether these varied by region.

methodsTransaction-level purchasing data for food and drink items for at-home (1,221 households) and out-of-home consumption (171 individuals) were available from the GB Kantar Fast Moving Consumer Goods Panel for London and the North of England. The study period included 23rd March to 10th May 2020 ('lockdown'), and the same period in 2019 for comparison. NFE exposures included food outlet density and proximity, and NFE composition within a 1 km network buffer around the home. Associations were estimated for both years separately, adjusted for individual and household characteristics, population density and area deprivation. Interaction terms between region and exposures were explored.

resultsThere were no consistent patterns of association between NFE exposures and food and drink purchasing in either time period. In 2019, there was some evidence for a 1.4% decrease in energy purchased from ultra-processed foods for each additional 500 m in the distance to the nearest OOH outlet (IR 0.986, 95% CI 0.977 to 0.995, p = 0.020). In 2020, there was some evidence for a 1.8% reduction in total take-home energy for each additional chain supermarket per km2 in the neighbourhood (IR 0.982, 95% CI 0.969, 0.995, p = 0.045). Region-specific effects were observed in 2019 only. DISCUSSION: Findings suggest that the differences in exposure to the NFE may not explain differences in the patterns or healthiness of grocery purchasing. Observed pre-pandemic region-specific effects allude to the importance of geographical context when designing research and policy. Future research may assess associations for those who relied on their NFE during lockdown.

Indexed as

COVID-19Food SupplyResidence CharacteristicsBeveragesCommerceConsumer BehaviorCross-Sectional StudiesEnglandFemaleFoodHumansMaleSARS-CoV-2

Identifiers

PMID39018304
PMCPMC11253942

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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.