ArticleJournal of health, population, and nutrition2025
The effect of food environment on nutrition-related health: evidence from rural China.
Article in Journal of health, population, and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Association Between Various Metrics of the Rural Food Environment and Diabetes and Obesity.Preventing chronic disease · 2026Article
- Dietary diversity trajectories and depression symptoms among rural older adults: a latent class growth analysis and network analysis based on the China longitudinal health and longevity study.BMC public health · 2026Article
- Demographic and socioeconomic determinants influencing households' engagement in out-of-home food consumption in the Western region of Ghana.BMC public health · 2026Article
- Association between healthiness of community food environments and diet-related health outcomes in regional Australia: an ecological study.BMC public health · 2026Article
- Nutrition as a Cultural-Biological Regulator of Ageing: The Concept of Ethnonutrigerontology.Cureus · 2026Review
- Assessment of China's food and nutrition policies based on healthy food environment policy index (food-EPI): focusing on governance, funding and resources, platforms for interaction.Frontiers in nutrition · 2026Article
- The impact of population aging and rural food markets on the dietary quality of rural residents: a micro case study from China.Frontiers in nutrition · 2026Article
- From gene to plate in Indonesia: a food system framework for the triple burden of malnutrition.Frontiers in public health · 2026Article
- Characterizing diet quality indicators and their demographic determinants among adults: a population-based study in Northern Ghana.Frontiers in nutrition · 2025Article
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Authors and funding
4 authors.
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Abstract
backgroundUnderstanding the impact of the food environment on nutrition-related health is essential for addressing the rising prevalence of issues such as overweight and obesity amid rapidly changing dietary patterns in many emerging economies. This study aimed to explore the cause relationship between the food environment, including its three sub-dimensions-food availability, accessibility, and affordability, and nutrition-related health outcomes.
methodsThis study utilizes survey data collected from rural households in Shaanxi Province, China, in 2022. This analysis utilizes 2SLS and IV-Probit models to analyze the relationship between food environment and nutrition-related health outcomes.
resultsThe findings suggest that the food environment and its sub-dimensions significantly increase nutrition-related health among rural residents. Specially, based on supermarkets and free markets, the food environment has a significant negative impact on BMI and overweight. Besides, food availability and accessibility in rural areas based on supermarkets and free markets significantly increase the nutritional outcomes. To explore the underlying mechanisms, we further analyze the mediating roles of nutrition literacy and dietary quality, the latter of which is evaluated using the Chinese Healthy Eating Index (CHEI) and the Dietary Balance Index (DBI). The results confirm that the food environment positively influences both nutrition literacy and dietary quality.
conclusionEnhancing the food environment is an effective pathway to improving nutrition-related health outcomes in rural China. Policymakers should prioritize dynamic improvements in food availability and accessibility-particularly through supermarkets and farmers' markets-while also promoting nutrition literacy and diet quality to support long-term public health goals.
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