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Refining the Nutrition Environment Measures Survey (NEMS) for Healthy Community Stores: Adaptations to Capture Alternative Food Retailers and Align with Dietary Guidelines

Author

Listed:
  • Alex B. Hill

    (Detroit Food Map Initiative and Department of Urban Studies and Planning, College of Liberal Arts and Sciences, Wayne State University, Detroit, MI 48202, USA)

  • Ravneet Kaur

    (Division of Health Research and Evaluation, Department of Family and Community Medicine, College of Medicine, University of Illinois, Rockford, IL 61107, USA)

  • Samantha M. Sundermeir

    (Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Christina Kasprzak

    (Department of Community Health and Health Behavior, University at Buffalo, Buffalo, NY 14260, USA)

  • Megan Winkler

    (Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA)

  • Sara John

    (Center for Science in the Public Interest, Washington, DC 20005, USA)

  • Rachael D. Dombrowski

    (Departments of Public Health and Kinesiology, College of Education, Health and Human Services, California State University San Marcos, San Marcos, CA 92096, USA)

  • Bree Bode

    (Division of Kinesiology, Heath and Sport Studies, College of Education, Detroit, MI 48202, USA)

  • Joel Gittelsohn

    (Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

Abstract

Inadequate consumption of healthy food is an ongoing public health issue in the United States. Food availability measures of supply versus consumption of healthy foods are disconnected in many studies. There is a need for an objective assessment of the food environment in order to assess how the food supply aligns with the Healthy Eating Index (HEI). Data were collected as part of the Healthy Community Stores Case Study Project, including a refined Nutrition Environment Measures Survey for Healthy Community Stores (NEMS-HCS) and an updated Healthy Food Availability Index that aligns with the Healthy Eating Index (HFAHEI). This paper will focus on the NEMS-HCS development process, findings, and HFAHEI application. All food items were more likely to be found at grocery stores rather than corner stores. Food pricing was often above the Consumer Price Index averages for six food items. The NEMS-HCS assessment better aligned with the HEI because it included a wider variety of meats, frozen fruits and vegetables, and an increased selection of whole grains. HFAHEI scoring was inclusive of non-traditional and alternative community stores with a health focus, making it suitable for use at the local level, especially in neighborhoods where supermarkets and large chain stores are less common.

Suggested Citation

  • Alex B. Hill & Ravneet Kaur & Samantha M. Sundermeir & Christina Kasprzak & Megan Winkler & Sara John & Rachael D. Dombrowski & Bree Bode & Joel Gittelsohn, 2022. "Refining the Nutrition Environment Measures Survey (NEMS) for Healthy Community Stores: Adaptations to Capture Alternative Food Retailers and Align with Dietary Guidelines," IJERPH, MDPI, vol. 19(19), pages 1-13, October.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12875-:d:936203
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    References listed on IDEAS

    as
    1. Camila Aparecida Borges & Kamila Tiemann Gabe & Patricia Constante Jaime, 2021. "Consumer Food Environment Healthiness Score: Development, Validation, and Testing between Different Types of Food Retailers," IJERPH, MDPI, vol. 18(7), pages 1-14, April.
    2. Sara John & Megan R. Winkler & Ravneet Kaur & Julia DeAngelo & Alex B. Hill & Samantha M. Sundermeir & Uriyoan Colon-Ramos & Lucia A. Leone & Rachael D. Dombrowski & Emma C. Lewis & Joel Gittelsohn, 2022. "Balancing Mission and Margins: What Makes Healthy Community Food Stores Successful," IJERPH, MDPI, vol. 19(14), pages 1-20, July.
    3. Tanya M. Horacek & Elif Dede Yildirim & Erin Kelly & Adrienne A. White & Karla P. Shelnutt & Kristin Riggsbee & Melissa D. Olfert & Jesse Stabile Morrell & Anne E. Mathews & Terezie T. Mosby & Tandala, 2018. "Development and Validation of a Simple Convenience Store SHELF Audit," IJERPH, MDPI, vol. 15(12), pages 1-16, November.
    4. Zenk, S.N. & Schulz, A.J. & Israel, B.A. & James, S.A. & Bao, S. & Wilson, M.L., 2005. "Neighborhood racial composition, neighborhood poverty, and the spatial accessibility of supermarkets in metropolitan Detroit," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 660-667.
    5. Alba Martínez-García & Julia Díez & Carlos Fernández-Escobar & Eva María Trescastro-López & Pamela Pereyra-Zamora & Carles Ariza & Usama Bilal & Manuel Franco, 2020. "Adaptation and Evaluation of the Nutrition Environment Measures Survey in Stores to Assess Mediterranean Food Environments (NEMS-S-MED)," IJERPH, MDPI, vol. 17(19), pages 1-12, September.
    6. Morland, K. & Wing, S. & Roux, A.D., 2002. "The contextual effect of the local food environment on residents' diets: The atherosclerosis risk in communities study," American Journal of Public Health, American Public Health Association, vol. 92(11), pages 1761-1767.
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