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Development of a Nutrition Environment Assessment Tool for Latino Ethnic Stores

Author

Listed:
  • Jenny L. Baier

    (Mercy Hospital, Joplin, MO 64804, USA)

  • Shelly M. Palmer

    (Department of Food Science & Human Nutrition, University of Illinois at Urbana-Champaign, Champaign, IL 61801, USA)

  • Donna M. Winham

    (Department of Food Science & Human Nutrition, Iowa State University, Ames, IA 50010, USA)

  • Mack C. Shelley

    (Departments of Political Science and Statistics, Iowa State University, Ames, IA 50010, USA)

Abstract

The objectives were to: (1) adapt the Nutrition Environment Measures Survey for Stores (NEMS-S) to better culturally fit small Latino grocery stores ( tiendas ) in Iowa; (2) assess the newly adapted Latino NEMS-S for inter-rater and test-retest reliability; and (3) compare Latino and original NEMS-S summary scores. This pilot instrument, containing culturally appropriate foods from the original NEMS-S and 2015 US Dietary Guidelines for Americans, underwent two rounds of formative evaluation. The new instrument and scoring protocol were applied to a random sample of 42 of 81 possible tiendas in Iowa. Cohen’s kappa was used to assess inter-rater and test-retest reliability for availability and quality of indicator food items (total scores and food category sub scores). There were no differences in summary scores for inter-rater or test-retest reliability using paired t -tests. Inter-rater agreement was high (range 0.82–1.00; p < 0.001). Tiendas averaged 42.0 ± 7.5 of 57 possible points on the Latino NEMS-S, but only 12.0 ± 4.6 of 54 points on the original NEMS-S ( p < 0.001). The Latino NEMS-S is a reliable tool for assessing the food environment within Iowa tiendas . Culturally specific instruments can describe diverse food environments more accurately and guide public health nutrition interventions within communities.

Suggested Citation

  • Jenny L. Baier & Shelly M. Palmer & Donna M. Winham & Mack C. Shelley, 2022. "Development of a Nutrition Environment Assessment Tool for Latino Ethnic Stores," IJERPH, MDPI, vol. 19(3), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1860-:d:743759
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    References listed on IDEAS

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    1. Michelle M. Heer & Donna M. Winham, 2020. "Bean Preferences Vary by Acculturation Level among Latinas and by Ethnicity with Non-Hispanic White Women," IJERPH, MDPI, vol. 17(6), pages 1-12, March.
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