TY - JOUR
T1 - The impact of urbanization on the community food environment in China
AU - Wu, Yang
AU - Xue, Hong
AU - Wang, Huijun
AU - Su, Chang
AU - Du, Shufa
AU - Wang, Youfa
PY - 2017/5/1
Y1 - 2017/5/1
N2 - Background and Objectives: Research on how urbanization has influenced the food environment in China is limited. The study aimed to examine the impact of urbanization on the food environment in China. Methods and Study Design: Longitudinal data collected during 1989-2009 from the China Health and Nutrition Survey were used, which covered 9 provinces in China. Urbanicity index (0-10) was assessed using an urbanicity scale. Final analyses included 216 communities. Random-effect models were used in analyses. Results: Urbanization (higher urbanicity index) increased the odds of having fast food restaurants (OR=2.78, 95% CI: 2.18-3.54) and other indoor restaurants (OR=2.93, 95% CI: 2.28-3.76) within the community, the odds of having supermarkets (OR=2.43, 95% CI: 2.04-2.89) and free markets (OR=2.56, 95% CI: 1.77-3.70) within 30 minutes' bus ride from the community. Food prices for apples (β=0.06, 95% CI: 0.04-0.08) and lean pork (β =0.02, 95% CI: 0.01-0.03) increased with urbanicity, while prices for other food did not. Urbanicity was positively associated with community norms for fast food consumption (RR=1.28, 95% CI: 1.22-1.33), fast food preferences (RR=1.09, 95% CI: 1.06-1.12) and nutrition knowledge (RR=1.02, 95% CI: 1.01-1.03). Conclusions: Urbanization is associated with food environment in China. The findings provide insight for future economic development and public health efforts related to urbanization.
AB - Background and Objectives: Research on how urbanization has influenced the food environment in China is limited. The study aimed to examine the impact of urbanization on the food environment in China. Methods and Study Design: Longitudinal data collected during 1989-2009 from the China Health and Nutrition Survey were used, which covered 9 provinces in China. Urbanicity index (0-10) was assessed using an urbanicity scale. Final analyses included 216 communities. Random-effect models were used in analyses. Results: Urbanization (higher urbanicity index) increased the odds of having fast food restaurants (OR=2.78, 95% CI: 2.18-3.54) and other indoor restaurants (OR=2.93, 95% CI: 2.28-3.76) within the community, the odds of having supermarkets (OR=2.43, 95% CI: 2.04-2.89) and free markets (OR=2.56, 95% CI: 1.77-3.70) within 30 minutes' bus ride from the community. Food prices for apples (β=0.06, 95% CI: 0.04-0.08) and lean pork (β =0.02, 95% CI: 0.01-0.03) increased with urbanicity, while prices for other food did not. Urbanicity was positively associated with community norms for fast food consumption (RR=1.28, 95% CI: 1.22-1.33), fast food preferences (RR=1.09, 95% CI: 1.06-1.12) and nutrition knowledge (RR=1.02, 95% CI: 1.01-1.03). Conclusions: Urbanization is associated with food environment in China. The findings provide insight for future economic development and public health efforts related to urbanization.
KW - China
KW - Fast food
KW - Food environment
KW - Policy
KW - Urbanization
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U2 - 10.6133/apjcn.032016.09
DO - 10.6133/apjcn.032016.09
M3 - Article
C2 - 28429917
AN - SCOPUS:85019000827
SN - 0964-7058
VL - 26
SP - 504
EP - 513
JO - Asia Pacific journal of clinical nutrition
JF - Asia Pacific journal of clinical nutrition
IS - 3
ER -