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Journal article
Adaptation and Evaluation of the Nutrition Environment Measures Survey in Stores to Assess Mediterranean Food Environments (NEMS-S-MED)
International journal of environmental research and public health, v 17(19), pp 1-11
01 Oct 2020
PMID: 32992984
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The Nutrition Environment Measures Surveys are valid and reliable measures of community and consumer food environments. This article describes the adaptation and evaluation of the Nutrition Environment Measures Survey in Stores (NEMS-S) for Mediterranean urban contexts (NEMS-S-MED). Trained raters used the adapted NEMS-S-MED tool to observe and rate food outlets in 21 census tracts and 43 food stores across the city of Madrid, Spain. We evaluated inter-rater and intra-rater reliabilities, construct validity, and the tool's ability to discriminate between store types and between stores by area-level Socio-Economic Status (SES). Overall, the mean NEMS-S-MED score was 20.7 (SD = 9.8), which ranged from 7 to 43. Most food items displayed substantial or almost perfect inter-rater and intra-rater agreements; the percentage agreement across availability items was almost perfect and kappa statistics were also very high (median kappa = 1.00 for inter-rater; kappa = 0.92 for intra-rater). Furthermore, the NEMS-S-MED tool was able to discriminate between store types and census tracts of different SES. The adapted NEMS-S-MED instrument is a reliable and valid audit tool to assess the consumer food environment in Mediterranean urban contexts. Well-constructed measurement tools, such as the NEMS-S-MED, may facilitate the development of effective policy interventions to increase healthy food access and affordability.
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Details
- Title
- Adaptation and Evaluation of the Nutrition Environment Measures Survey in Stores to Assess Mediterranean Food Environments (NEMS-S-MED)
- Creators
- Alba Martinez-Garcia - University of AlicanteJulia Diez - University of AlcaláCarlos Fernandez-Escobar - Instituto de Salud Carlos IIIEva Maria Trescastro-Lopez - University of AlicantePamela Pereyra-Zamora - University of AlicanteCarles Ariza - Agència de Salut Pública de Barcelona (Public Health Agency Barcelona), 08023 Barcelona, Spain.Usama Bilal - University of AlcaláManuel Franco - Bloomberg
- Publication Details
- International journal of environmental research and public health, v 17(19), pp 1-11
- Publisher
- Mdpi
- Number of pages
- 12
- Grant note
- Alicia Llacer grant for Young Epidemiologists (14th edition) - Spanish Society of Epidemiology DP5OD26429 / Office of the Director of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA UAFPU2017-047 / University of Alicante 623 336893 / European Research Council under the European Union's Seventh Framework Program (FP7/2007-2013/ERC)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000587192600001
- Scopus ID
- 2-s2.0-85091571420
- Other Identifier
- 991019167572704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Environmental Sciences
- Public, Environmental & Occupational Health