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DOI: 10.1055/a-0602-4382
Stadtteildeprivation und Lebensmittelumwelt: Zusammenhänge von sozialen und baulichen Merkmalen der Wohnumgebung und Lebensmittelverfügbarkeit
Neighbourhood deprivation and community nutrition environment: associations between the social and built environment and food availabilityPublication History
Publication Date:
16 May 2018 (online)
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Zusammenfassung
Ziel der Studie Ernährungsgewohnheiten werden maßgeblich durch den individuellen Sozialstatus beeinflusst. Unklar ist, welcher Zusammenhang zwischen der Wohnumgebung und Lebensmittelverfügbarkeit besteht. Ziel der Studie war es, die Lebensmittelumwelt in sozial und baulich verschiedenen Stadtteilen zu untersuchen.
Methodik Anhand offizieller Daten der Stadt Leipzig wurden 3 exemplarische Stadtteile ausgewählt, die sich hinsichtlich ihrer sozialen (2 depriviert, 1 privilegiert) und baulichen Struktur (2 Altbau, 1 Plattenbau) unterscheiden. Über Feldbeobachtungen wurden alle Lebensmittelanbieter kartiert und kategorisiert.
Ergebnisse Soziale und bauliche Merkmale sind mit der Lebensmittelverfügbarkeit assoziiert. Der Anteil an Fast-Food-Anbietern ist in den deprivierten Gebieten mehr als doppelt so hoch als im privilegierten Vergleichsgebiet (25%, 30,4% vs. 13,5%). Altbauquartiere verfügen über eine 70% höhere Angebotsvielfalt als das Plattenbaugebiet.
Schlussfolgerung Die erhöhte Verfügbarkeit von ungesunden Lebensmitteln in deprivierten Gebieten kann zur Entstehung von Adipositas beitragen. Präventionsmaßnahmen sollten den räumlichen und sozialen Kontext berücksichtigen.
Abstract
Summary Objective Eating habits are influenced by individual socioeconomic status (SES). As the association between neighbourhood characteristics and food availability is still unclear, we investigated the community nutrition environment in different neighbourhoods.
Methods Using official data of the city of Leipzig, we selected three neighbourhoods which differed in terms of their social (2 deprived vs. 1 affluent) and built (1 large housing estates vs. 2 historic buildings) environment. Data on food outlets were assessed via direct observation (ground truthing).
Results Social and residential environment characteristics are associated with food availability. The proportion of fast food outlets is higher in deprived neighbourhoods compared to the affluent one (25%, 30.4% vs. 13.5%). Neighbourhoods with historic buildings offer a greater variety of food outlets.
Conclusion The greater availability of unhealthy food may contribute to the development of obesity. Preventive measures should consider the physical and social environment.
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Literatur
- 1 Darmon N, Drewnowski A. Does social class predict diet quality?. The American journal of clinical nutrition 2008; 87: 1107-1117
- 2 Psaltopoulou T, Hatzis G, Papageorgiou N. et al. Socioeconomic status and risk factors for cardiovascular disease: Impact of dietary mediators. Hellenic journal of cardiology: HJC=Hellenike kardiologike epitheorese 2017; 58: 32-42
- 3 Hilmers A, Hilmers DC, Dave J. Neighborhood disparities in access to healthy foods and their effects on environmental justice. American journal of public health 2012; 102: 1644-1654
- 4 Lamb KE, Thornton LE, Cerin E. et al. Statistical Approaches Used to Assess the Equity of Access to Food Outlets. A Systematic Review. AIMS Public Health 2015; 2: 358-401
- 5 Herforth A, Ahmed S. The food environment, its effects on dietary consumption, and potential for measurement within agriculture-nutrition interventions. Food Sec 2015; 7: 505-520
- 6 Anchondo TM, Ford PB. Neighborhood Deprivation, Neighborhood Acculturation, and the Retail Food Environment in a US–Mexico Border Urban Area. Journal of Hunger & Environmental Nutrition 2011; 6: 207-219
- 7 Cushon J, Creighton T, Kershaw T. et al. Deprivation and food access and balance in Saskatoon, Saskatchewan. Chronic diseases and injuries in Canada 2013; 33: 146-159
- 8 Gordon C, Purciel-Hill M, Ghai NR. et al. Measuring food deserts in New York City's low-income neighborhoods. Health & place 2011; 17: 696-700
- 9 Gould AC, Apparicio P, Cloutier M-S. Classifying neighbourhoods by level of access to stores selling fresh fruit and vegetables and groceries. Identifying problematic areas in the city of Gatineau. Quebec. Canadian journal of public health=Revue canadienne de sante publique 2012; 103: e433-e437
- 10 Macintyre S. Deprivation amplification revisited; or, is it always true that poorer places have poorer access to resources for healthy diets and physical activity?. The international journal of behavioral nutrition and physical activity 2007; 4: 32
- 11 Pearce J, Day P, Witten K. Neighbourhood Provision of Food and Alcohol Retailing and Social Deprivation in Urban New Zealand. Urban Policy and Research 2008; 26: 213-227
- 12 Macdonald L, Ellaway A, Macintyre S. The food retail environment and area deprivation in Glasgow City, UK. The international journal of behavioral nutrition and physical activity 2009; 6: 52
- 13 Macintyre S, Macdonald L, Ellaway A. Do poorer people have poorer access to local resources and facilities? The distribution of local resources by area deprivation in Glasgow, Scotland. Social science & medicine (1982) 2008; 67: 900-914
- 14 Morland K, Wing S, Diez Roux A. et al. Neighborhood characteristics associated with the location of food stores and food service places. American Journal of Preventive Medicine 2002; 22: 23-29
- 15 Moore LV, Diez Roux AV. Associations of neighborhood characteristics with the location and type of food stores. American journal of public health 2006; 96: 325-331
- 16 Kawakami N, Winkleby M, Skog L. et al. Differences in neighborhood accessibility to health-related resources. A nationwide comparison between deprived and affluent neighborhoods in Sweden. Health & place 2011; 17: 132-139
- 17 Schneider S, Gruber J. Neighbourhood deprivation and outlet density for tobacco, alcohol and fast food. First hints of obesogenic and addictive environments in Germany. Public health nutrition 2013; 16: 1168-1177
- 18 Buck C, Bornhorst C, Pohlabeln H. et al. Clustering of unhealthy food around German schools and its influence on dietary behavior in school children. A pilot study. The international journal of behavioral nutrition and physical activity 2013; 10: 65
- 19 Stadt Leipzig. Amt für Statistik und Wahlen. Ortsteilkatalog 2016 22.12.2016
- 20 Lake AA, Burgoine T, Greenhalgh F. et al. The foodscape. Classification and field validation of secondary data sources. Health & place 2010; 16: 666-673
- 21 AlHasan DM, Eberth JM. An ecological analysis of food outlet density and prevalence of type II diabetes in South Carolina counties. BMC public health 2016; 16: 10
- 22 Li F, Harmer P, Cardinal BJ. et al. Obesity and the built environment. Does the density of neighborhood fast-food outlets matter?. American journal of health promotion: AJHP 2009; 23: 203-209
- 23 Gausche R, Igel U, Sergeyev E et al. Stadtteilbezogene Gesundheitsförderung zur Reduktion der Adipositasprävalenz bei Kindern und Jugendlichen. Adipositas 2014; 8: 18–24
- 24 Igel U, Gausche R, Lück M et al. Stadtteilbezogene Gesundheitsförderung zur Übergewichtsprävention bei Kindern. Forschungsdesign eines Projekts in Leipzig-Grünau. Ernährungs Umschau 2016; 63: 8–15
- 25 Beaulac J, Kristjansson E, Cummins S. A systematic review of food deserts, 1966-2007. Preventing chronic disease 2009; 6: A105
- 26 Engler-Stringer R, Le H, Gerrard A. et al. The community and consumer food environment and children's diet. A systematic review. BMC public health 2014; 14: 522
- 27 Janssen I, Boyce WF, Simpson K. et al. Influence of individual- and area-level measures of socioeconomic status on obesity, unhealthy eating, and physical inactivity in Canadian adolescents. The American journal of clinical nutrition 2006; 83: 139-145
- 28 Lipek T, Igel U, Gausche R. et al. Obesogenic environments. Environmental approaches to obesity prevention. Journal of pediatric endocrinology & metabolism: JPEM 2015; 28: 485-495
- 29 Eichhorn C, Nagel E. Prävention von Ubergewicht und Adipositas – Aufgaben von Staat, Lebensmittelindustrie und Individuum. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) 2010; 72: 10-16
- 30 Krisam M, von Philipsborn P, Meder B. Nudging in der Primärprävention. Eine Übersicht und Perspektiven für Deutschland. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) 2017; 79: 117-123
- 31 Glanz K, Sallis JF, Saelens BE. et al. Nutrition Environment Measures Survey in stores (NEMS-S). Development and evaluation. American Journal of Preventive Medicine 2007; 32: 282-289
- 32 Schneider S, D'Agostino A, Weyers S. et al. Neighborhood Deprivation and Physical Activity Facilities – No Support for the Deprivation Amplification Hypothesis. Journal of physical activity & health 2015; 12: 990-997