Evaluating the use of in-store measures in retail food stores and restaurants in Brazil

ABSTRACTOBJECTIVE To assess inter-rater reliability, test-retest reliability, and construct validity of retail food store, open-air food market, and restaurant observation tools adapted to the Brazilian urban context.METHODS This study is part of a cross-sectional observation survey conducted in 13...

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Main Authors: Ana Clara Duran, Karen Lock, Maria do Rosario D O Latorre, Patricia Constante Jaime
Format: Article
Language:English
Published: Universidade de São Paulo 2015-01-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102015000100261&lng=en&tlng=en
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author Ana Clara Duran
Karen Lock
Maria do Rosario D O Latorre
Patricia Constante Jaime
author_facet Ana Clara Duran
Karen Lock
Maria do Rosario D O Latorre
Patricia Constante Jaime
author_sort Ana Clara Duran
collection DOAJ
description ABSTRACTOBJECTIVE To assess inter-rater reliability, test-retest reliability, and construct validity of retail food store, open-air food market, and restaurant observation tools adapted to the Brazilian urban context.METHODS This study is part of a cross-sectional observation survey conducted in 13 districts across the city of Sao Paulo, Brazil in 2010-2011. Food store and restaurant observational tools were developed based on previously available tools, and then tested it. They included measures on the availability, variety, quality, pricing, and promotion of fruits and vegetables and ultra-processed foods. We used Kappa statistics and intra-class correlation coefficients to assess inter-rater and test-retest reliabilities in samples of 142 restaurants, 97 retail food stores (including open-air food markets), and of 62 restaurants and 45 retail food stores (including open-air food markets), respectively. Construct validity as the tool’s abilities to discriminate based on store types and different income contexts were assessed in the entire sample: 305 retail food stores, 8 fruits and vegetable markets, and 472 restaurants.RESULTS Inter-rater and test-retest reliability were generally high, with most Kappa values greater than 0.70 (range 0.49-1.00). Both tools discriminated between store types and neighborhoods with different median income. Fruits and vegetables were more likely to be found in middle to higher-income neighborhoods, while soda, fruit-flavored drink mixes, cookies, and chips were cheaper and more likely to be found in lower-income neighborhoods.CONCLUSIONS The measures were reliable and able to reveal significant differences across store types and different contexts. Although some items may require revision, results suggest that the tools may be used to reliably measure the food stores and restaurant food environment in urban settings of middle-income countries. Such studies can help .inform health promotion interventions and policies in these contexts.
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spelling doaj.art-504b77b24ccf460db359b5e5f466c1322022-12-22T03:46:38ZengUniversidade de São PauloRevista de Saúde Pública0034-89102015-01-0149010.1590/S0034-8910.2015049005420S0034-89102015000100261Evaluating the use of in-store measures in retail food stores and restaurants in BrazilAna Clara DuranKaren LockMaria do Rosario D O LatorrePatricia Constante JaimeABSTRACTOBJECTIVE To assess inter-rater reliability, test-retest reliability, and construct validity of retail food store, open-air food market, and restaurant observation tools adapted to the Brazilian urban context.METHODS This study is part of a cross-sectional observation survey conducted in 13 districts across the city of Sao Paulo, Brazil in 2010-2011. Food store and restaurant observational tools were developed based on previously available tools, and then tested it. They included measures on the availability, variety, quality, pricing, and promotion of fruits and vegetables and ultra-processed foods. We used Kappa statistics and intra-class correlation coefficients to assess inter-rater and test-retest reliabilities in samples of 142 restaurants, 97 retail food stores (including open-air food markets), and of 62 restaurants and 45 retail food stores (including open-air food markets), respectively. Construct validity as the tool’s abilities to discriminate based on store types and different income contexts were assessed in the entire sample: 305 retail food stores, 8 fruits and vegetable markets, and 472 restaurants.RESULTS Inter-rater and test-retest reliability were generally high, with most Kappa values greater than 0.70 (range 0.49-1.00). Both tools discriminated between store types and neighborhoods with different median income. Fruits and vegetables were more likely to be found in middle to higher-income neighborhoods, while soda, fruit-flavored drink mixes, cookies, and chips were cheaper and more likely to be found in lower-income neighborhoods.CONCLUSIONS The measures were reliable and able to reveal significant differences across store types and different contexts. Although some items may require revision, results suggest that the tools may be used to reliably measure the food stores and restaurant food environment in urban settings of middle-income countries. Such studies can help .inform health promotion interventions and policies in these contexts.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102015000100261&lng=en&tlng=enAlimentoAmbienteFatores socioeconômicosRestaurantesEstudos de Validação
spellingShingle Ana Clara Duran
Karen Lock
Maria do Rosario D O Latorre
Patricia Constante Jaime
Evaluating the use of in-store measures in retail food stores and restaurants in Brazil
Revista de Saúde Pública
Alimento
Ambiente
Fatores socioeconômicos
Restaurantes
Estudos de Validação
title Evaluating the use of in-store measures in retail food stores and restaurants in Brazil
title_full Evaluating the use of in-store measures in retail food stores and restaurants in Brazil
title_fullStr Evaluating the use of in-store measures in retail food stores and restaurants in Brazil
title_full_unstemmed Evaluating the use of in-store measures in retail food stores and restaurants in Brazil
title_short Evaluating the use of in-store measures in retail food stores and restaurants in Brazil
title_sort evaluating the use of in store measures in retail food stores and restaurants in brazil
topic Alimento
Ambiente
Fatores socioeconômicos
Restaurantes
Estudos de Validação
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102015000100261&lng=en&tlng=en
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