Journal
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR
Volume 48, Issue 10, Pages 723-+Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jneb.2016.07.020
Keywords
food environment; reliability; survey; culture; NEMS; food stores
Funding
- Public Health Agency of Canada
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Objective: To describe the adaptation and inter-rater reliability assessment of the Toronto Nutrition Environment Measures Survey-Store. Methods: A total of 55 food stores (2 bakeries, 2 dollar stores, 19 gas/convenience stores, 18 grocery stores, 4 pharmacies, 8 specialty stores, and 2 superstores) were assessed in 2014. Cohen's kappa and intra-class correlation coefficients (ICC) were assessed for inter-rater reliability for product availability, price, quality, ethno-cultural accessibility scores, and overall store scores. Results: Inter-rater reliability was high for availability (average kappa = 0.91), price (average ICC = 0.964), ethno-cultural accessibility score (ICC = 0.981), and overall store scores (ICC = 0.991). Conclusions and Implications: Measures in the Toronto Nutrition Environment Measures Survey-Store demonstrated excellent inter-rater agreement. Limited access to fruits and vegetables and ethno-cultural foods are related to diet-related chronic diseases, particularly among immigrants. Findings of the study may be useful in guiding public health programming.
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