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Open AccessFeature PaperArticle

Correlates of Discordance between Perceived and Objective Distances to Local Fruit and Vegetable Retailers

1
Australian Centre for Precision Health, School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia
2
Division of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia
3
Wardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia
4
Centre for Research & Action in Public Health, Health Research Institute, Faculty of Health, University of Canberra, Canberra, ATC 2601, Australia
5
Population Research and Outcome Studies, Discipline of Medicine, The University of Adelaide, Adelaide, SA 5001, Australia
6
South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia
7
Department of Medicine, St Vincent’s Hospital, The University of Melbourne, Melbourne, VIC 3065, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(7), 1262; https://doi.org/10.3390/ijerph16071262
Received: 27 February 2019 / Revised: 7 April 2019 / Accepted: 8 April 2019 / Published: 9 April 2019
(This article belongs to the Special Issue Environmental Influences on Food Behaviour)
Background: Perceptions of neighbourhood attributes such as proximity of food retailers that are discordant with objective measures of the same are associated with poor health behaviours and weight gain. Factors associated with discordant perceptions are likely relevant to planning more effective interventions to improve health. Purpose: Analysis of cross-sectional relationships between individual and neighbourhood factors and overestimations of walking distances to local fruit/vegetable retailers (FVR). Methods: Perceived walking times, converted to distances, between participant residences and FVR were compared with objectively-assessed road network distances calculated with a Geographic Information System for n = 1305 adults residing in Adelaide, South Australia. Differences between perceived and objective distances were expressed as ‘overestimated’ distances and were analysed relative to perceptions consistent with objective distances. Cross-sectional associations were evaluated between individual socio-demographic, health, and area-level characteristics and overestimated distances to FVR using multilevel logistic regression. Results: Agreement between objective and perceived distances between participants’ residence and the nearest FVR was only fair (weighted kappa = 0.22). Overestimated distances to FVR were positively associated with mental well-being, and were negatively associated with household income, physical functioning, sense of community, and objective distances to greengrocers. Conclusions: Individual characteristics and features of neighbourhoods were related to overestimated distances to FVR. Sense of connectivity and shared identity may shape more accurate understandings of local resource access, and offer a focal point for tailored public health initiatives that bring people together to achieve improved health behaviour. View Full-Text
Keywords: perceptions; geographic information system; neighbourhood; walkability; food environment; Australia perceptions; geographic information system; neighbourhood; walkability; food environment; Australia
MDPI and ACS Style

Baldock, K.L.; Paquet, C.; Howard, N.J.; Coffee, N.T.; Taylor, A.W.; Daniel, M. Correlates of Discordance between Perceived and Objective Distances to Local Fruit and Vegetable Retailers. Int. J. Environ. Res. Public Health 2019, 16, 1262.

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