Table 3.
n | Mean total scoreb | Mean sub-scoresb | |||||
---|---|---|---|---|---|---|---|
Original | Rescaledc | Food availability | Nutrition information | Promotions | Price | ||
All outlets | 216 | 13.69 | 47.3 | 10.58 | 5.12 | −0.61 | −1.39 |
Bodega | 109 | 13.09 | 46.6 | 13.27 | 0.54 | 0.08 | −0.80 |
Fast food | 107 | 14.31 | 48.0 | 7.84 | 9.78 | −1.32 | −1.99 |
P value for difference by outlet type | 0.220 | <0.001 | <0.001 | <0.001 | <0.001 | ||
High-poverty | 102 | 11.57 | 44.8 | 9.68 | 4.19 | −1.00 | −1.29 |
Low-poverty | 114 | 15.60 | 49.5 | 11.39 | 5.95 | −0.26 | −1.47 |
P value for difference by poverty | <0.001 | 0.036 | 0.012 | 0.042 | 0.573 | ||
Fast food | |||||||
High-poverty | 45 | 11.60 | 44.9 | 6.38 | 9.42 | −2.00 | −2.20 |
Low-poverty | 62 | 16.27 | 50.3 | 8.90 | 10.03 | −0.82 | −1.84 |
P value for difference by poverty | 0.002 | 0.013 | 0.244 | 0.073 | 0.512 | ||
Bodegas | |||||||
High-poverty | 57 | 11.54 | 44.8 | 12.28 | 0.05 | −0.21 | −0.58 |
Low-poverty | 52 | 14.79 | 48.6 | 14.35 | 1.08 | 0.40 | −1.04 |
P value for difference by poverty | 0.013 | 0.047 | 0.003 | 0.026 | 0.126 |
Sample 1 includes 216 bodegas and fast food restaurants sampled from high-density commercial streets in high- and low-poverty neighborhoods in New York City. High-poverty neighborhoods are census tracts in the top third of poverty rates city-wide; low-poverty neighborhoods are census tracts in the bottom third of poverty rates.
For NEMS total score and sub-scores, higher scores indicate a nutrition environment more conducive to healthy eating. The total NEMS sub-score is equivalent to the sum of the four sub-scores. The food availability sub-score is the sum of: (1) 3 points for: baked chips, whole grain bread, fruit without added sugar, non-fried vegetables, 100% fruit juice, low-fat or skim milk, and diet soda; (2) count of healthy main dishes (1=1 choice, 2=2–4 choices, 3=5+ choices); (3) count of healthy main dish salads (1=1 choice, 2=2–4 choices, 3=5+ choices); (4) count of low-fat or fat-free salad dressings (1=1 choice, 2=2 choices, 3=3+ choices). The nutrition information sub-score is the sum of: 3 points for nutrition information during the site visit; 3 points for nutrition information on the menu; 3 points for nutrition information on signs/brochures; 2 points for identification of healthier menu items; and 3 points for either nutrition information or identification of healthier items on the menu. The promotions sub-score allots 3 points each for menus encouraging healthy requests, signs highlighting healthy options, and signs encouraging healthy eating; 3 points each are deducted for menus encouraging large portions, menus discouraging special requests, signs encouraging unhealthy eating, signs encouraging overeating, and presence of a “low-carb” promotion. The pricing sub-score allots 3 points each for availability of reduced-size portions and charging less for smaller portions; 3 points each are deducted for charging less for combination meals than for individual items, all-you-can-eat or unlimited refills, charging more for healthy options, and charging more for shared entrees.
The rescaled total NEMS-R scores have been transformed to have a hypothetical range from 0–100.