Abstract
OBJECTIVES: The purpose of this study was to examine how pre- and early adolescent (10-14 years old) children from a wide range of neighbourhoods interact with their local food environment (FE), with a focus on the foods and food sources they access and their locations. Children in this age group are developing independence and mobility within (and beyond) their home neighbourhoods but are somewhat geographically bound as they cannot yet drive.
METHODS: This research consists of qualitative interviews with 31 children (15 males, 16 females) aged 10-14 years living in socio-economically diverse neighbourhoods across Saskatoon, SK. A thematic analysis was conducted.
RESULTS: Children’s descriptions of what constitutes their neighbourhood FE were varied, ranging from a couple of city blocks to several kilometres from home. Children were familiar with the types of establishment that sell food within their perceived neighbourhood. When children purchased their own food they most frequently cited buying snacks such as ice cream, candy and slushes, and the majority of these purchases were made in convenience stores, gas stations and grocery stores. Few children reported frequenting fast-food or other restaurants without adults, and when they did it was usually to buy snacks such as French fries and ice cream rather than meals.
CONCLUSIONS: Our results highlight the importance of interventions targeted to this age group, in which personal food choices were reported almost exclusively as being energy- but not nutrient-dense snack foods.
KEY WORDS: Children, environment, diet, food and nutrition, eating
Résumé
OBJECTIFS : Nous avons cherché à examiner comment les préadolescents et les jeunes adolescents (10–14 ans) vivant dans toutes sortes de quartiers interagissent avec leur environnement alimentaire (EA) local, en insistant sur les aliments et les sources de nourriture auxquels ils ont accès et sur leur emplacement. Les enfants de ce groupe d’âge développent leur indépendance et leur mobilité à l’intérieur (et au-delà) de leur quartier d’attache, mais ils sont un peu circonscrits géographiquement, car ils n’ont pas encore l’âge de conduire.
MÉTHODE : L’étude a comporté des entretiens qualitatifs avec 31 enfants (15 garçons, 16 filles) de 10–14 ans vivant à Saskatoon (Saskatchewan) dans des quartiers diversifiés sur le plan socioéconomique. Nous avons fait l’analyse thématique des entretiens.
RÉSULTATS : Les descriptions par les enfants de ce qui constitue l’EA de leur quartier variaient beaucoup, de quelques pâtés de maisons à plusieurs kilomètres de distance de leur domicile. Les enfants connaissaient bien les types d’établissements qui vendent des aliments dans leur quartier subjectif. Quand les enfants achetaient leurs propres aliments, ils disaient le plus souvent acheter des collations (crème glacée, bonbons, barbotines), et la majorité de ces achats étaient faits dans les dépanneurs, les stations-services et les épiceries. Peu d’enfants disaient fréquenter des rapido-restaurants ou d’autres restaurants sans la présence d’adultes; quand ils le faisaient, c’était habituellement pour acheter des collations comme des frites et de la crème glacée plutôt que des repas.
conclusions : Nos résultats soulignent l’importance des interventions qui ciblent ce groupe d’âge, où les choix alimentaires personnels déclarés sont presque exclusivement des grignotines riches en calories, mais peu nutritives.
MOTS CLÉS: enfant, environnement, régime alimentaire, aliments et nutrition, consommation d’aliment
Footnotes
Acknowledgements: We thank the Canadian Institutes of Health Research (fund 106643) and the Saskatchewan Health Research Foundation New Investigator Establishment Grant program for funding this study; the Smart Cities, Healthy Kids: Food Environment research team for its assistance; and Nazeem Muhajarine in particular for his mentorship and Mel Brockman for her critical review of the first draft.
Conflict of Interest: None to declare.
References
- 1.Liese AD, Weis KE, Pluto D, Smith E, Lawson A. Food store types, availability, and cost of foods in a rural environment. J Am Diet Assoc. 2007;107(11):1916–23. doi: 10.1016/j.jada.2007.08.012. [DOI] [PubMed] [Google Scholar]
- 2.Li F, Harmer P, Cardinal BJ, Bosworth M, Johnson-Shelton D. Obesity and the built environment: Does the density of neighborhood fast-food outlets matter? Am J Health Promot. 2009;23(3):203–9. doi: 10.4278/ajhp.071214133. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Sallis JF, Glanz K. The role of built environments in physical activity, eating, and obesity in childhood. Fut Child. 2006;16(1):89–108. doi: 10.1353/foc.2006.0009. [DOI] [PubMed] [Google Scholar]
- 4.Townshend T, Lake AA. Obesogenic urban form: Theory, policy and practice. Health Place. 2009;15(4):909–16. doi: 10.1016/j.healthplace.2008.12.002. [DOI] [PubMed] [Google Scholar]
- 5.Swinburn B, Egger G, Raza F. Dissecting obesogenic environments: The development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med. 1999;29(6Pt1):563–70. doi: 10.1006/pmed.1999.0585. [DOI] [PubMed] [Google Scholar]
- 6.Cummins S, Macintyre S. Food environments and obesity–Neighbourhood or nation? Int J Epidemiol. 2006;35(1):100–4. doi: 10.1093/ije/dyi276. [DOI] [PubMed] [Google Scholar]
- 7.Glanz K, Sallis JF, Saelens BE, Frank LD. Healthy nutrition environments: Concepts and measures. Am J Health Promot. 2005;19(5):330–33. doi: 10.4278/0890-1171-19.5.330. [DOI] [PubMed] [Google Scholar]
- 8.Kirk SF, Penney TL, McHugh TL. Characterizing the obesogenic environment: The state of the evidence with directions for future research. Obes Rev. 2010;11(2):109–17. doi: 10.1111/j.1467-789X.2009.00611.x. [DOI] [PubMed] [Google Scholar]
- 9.Engler-Stringer R, Le H, Gerrard A, Muhajarine N. The community and consumer food environment and children’s diet: A systematic review. BMC Public Health. 2014;14:522. doi: 10.1186/1471-2458-14-522. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Caspi CE, Sorensen G, Subramanian SV, Kawachi I. The local food environment and diet: A systematic review. Health Place. 2012;18(5):1172–87. doi: 10.1016/j.healthplace.2012.05.006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Lamichhane AP, Warren J, Puett R, Porter DE, Bottai M, Mayer-Davis EJ, et al. Spatial patterning of supermarkets and fast food outlets with respect to neighborhood characteristics. Health Place. 2013;23:157–64. doi: 10.1016/j.healthplace.2013.07.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Gittelsohn J, Franceschini MCT, Rasooly IR, Ries AV, Ho LS, Pavlovich W, et al. Understanding the food environment in a low-income urban setting: Implications for food store interventions. J Hunger Environ Nutr. 2008;2(2–3):33–50. doi: 10.1080/19320240801891438. [DOI] [Google Scholar]
- 13.Thompson C, Cummins S, Brown T, Kyle R. Understanding interactions with the food environment: An exploration of supermarket food shopping routines in deprived neighbourhoods. Health Place. 2013;19:116–23. doi: 10.1016/j.healthplace.2012.10.003. [DOI] [PubMed] [Google Scholar]
- 14.Inglis V, Ball K, Crawford D. Socioeconomic variations in women’s diets: What is the role of perceptions of the local food environment? J Epidemiol Community Health. 2008;62(3):191–97. doi: 10.1136/jech.2006.059253. [DOI] [PubMed] [Google Scholar]
- 15.Alkon A, Block D, Moore K, Gillis C, DiNuccio N, Chavez N. Foodways of the urban poor. Geoforum. 2013;48:126–35. doi: 10.1016/j.geoforum.2013.04.021. [DOI] [Google Scholar]
- 16.McKinley MC, Lowis C, Robson PJ, Wallace JM, Morrissey M, Moran A, et al. It’s good to talk: Children’s views on food and nutrition. Eur J Clin Nutr. 2005;59(4):542–51. doi: 10.1038/sj.ejcn.1602113. [DOI] [PubMed] [Google Scholar]
- 17.Borradaile KE, Sherman S, Vander Veur SS, McCoy T, Sandoval B, Nachmani J, et al. Snacking in children: The role of urban corner stores. Pediatrics. 2009;124(5):1293–98. doi: 10.1542/peds.2009-0964. [DOI] [PubMed] [Google Scholar]
- 18.Cohen DA, Ghosh-Dastidar B, Beckman R, Lytle L, Elder J, Pereira MA, et al. Adolescent girls’ most common source of junk food away from home. Health Place. 2012;18(5):963–70. doi: 10.1016/j.healthplace.2012.06.011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Brembeck H, Johansson B, Bergström K, Engelbrektsson P, Hillén S, Jonsson L, et al. Exploring children’s foodscapes. Child Geogr. 2013;11(1):74–88. doi: 10.1080/14733285.2013.743282. [DOI] [Google Scholar]
- 20.Engler-Stringer R, Muhajarine N, Del Canto S, Le H, Ridalls T. A Characterization of the Food Environment in Saskatoon for Families with Children: Research Methods and Descriptive Results. Saskatoon: Saskatchewan Population Health and Evaluation Research Unit (SPHERU); 2014. [Google Scholar]
- 21.Del Canto S, Engler-Stringer R, Muhajarine N. Characterizing Saskatoon’s food environment: A neighbourhood-level analysis of in-store fruit and vegetable access. Can J Urban Res. 2015;24(1):62–77. [Google Scholar]
- 22.Engler-Stringer R, Shah T, Bell S, Muhajarine N. Geographic access to healthy and unhealthy food sources for children in neighbourhoods and from elementary schools in a mid-sized Canadian city. Spat Spatiotemporal Epidemiol. 2014;11:23–32. doi: 10.1016/j.sste.2014.07.001. [DOI] [PubMed] [Google Scholar]
- 23.Patton MQ. Qualitative Research and Evaluation Methods. 3rd ed. Thousand Oaks, CA: Sage Publications; 2002. [Google Scholar]
- 24.Lincoln YS, Guba EG. Naturalistic Inquiry. Beverly Hills, CA: Sage Publications; 1985. [Google Scholar]
- 25.Pearce A, Kirk C, Cummins S, Collins M, Elliman D, Connolly AM, et al. Gaining children’s perspectives: A multiple method approach to explore environmental influences on healthy eating and physical activity. Health Place. 2009;15:614–21. doi: 10.1016/j.healthplace.2008.10.007. [DOI] [PubMed] [Google Scholar]
- 26.Loptson K, Muhajarine N, Ridalls T. Smart Cities, Healthy Kids Research Team. Walkable for whom? Examining the role of the built environment on the neighbourhood-based physical activity of children. Can J Public Health. 2012;103(9Suppl3):eS29–34. doi: 10.1007/BF03403832. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Caraher M, Lloyd S, Madelin T. The “School Foodshed”: Schools and fast-food outlets in a London borough. Br Food J. 2014;116(3):472–93. doi: 10.1108/BFJ-02-2012-0042. [DOI] [Google Scholar]
- 28.Curtis P, James A, Ellis K. Children’s snacking, children’s food: Food moralities and family life. Child Geogr. 2010;8(3):291–302. doi: 10.1080/14733285.2010.494870. [DOI] [Google Scholar]