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Adaptation of the Nutrition Environment Measures Survey ‐ Stores (NEMS‐S) to assess a Mexican/Mexican‐American nutrition environment
Author(s) -
Winham Donna M,
Quiroga Seline Szkupinski
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.221.6
Subject(s) - national health and nutrition examination survey , environmental health , ethnic group , mainstream , population , gerontology , mexican americans , medicine , geography , political science , law
The Nutrition Environment Measurement Survey‐Stores (NEMS‐S) is a robust and valid assessment tool for the quality, cost and healthiness of food sold in retail outlets for the mainstream US population. However, the type of food items and the type of food retail outlets included are not culturally appropriate to accurately evaluate a Latino nutrition environment. Two‐day dietary recall food consumption data from the 2003–2004 and 2005–2006 National Health and Nutrition Examination Surveys were used to determine the most frequently consumed foods for adults who reported Hispanic ethnicity. Qualitative and quantitative research in predominately Mexican/Mexican‐American neighborhoods was used to validate food items from the NHANES list. The adapted NEMS‐Mex includes healthy culturally preferred items such as corn tortillas, tropical fruits like mango and papaya, and vegetables like chayote and chilies. Inter‐rater reliability for 34 stores using the adapted instrument was high. Latino retail outlets assessed with the NEMS‐Mex had more “healthful” ratings than with the original NEMS‐S.