Comparison of Objective and Perceived Access to Food Stores Associated with Intake Frequencies of Vegetables/Fruits and Meat/Fish among Community-Dwelling Older Japanese

Miwa Yamaguchi, Katsuya Takahashi, Masamichi Hanazato, Norimichi Suzuki, Katsunori Kondo and Naoki Kondo
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Miwa Yamaguchi: Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjyuku, Tokyo 162-8655, Japan
Katsuya Takahashi: Policy Research Institute, Ministry of Agriculture, Forestry and Fisheries, 3-1-1, Kasumigaseki, Chiyoda-ku, Tokyo 100-0013, Japan
Masamichi Hanazato: Center for Preventive Medical Sciences, Chiba University, Inage-ku Yayoi-cho 1-33, Chiba City 263-8522, Japan
Norimichi Suzuki: Center for Preventive Medical Sciences, Chiba University, Inage-ku Yayoi-cho 1-33, Chiba City 263-8522, Japan
Katsunori Kondo: Center for Preventive Medical Sciences, Chiba University, Inage-ku Yayoi-cho 1-33, Chiba City 263-8522, Japan
Naoki Kondo: Department of Health and Social Behavior, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan

IJERPH, 2019, vol. 16, issue 5, 1-13

Abstract: This cross-sectional study aimed to compare access to the nearest food stores with perceived access associated with intake frequencies of vegetables/fruits and meat/fish among older Japanese people. We used intake frequencies of vegetables/fruits and meat/fish from a self-administered questionnaire in the Japan Gerontological Evaluation Study among 83,384 adults aged over 65 years. We defined distance over 1 km as poor objective access in community level. We performed multilevel regression analysis to investigate the association of objective and perceived access with intake frequencies of vegetables/fruits and meat/fish, respectively. Participants who lived in poor objective access had a significantly higher intake frequency of vegetables/fruits than those who lived in good access. In contrast, residents with poor perceived access consumed lower frequent intake of vegetables/fruits (beta coefficient (standard error) 0.086 (0.021) for objective access; −0.093 (0.009) for perceived access). There was no significant association between objective access and intake frequency of meat/fish, but poor perceived access showed a significant association with lower intake frequency of meat/fish. There was inconsistency between objective and perceived measurement of access to food stores associated with dietary habits among older Japanese adults. Food access needs to be comprehensively assessed, while considering characteristics of measurements.

Keywords: objective access; perceived access; vegetables/fruits intake; meat/fish intake (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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