Comparing shopper characteristics by online grocery ordering use among households in low-income communities in Maine.

Autor:	Zatz LY; Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, USA.; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA., Moran AJ; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Franckle RL; Program in Global Public Health and the Common Good, Boston College, Chestnut Hill, Boston, MA, USA., Block JP; Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, MA, USA., Hou T; Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, USA., Blue D; Hannaford Marketing, Hannaford Supermarkets, Scarborough, ME, USA., Greene JC; Guiding Stars Licensing Company, Scarborough, ME, USA., Gortmaker S; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA., Bleich SN; Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA., Polacsek M; Westbrook College of Health Professions, University of New England, Portland, ME, USA., Thorndike AN; Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA., Mande JR; Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, USA., Rimm EB; Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, USA.; Channing Division of Network Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Jazyk:	angličtina
Zdroj:	Public health nutrition [Public Health Nutr] 2021 Oct; Vol. 24 (15), pp. 5127-5132. Date of Electronic Publication: 2021 May 25.
DOI:	10.1017/S1368980021002238
Abstrakt:	Objective: Online grocery shopping could improve access to healthy food, but it may not be equally accessible to all populations - especially those at higher risk for food insecurity. The current study aimed to compare the socio-demographic characteristics of families who ordered groceries online v. those who only shopped in-store. Design: We analysed enrollment survey and 44 weeks of individually linked grocery transaction data. We used univariate χ2 and t-tests and logistic regression to assess differences in socio-demographic characteristics between households that only shopped in-store and those that shopped online with curbside pickup (online only or online and in-store). Setting: Two Maine supermarkets. Participants: 863 parents or caregivers of children under 18 years old enrolled in two fruit and vegetable incentive trials. Results: Participants had a total of 32 757 transactions. In univariate assessments, online shoppers had higher incomes (P < 0 0001), were less likely to participate in Special Supplemental Nutrition Program for Women, Infants, and Children or Supplemental Nutrition Assistance Program (SNAP; P < 0 0001) and were more likely to be female (P = 0·04). Most online shoppers were 30-39 years old, and few were 50 years or older (P = 0·003). After controlling for age, gender, race/ethnicity, number of children, number of adults, income and SNAP participation, female primary shoppers (OR = 2·75, P = 0·003), number of children (OR = 1·27, P = 0·04) and income (OR = 3·91 for 186-300 % federal poverty line (FPL) and OR = 6·92 for >300 % FPL, P < 0·0001) were significantly associated with likelihood of shopping online. Conclusions: In the current study of Maine families, low-income shoppers were significantly less likely to utilise online grocery ordering with curbside pickup. Future studies could focus on elucidating barriers and developing strategies to improve access.
Databáze:	MEDLINE
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