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1.
Front Public Health ; 9: 722604, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34604160

RESUMO

Objective: The objective of this study was to investigate how knowledge and practice of coronavirus disease 2019 (COVID-19) prevention measures affected concerns about returning to work among supermarket staff. Attitudes about the ability of traditional Chinese medicine (TCM) to prevent COVID-19 were also assessed. Methods: A cross-sectional study was conducted in Huanggang, Hubei Province, China from April 23 to 25, 2020. Participants were invited to fill out an electronic questionnaire on their cell phones. Results: The results showed that from 2,309 valid questionnaires, 61.5% of participants were concerned about resuming work. Major concerns included asymptomatic infection (85.01%) and employees gathering in the workplace (78.96%). Multivariate logistic regression indicated that the female gender, having school-aged children and pregnancy were risk factors for being concerned about resuming work, while good knowledge and practice of preventive measures were protective factors. Knowledge and practice of preventive measures were positively correlated. Among preventive measures, the highest percentage of participants knew about wearing masks and washing hands. Meanwhile, 65.8% of participants expressed confidence in the ability of TCM to prevent COVID-19, where 74 and 51.3% thought there was a need and a strong need, respectively, for preventive TCM-based products. Among them, 71.5% preferred oral granules. Regarding TCM as a COVID-19 preventative, most were interested in information about safety and efficacy. Conclusion: These findings suggested that promoting knowledge and practices regarding COVID-19 prevention can help alleviate concerns about returning to work. Meanwhile, TCM can feasibly be accepted to diversify COVID-19 prevention methods. Clinical Trial Registration:http://www.chictr.org.cn/, identifier: ChiCTR2000031955.


Assuntos
COVID-19 , Medicina Tradicional Chinesa , Atitude , Criança , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Retorno ao Trabalho , SARS-CoV-2 , Supermercados , Inquéritos e Questionários
2.
Artigo em Inglês | MEDLINE | ID: mdl-34501993

RESUMO

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) emerged in March 2020 in Italy, leading to the pandemic of coronavirus disease 2019 (COVID-19) that continues to cause high global morbidity and mortality in human populations. Numerous studies have focused on the spread and persistence of the virus in the hospital setting. New scientific evidence shows that SARS-CoV-2 is present in different community environments. Although aerosol is one of the main routes of transmission for SARS-CoV-2, indirect contact through virus-contaminated surfaces could also play a key role. The survival and persistence of SARS-CoV-2 on surfaces appear to be influenced by the characteristics of the material, temperature, and humidity. In this study, we investigated the presence of SARS-CoV-2 RNA on surfaces in 20 supermarkets throughout the Apulia region during the lockdown period. We collected a total of 300 swab samples from various surfaces including supermarket scales, trolley handles, refrigerator and freezer handles, and keyboards. In total, 13 (4.3%) surfaces were positive for SARS-CoV-2 RNA contamination, with shopping trolley handles being the most frequently contaminated. This study showed that contamination in public spaces can occur, so we remark the importance to adopt adequate preventive measures, including environment ventilation, careful surfaces sanitation, hand hygiene, and correct usage of masks, to reduce the likelihood of virus transmission.


Assuntos
COVID-19 , SARS-CoV-2 , Controle de Doenças Transmissíveis , Humanos , RNA Viral , Supermercados
3.
Medicine (Baltimore) ; 100(31): e26718, 2021 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-34397811

RESUMO

ABSTRACT: To provide references for global pandemic prevention and control, this study aimed to analyze the epidemiological characteristics and clinical manifestations of 103 new confirmed cases between June 12 and June 15, 2020, in Beijing. All confirmed cases in this study were tested with a positive SARS-CoV-2 reverse transcriptase-polymerase chain reaction and extracting data from the Beijing Municipal Health Commission (June 11 to July 6, 2020). We selected the 103 typical confirmed cases (excluding imported cases) between June 12 and June 15 for statistical analysis and explored differences among different clinical cases. A cluster of COVID-19 was reported in Beijing between June 12 and June 15, 2020, involving 103 confirmed cases. Patients aged 21 to 65 years old and the mean age was 42.38 ±â€Š11.507, the male-to-female sex ratio was 1.40:1. All confirmed cases had a direct or indirect exposure history in the Beijing Xinfadi Market (BXM), and the clinical manifestations of 97% confirmed cases was diagnosed as mild or moderate. Different clinical classification in age (P = .041), exposure history (P = .025), fever (P = .020), and cough (P = .000) were the statistically significant difference, but there was no statistically significant difference in gender (P = .501), the type of diagnosis (P = .478), expectoration (P = .979), fatigue (P = .906), dizziness or headache (P = .848), muscle pain (P = .825), sore throat or throat discomfort (P = .852), chills (P = .933), diarrhea (P = .431) and runny nose or nasal congestion (P = .898). This study shows that Beijing's epidemic scope was mainly concentrated in the Xinfadi Market. The initial cases were epidemiologically related to the BXM, the clinical classification of most cases was mild and moderate, and the differences in age, exposure history, fever, and cough among different clinical cases were statistically significant.


Assuntos
COVID-19/diagnóstico , Supermercados , Adulto , Pequim/epidemiologia , COVID-19/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
4.
Artigo em Inglês | MEDLINE | ID: mdl-34444423

RESUMO

Limited research exists on the mental health (MH) of grocery store workers (GSWs), who have been on the frontlines throughout the COVID-19 pandemic. A disaster MH conceptual model incorporating demographics, disaster exposure and threat (COVID-19 fear and workplace threat perception), perceived stress, and social support (lack of from family and friends) was utilized to predict MH outcomes (anxiety, depression, and post-traumatic stress symptoms; PTSS) of GSWs. GSWs (n = 842) were recruited through a regional union in California. The participants were diverse (62.1% female) and were 18-69 years of age (M = 41.5, SD = 13.9). They completed an online survey regarding COVID-19 fear, workplace threat perception, perceived stress, lack of social support, and workplace needs/recommendations for support. Three hierarchical linear regression models were run assessing each MH outcome. Thematic analysis coding and an inductive approach were utilized for analyzing open-ended responses of workplace needs/recommendations. Females and younger GSWs (ages 18-29 years old) on average, reported higher MH symptoms than males and older age groups, respectively. COVID-19 fear and perceived stress were significant predictors of anxiety, while COVID-19 fear, workplace threat perception, and perceived stress significantly predicted depression and PTSS, explaining almost half of the variance for each model. Social support and demographics were not predictive of MH outcomes. Almost half of GSWs (40%) requested increased safety protections in the workplace. Feelings of fear of COVID-19, threat in the workplace, and overall perceived stress are predictive of GSWs' MH outcomes. Increasing feelings of safety in the workplace and reducing stress may lessen MH symptoms.


Assuntos
COVID-19 , Transtornos de Estresse Pós-Traumáticos , Adolescente , Adulto , Idoso , Ansiedade , Depressão/epidemiologia , Feminino , Pessoal de Saúde , Humanos , Masculino , Avaliação de Resultados em Cuidados de Saúde , Pandemias , SARS-CoV-2 , Supermercados , Local de Trabalho , Adulto Jovem
5.
Nutrients ; 13(8)2021 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-34444877

RESUMO

Diet quality in the United States is improving over time but remains poor. Food outlets influence diet quality and represent the environments in which individuals make choices about food purchases and intake. The objective of this study was to use the Healthy Eating Index-2015 (HEI-2015) to evaluate the quality of foods consumed from the four major outlets where food is obtained-stores, full-service restaurants, quick-services restaurants, and schools-and to assess changes over time. This cross-sectional study used 24 h dietary recall data from eight cycles (2003-2004 to 2017-2018) of the National Health and Nutrition Examination Survey (NHANES). Linear trend estimation was used to test for changes in HEI scores over time, and balanced repeated replicate weighted linear regression was used to test for differences in total and component scores between types of food outlets. Overall, Americans are not consuming a mix of foods from any major category of food outlet that aligns with dietary guidelines. The total score for schools (65/100 points) and stores (62/100 points) was significantly higher than full-service (51/100 points) and quick-service (39/100 points) restaurants (p < 0.0001). HEI scores significantly improved over time for schools (p < 0.001), including an increase in whole grains from less than 1 point in 2003-2004 to 7 out of 10 points in 2017-2018. In 2017-2018, schools received the maximum score for total fruits, whole fruits, and dairy. Continued research on strategies for improving the quality of foods consumed from restaurants and stores is warranted.


Assuntos
Comportamento do Consumidor/estatística & dados numéricos , Dieta Saudável/estatística & dados numéricos , Preferências Alimentares , Serviços de Alimentação/estatística & dados numéricos , Abastecimento de Alimentos/estatística & dados numéricos , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Comportamento de Escolha , Estudos Transversais , Feminino , Abastecimento de Alimentos/métodos , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Política Nutricional , Inquéritos Nutricionais , Valor Nutritivo , Restaurantes , Serviços de Saúde Escolar/estatística & dados numéricos , Supermercados , Estados Unidos , Adulto Jovem
6.
Nutrients ; 13(7)2021 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-34371905

RESUMO

This study aimed to identify food environment factors in the local community that could affect the levels of nutritional status and frailty in 372 older adults (at least 65 years old) experiencing food insecurity and enrolled in the integrated Community Health Promotion Program (CHPP) in two districts of Seoul. The local food environment was assessed using perceived food store accessibility questionnaires. In order to quantify nutrient intake, the 24-h recall method was applied. Malnutrition was measured using the Mini Nutritional Assessment tool, while frailty was assessed using the Frailty Measurement Questionnaire developed for the CHPP. Malnourished or frail elderly adults commonly had a lower intake of cereals and potatoes, meats, and vegetables than those who were not, and their resulting intake levels of energy, protein, iron, and vitamin groups were also significantly lower (all p-values < 0.05). Among the local community food store environment factors, the sufficiency of food stores (odds ratio (OR) = 1.988, 95% confidence interval (CI] = 1.211-3.262), freshness of foods (OR = 1.767, 95% CI = 1.075-2.886), and variety in foods (OR = 1.961, 95% CI = 1.197-3.212) were significant factors affecting the risk of malnutrition. For frailty, the freshness of foods (OR = 1.997, 95% CI = 1.053-3.788), variety in foods (OR = 2.440, 95% CI = 1.277-4.661), and small purchase of foods (OR = 2.645, 95% CI = 1.362-5.139) were significant environmental factors. In conclusion, we found that the perceived food store environment in the local community can influence the occurrence of malnutrition and frailty in vulnerable, urban older adults.


Assuntos
Insegurança Alimentar , Idoso Fragilizado , Fragilidade/epidemiologia , Desnutrição/epidemiologia , Estado Nutricional , Supermercados , Saúde da População Urbana , Fatores Etários , Idoso , Feminino , Fragilidade/diagnóstico , Fragilidade/fisiopatologia , Avaliação Geriátrica , Humanos , Masculino , Desnutrição/diagnóstico , Desnutrição/fisiopatologia , Avaliação Nutricional , Medição de Risco , Fatores de Risco , Seul/epidemiologia , Inquéritos e Questionários
8.
Comput Biol Chem ; 94: 107554, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34352565

RESUMO

The novel coronavirus disease 2019 (COVID-19) still challenges researchers due to its spread and deaths. Hence, the classical epidemic SIR and SEIRD models inspired by the epidemic's outbreak are widely used to predict the evolution of the disease. In addition to classical approaches, describing complex phenomena through Cellular Automata (CA) is a highly effective way to understand the iterations on a populated system. The present research analyzed the usage of CA to generate an epidemic-computational model from a micro perspective based on parameters obtained through a statistical fit from a macro perspective. After validating SIR and SEIRD models with the government official data for Brasilia, Brazil, the authors applied the obtained parameters to the Cellular Automata model. The CA model simulated the spread of the virus from infected to uninfected people in a restrained environment (i.e., a supermarket) under several varied conditions applying an approach never adopted before. The manner of applying CA in this research proved to represent an essential tool in predicting the spread of the coronavirus in confined spaces with random movements of people. The CA numerical open-source presented has the purpose of clarifying how the spread occurs not only as a mathematical curve but in an organic way. The numerical simulations from the CA model allowed the authors to conclude that markets and stores are relevant places where might be infections. Thus, every local store and the market owner should reason about the aspects that could avoid the spread of the disease, coming up with efficient solutions. Each environment has specific features that only those who know them are the ones capable of managing.


Assuntos
COVID-19/epidemiologia , Simulação por Computador , Modelos Biológicos , SARS-CoV-2 , Brasil/epidemiologia , Tomada de Decisões , Monitoramento Epidemiológico , Humanos , Fatores de Risco , Supermercados
9.
Nutrients ; 13(8)2021 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-34444771

RESUMO

BACKGROUND: Although packaged foods sold in retail stores must follow food labelling regulations, there are no e-grocery food labelling regulations to mandate and standardize the availability and presentation of product information. Therefore, the objective of the study was to evaluate the availability and quality of food labelling components in the Canadian e-grocery retail environment. METHODS: A sample of fresh and pre-packaged products was identified on eight leading grocery retail websites in Canada, to assess the availability and quality of food labelling components. RESULTS: Out of 555 product searches, all products were accompanied by product images with front-of-pack images more readily available (96.0%) than back-of-pack (12.4%) and other side panel images (3.1%). The following mandatory nutrition information was available for 61.1% of the products: nutrition facts table (68.8%), ingredient (73.9%), and allergen (53.8%) information. The majority of the nutrition information was available after scrolling down, clicking additionally on the description page, or viewing only as an image. Date markings were not available; packaging material information was available for 2.0% of the products. CONCLUSIONS: There was wide variability and inconsistencies in the presentation of food labelling components in the e-grocery retail environment, which can be barriers in enabling Canadians to make informed purchasing decisions.


Assuntos
Rotulagem de Alimentos/métodos , Internet , Marketing , Supermercados , Canadá , Comércio , Comportamento do Consumidor , Estudos Transversais , Rotulagem de Alimentos/economia , Humanos , Acesso à Internet , Valor Nutritivo
10.
Artigo em Inglês | MEDLINE | ID: mdl-34200437

RESUMO

Nudging has received ample attention in scientific literature as an environmental strategy to promote healthy diets, and may be effective for reaching populations with low socioeconomic position (SEP). Therefore, the objective of this study was to investigate how the determinants of food choice shape the perceptions regarding supermarket-based nudging strategies among adults with low SEP. We conducted semi-structured interviews among fifteen adults with low SEP using a pre-defined topic list and visual examples of nudges. Interviews were recorded and transcribed verbatim and content analysis was used to analyse the data. The results show that food costs, convenience, healthiness, taste, and habits were frequently mentioned as determinants of food choice. However, the relative importance of these determinants seemed to be context-dependent. Interviewees generally had a positive attitude towards nudges, especially when they were aligned with product preferences, information needs, and beliefs about the food environment. Still, some interviewees also expressed distrust towards nudging strategies, suspecting ulterior motives. We conclude that nudging strategies should target foods which align with product preferences and information needs. However, the suspicion of ulterior motives highlights an important concern which should be considered when implementing supermarket-based nudging strategies.


Assuntos
Preferências Alimentares , Supermercados , Comportamento de Escolha , Dieta Saudável , Percepção , Fatores Socioeconômicos
11.
Nutrients ; 13(6)2021 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-34072684

RESUMO

Unhealthy diets are underpinned by the over-consumption of packaged products. Data describing the ingredient composition of these products is limited. We sought to define the ingredients used in Australian packaged foods and beverages and assess associations between the number of ingredients and existing health indicators. Statements of ingredients were disaggregated, creating separate fields for each ingredient and sub-ingredient. Ingredients were categorised and the average number of ingredients per product was calculated. Associations between number of ingredients and both the nutrient-based Health Star Rating (HSR) and the NOVA level-of-processing classification were assessed. A total of 24,229 products, listing 233,113 ingredients, were included. Products had between 1 and 62 ingredients (median (Interquartile range (IQR)): 8 (3-14)). We identified 915 unique ingredients, which we organised into 17 major and 138 minor categories. 'Additives' were contained in the largest proportion of products (64.6%, (15,652/24,229)). The median number of ingredients per product was significantly lower in products with the optimum 5-star HSR (when compared to all other HSR score groups, p-value < 0.001) and significantly higher in products classified as ultra-processed (when compared to all other NOVA classification groups, p-value < 0.001). There is a strong relationship between the number of ingredients in a product and indicators of nutritional quality and level of processing.


Assuntos
Bebidas/classificação , Fast Foods/classificação , Rotulagem de Alimentos/classificação , Supermercados , Austrália , Valor Nutritivo
12.
Nutrients ; 13(6)2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34072130

RESUMO

Health and nutrition claims are used by consumers to guide purchasing decisions. In consequence, monitoring and evaluation of such claims to ensure they are accurate and transparent is required. The aim of this study was to investigate the use of nutrition and health claims on dairy-yoghurt products within select Australian supermarkets and assess their compliance with the revised Food Standards Code (FSC). Nutrition, health, and related claims on yoghurt products were assessed in a cross-sectional audit of five supermarkets in the Illawarra region of New South Wales. Claim prevalence, type, and compliance were assessed and products were compared against current rating measures. A total of n = 340 dairy yoghurt products were identified. Most products (97.9%) carried at least one nutrition and/or health claim, with nutrition-content claims (93.9%) the most prevalent. Most products (n = 277) met the nutrient profiling scoring criterion; while 87.9% of products did not carry the health star rating. Almost all claims surveyed (97.4%) were compliant with the FSC. Health and nutrition claims are highly prevalent across yoghurt categories, with the majority of these compliant with regulations. The ambiguity surrounding the wording and context of claims challenges researchers to investigate consumers' interpretations of health messaging within the food environment.


Assuntos
Rotulagem de Alimentos , Valor Nutritivo , Supermercados , Iogurte , Estudos Transversais , New South Wales , Iogurte/normas , Iogurte/estatística & dados numéricos
13.
Am J Prev Med ; 61(3): 377-385, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34103209

RESUMO

INTRODUCTION: The 2010 Affordable Care Act required chain retail food establishments, including supermarkets, to post calorie information for prepared (i.e., ready to eat) foods. Implementation of calorie labeling could spur companies to reduce the calorie content of prepared foods, but few studies have explored this. This study evaluates the changes in the calorie content of prepared foods at 2 large U.S. supermarket chains after they implemented calorie labels in April 2017. METHODS: The chains (≈1,200 stores) provided data on the calorie content and labeling status of all items sold between July 2015 and January 2019. In 2021, analyses used a difference-in-differences approach to examine the changes in the calorie content of prepared bakery, entree, and deli items introduced before calorie labeling to those introduced after the labeling compared with changes in similar foods not subject to the new labeling requirement. Primary analyses examined continuously available items; exploratory analyses examined items newly introduced to the marketplace. RESULTS: Relative to changes in comparison foods not subject to the labeling requirement, continuously available prepared bakery items decreased by 7.7 calories per item after calorie labels were implemented (95% CI= -12.9, -2.5, p=0.004, ≈0.5% reduction). In exploratory analyses, prepared bakery items introduced after calorie labeling contained 440 fewer calories per item than those introduced before calorie labeling (95% CI= -773.9, -106.1, p=0.01, ≈27% reduction), driven by reductions in product size. No changes were observed in the calorie content of continuously available or newly introduced prepared entrees or deli items. CONCLUSIONS: Implementing calorie labels could encourage product reformulation among some types of prepared supermarket foods. These supply-side changes could lead to reductions in caloric intake.


Assuntos
Patient Protection and Affordable Care Act , Supermercados , Ingestão de Energia , Fast Foods , Rotulagem de Alimentos , Humanos , Restaurantes , Estados Unidos
14.
Int J Behav Nutr Phys Act ; 18(1): 78, 2021 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-34127002

RESUMO

BACKGROUND: Food retail environments have an influential role in shaping purchasing behavior and could contribute to improving dietary patterns at a population level. However, little is known about the level of public support for different types of initiatives to encourage healthy food choices in supermarkets, and whether this varies across countries or context. The current study aimed to explore the level of support for three potential supermarket initiatives focused on product placement across five countries, and factors that may influence this support. METHODS: A total of 22,264 adults from Australia, Canada, Mexico, the United Kingdom and the United States (US) provided information on support for three supermarket initiatives related to product placement (targeting product positioning: 'checkouts with only healthy products', 'fewer end-of-aisle displays containing unhealthy foods or soft drinks' or availability: 'more shelf space for fresh and healthier foods') as part of the online 2018 International Food Policy Study. The proportion of respondents that supported each initiative was assessed across countries, and multivariable logistic regression analyses were conducted to evaluate the influence of sociodemographic factors on support. RESULTS: The initiative that received the highest support was 'more shelf space for fresh and healthier foods': 72.0% [95% CI 71.3-72.7], whereas 'checkouts with only healthy products' received the lowest support: 48.6% [95% CI 47.8-49.4]. The level of support differed between countries (p < 0.001 for all initiatives), with the US generally showing the lowest support and Mexico the highest. Noteworthy, in the overall sample, there was not much opposition to any of the initiatives (2.5-14.2%), whereas there was a large proportion of neutral responses (25.5-37.2%). Respondents who were older, female, highly educated, and those who reported having more nutrition knowledge tended to be more supportive, with several differences between countries and initiatives. CONCLUSIONS: Most people in the assessed five countries showed a generally high level of support for three placement initiatives in supermarkets to encourage healthy food choices. Support varied by type of initiative (i.e., product positioning or availability) and was influenced by several factors related to country context and sociodemographic characteristics. This evidence could prompt and guide retailers and policy makers to take stronger action to promote healthy food choices in stores.


Assuntos
Abastecimento de Alimentos , Supermercados , Adulto , Comércio , Estudos Transversais , Feminino , Alimentos , Humanos , Masculino , Pessoa de Meia-Idade , Política Nutricional
15.
Am J Prev Med ; 61(4): e171-e179, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34158196

RESUMO

INTRODUCTION: Numerous environmental factors within supermarkets can influence the healthfulness of food purchases. This research aims to identify the changes in store healthfulness scores and assess the variations by store type and neighborhood deprivation using an adapted Consumer Nutrition Environment tool. METHODS: Between January and May 2019, a total of 104 supermarkets in London were surveyed on 1-3 occasions. The adapted Consumer Nutrition Environment tool included data on 9 variables (variety, price, quality, promotions, shelf placement, store placement, nutrition information, healthier alternatives, and single fruit sale) for 11 healthy and 5 less healthy food items. An algorithm was used to create a composite score of in-store healthfulness and to assess inter-rater reliability. Longitudinal changes in overall store healthfulness and individual variables were investigated using multivariable hierarchical mixed models. Descriptive statistics were used to describe the differences by store type and neighborhood deprivation in each month. All analyses were conducted between January and July 2020. RESULTS: The adapted Consumer Nutrition Environment tool showed acceptable inter-rater reliability. Large stores exhibited healthier environments than small stores (p<0.001), with a similar pattern for each of the 9 individual variables. Within large stores, the overall healthfulness score did not change over the study period. Promotions on more healthful items increased in February (p=0.04), and the availability of healthier alternatives for less healthy foods decreased in March (p=0.01). Within small stores, there was a trend toward increasing healthfulness (p<0.001), primarily owing to more promotions on healthy items (p<0.001). There was no difference in overall healthfulness by neighborhood deprivation. CONCLUSIONS: The adapted Consumer Nutrition Environment tool is sensitive to longitudinal changes in environmental variables that contribute to store healthfulness. A wider application of this tool could be used to map in-store environments to identify targets for interventions to encourage healthier food purchasing.


Assuntos
Nível de Saúde , Supermercados , Humanos , Reprodutibilidade dos Testes , Reino Unido
16.
BMC Public Health ; 21(1): 1070, 2021 06 05.
Artigo em Inglês | MEDLINE | ID: mdl-34090410

RESUMO

OBJECTIVES: To examine women's perceptions of factors that influence their food shopping choices, particularly in relation to store layout, and their views on ways that supermarkets could support healthier choices. DESIGN: This qualitative cross-sectional study used semi-structured telephone interviews to ask participants the reasons for their choice of supermarket and factors in-store that prompted their food selections. The actions supermarkets, governments and customers could take to encourage healthier food choices were explored with women. Thematic analysis was conducted to identify key themes. SETTING: Six supermarkets across England. PARTICIPANTS: Twenty women customers aged 18-45 years. RESULTS: Participants had a median age of 39.5 years (IQR: 35.1, 42.3), a median weekly grocery spend of £70 (IQR: 50, 88), and 44% had left school aged 16 years. Women reported that achieving value for money, feeling hungry, tired, or stressed, and meeting family members' food preferences influenced their food shopping choices. The physical environment was important, including product quality and variety, plus ease of accessing the store or products in-store. Many participants described how they made unintended food selections as a result of prominent placement of unhealthy products in supermarkets, even if they adopted more conscious approaches to food shopping (i.e. written or mental lists). Participants described healthy eating as a personal responsibility, but some stated that governments and supermarkets could be more supportive. CONCLUSIONS: This study highlighted that in-store environments can undermine intentions to purchase and consume healthy foods. Creating healthier supermarket environments could reduce the burden of personal responsibility for healthy eating, by making healthier choices easier. Future research could explore the interplay of personal, societal and commercial responsibility for food choices and health status.


Assuntos
Preferências Alimentares , Supermercados , Adulto , Criança , Comércio , Estudos Transversais , Inglaterra , Feminino , Abastecimento de Alimentos , Nível de Saúde , Humanos , Percepção
17.
Braz J Biol ; 82: e245368, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34133576

RESUMO

Foliar vegetables contaminated with fecal residues are an important route of transmission of intestinal parasites to humans. The aim of this study was to evaluate the presence of parasitic forms of protozoa and helminths on lettuces (Lactuca sativa) and collard greens (Brassica oleracea) sold in street- and supermarkets in the city of Aparecida de Goiânia, Goiás, Brazil. A total of 30 samples of each vegetable (15 samples from each supermarkets and street markets) was analyzed. All samples were processed by spontaneous sedimentation method and centrifugal flotation. In 45% of the samples, immature forms of intestinal parasites were identified with 66.7% helminths eggs and 33.3% protozoan cysts or oocysts. Significantly more lettuce samples were contaminated with eggs, cysts or oocyst of at least one parasite than collard green samples (U=216; Z=-3.45; P <0.001). The parasitic forms were identified morphologically up to the family level with eggs of Ancylostomatidae, Strongyloididae, Ascarididae and Taeniidae, or oocysts of Eimeriidae, to the genus with Cystoisospora sp. and Toxocara sp., and to the species level with Cystoisospora canis, Dipylidium caninum and Hymenolepis nana. The presence of these infective agents in lettuce and collard green from both street- and supermarkets highlights the high risk of spreading parasites by eating raw vegetables sold in Aparecida de Goiânia.


Assuntos
Helmintos , Verduras , Animais , Brasil , Cidades , Humanos , Supermercados
18.
Med Lav ; 112(3): 200-208, 2021 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-34142678

RESUMO

INTRODUCTION: Dealing with customers has increasingly became a risk factor that organisations should be aware of. Having to deal with difficult customers, pupils, patients it has been found to be the second most frequent reported risk factor in the recent 2019 ESENER survey (61%, up from 58%), just after repetitive hand or arm movements. OBJECTIVES: The aim of the present study is to explore the relationship between negative relations with customers and its association with employees' burnout and general health. METHODS: Data were collected using an anonymous, self-report questionnaire employed in an Italian company working in the large-scale retail sector. The sample was composed of 610 employees (70% women) working in 28 supermarkets. RESULTS: Results showed that negative customer relations were associated to higher levels of emotional dissonance (b = .25; p = .000), which in turn was associated with higher levels of burnout (b = .72; p = .017) and consequently to higher levels of poor general health (b = .03; p = .000). CONCLUSION: This study contributed to the current understanding of how negative relationship with clients could trigger a health impairment process which could lead to higher levels of burnout and poorer general health in employees. Findings suggest that organizations whose employees' work activities are characterized by a daily contact with customers should implement interventions such as training activities in order to enhance the employees' skills in dealing with custumers, for example on how to manage emotions at work.


Assuntos
Esgotamento Profissional , Supermercados , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Emoções , Feminino , Humanos , Itália/epidemiologia , Masculino , Inquéritos e Questionários
19.
Rev Fac Cien Med Univ Nac Cordoba ; 78(2): 171-174, 2021 Jun 28.
Artigo em Espanhol | MEDLINE | ID: mdl-34181828

RESUMO

Introducción: La Red Internacional para la Investigación, Monitoreo y Apoyo a la Acción para la Alimentación, Obesidad y Enfermedades No Transmisibles (INFORMAS por su sigla en inglés) ha desarrollado el Protocolo para evaluar la Disponibilidad de Alimentos en Supermercados. Objetivos: Describir el proceso de adaptación del protocolo para utilizarlo en la Ciudad de Buenos Aires (BA) y evaluar la variabilidad inter-observador al aplicarlo en supermercados de la ciudad. Metodología: El principal indicador del protocolo es la disponibilidad relativa de alimentos saludables (AS) vs. no saludables (ANS), calculado como el cociente entre la longitud (m) de estantes asignados a AS y ANS (longitudAS/ANS). Se adaptó la selección de alimentos a incluir en el indicador para utilizarlo en BA. Para explorar el funcionamiento del indicador se construyó una referencia, midiendo todos los alimentos y bebidas ofrecidos en 5 supermercados, que se clasificaron en AS y ANS según las guías alimentarias argentinas. El indicador se comparó con la disponibilidad relativa calculada a partir de la referencia. Para evaluar la confiabilidad inter-observador dos observadores realizaron mediciones en tres supermercados y se calculó el coeficiente de correlación intra-clase (CCI). Resultados: Según la referencia, el cociente longitudAS/ANS varió entre 0,16 y 0,61, con una media de 0,34 (DE 0,18). El indicador adaptado produjo resultados similares con una diferencia media de -0,05 (DE 0,04). El CCI entre la mediciones de ambos observadores resultó 0,92 (IC95% 0,86-0,98). Conclusión: Se adaptó el protocolo para aplicarlo en BA, con modificaciones en los alimentos a evaluar y una adecuada confiabilidad inter-observador.


Assuntos
Supermercados , Argentina , Humanos , Reprodutibilidade dos Testes
20.
New Solut ; 31(2): 170-177, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33966529

RESUMO

Grocery store workers are essential workers, but often have not been provided with appropriate protection during the current pandemic. This report describes efforts made by one union local to protect workers, including negotiated paid sick leave and specific safety practices. Union representatives from 319 stores completed 1612 in-store surveys to assess compliance between 23 April 2020 and 31 August 2020. Employers provided the union with lists of workers confirmed to have COVID-19 infection through 31 December 2020. Worker infection rates were calculated using store employees represented by the union as the denominator and compared to cumulative county infection rates; outcome was dichotomized as rates higher or lower than background rates. Restrictions on reusable bags and management enforcement of customer mask usage were most strongly associated with COVID-19 rates lower than rates in the surrounding county. Stores that responded positively to worker complaints also had better outcomes. The union is currently engaging to promote improved ventilation and vaccination uptake.


Assuntos
COVID-19/prevenção & controle , COVID-19/transmissão , Sindicatos/legislação & jurisprudência , Ocupações/estatística & dados numéricos , Segurança/legislação & jurisprudência , Supermercados , COVID-19/epidemiologia , Vacinas contra COVID-19 , Feminino , Humanos , Masculino , Ocupações/legislação & jurisprudência , Pandemias , SARS-CoV-2 , Licença Médica/legislação & jurisprudência , Vacinação/estatística & dados numéricos , Ventilação/legislação & jurisprudência , Ventilação/normas
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