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<https://discovery.ucl.ac.uk/id/eprint/10203393> <http://purl.org/dc/terms/title> "Understanding the barriers to purchasing healthier, more environmentally sustainable food for people living with obesity and varying experiences of food insecurity in the UK"^^<http://www.w3.org/2001/XMLSchema#string> .
<https://discovery.ucl.ac.uk/id/eprint/10203393> <http://purl.org/ontology/bibo/abstract> "In westernised countries, food insecurity (FI) is robustly associated with low diet quality, and obesity. Grocery\r\nstores are one promising arena for interventions to facilitate purchasing of healthier, more environmentally\r\nsustainable food. However, we currently lack understanding of the barriers experienced by people living with\r\nobesity (PLWO) and FI when shopping for such food. Using an online survey (N = 583), adults residing in En\r\ngland or Scotland with a body mass index of ≥ 30 kg/m2 self-reported on FI, diet quality, and their experiences of\r\nshopping in a grocery store for healthy and environmentally sustainable food. Participants also ranked different\r\ngrocery store interventions on their helpfulness in supporting healthier, more environmentally sustainable\r\npurchasing. Structural equation modelling revealed that greater experiences of FI were directly associated with\r\ngreater experiences of barriers from the food environment (e.g., price), food preparation practices, lower healthy\r\ndiet knowledge and physical ill-health. Moreover, greater experiences of FI were indirectly associated with lower\r\ndiet quality via mental ill-health and greater experiences of anticipated stigma associated with being food\r\ninsecure. Grocery store interventions based on price/ incentivisation were ranked most helpful in supporting\r\nhealthier, more environmentally sustainable purchasing. These findings highlight the challenges faced by PLWO\r\nand with greater experiences of FI when shopping for healthy and environmentally sustainable food. Findings\r\nalso underscore the need for policy development relating to price and affordability at a population-level, and for\r\npolicymakers and healthcare professionals to consider how to address mental health and how to minimise\r\nanticipated stigma experienced by this vulnerable group"^^<http://www.w3.org/2001/XMLSchema#string> .
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