TY  - INPR
UR  - https://doi.org/10.1016/j.foodpol.2025.102798
PB  - Elsevier BV
SN  - 0306-9192
N2  - In westernised countries, food insecurity (FI) is robustly associated with low diet quality, and obesity. Grocery
stores are one promising arena for interventions to facilitate purchasing of healthier, more environmentally
sustainable food. However, we currently lack understanding of the barriers experienced by people living with
obesity (PLWO) and FI when shopping for such food. Using an online survey (N = 583), adults residing in En
gland or Scotland with a body mass index of ? 30 kg/m2 self-reported on FI, diet quality, and their experiences of
shopping in a grocery store for healthy and environmentally sustainable food. Participants also ranked different
grocery store interventions on their helpfulness in supporting healthier, more environmentally sustainable
purchasing. Structural equation modelling revealed that greater experiences of FI were directly associated with
greater experiences of barriers from the food environment (e.g., price), food preparation practices, lower healthy
diet knowledge and physical ill-health. Moreover, greater experiences of FI were indirectly associated with lower
diet quality via mental ill-health and greater experiences of anticipated stigma associated with being food
insecure. Grocery store interventions based on price/ incentivisation were ranked most helpful in supporting
healthier, more environmentally sustainable purchasing. These findings highlight the challenges faced by PLWO
and with greater experiences of FI when shopping for healthy and environmentally sustainable food. Findings
also underscore the need for policy development relating to price and affordability at a population-level, and for
policymakers and healthcare professionals to consider how to address mental health and how to minimise
anticipated stigma experienced by this vulnerable group
ID  - discovery10203393
A1  - Stone, Rebecca A
A1  - Christiansen, Paul
A1  - Johnstone, Alexandra M
A1  - Brown, Adrian
A1  - Douglas, Flora
A1  - Hardman, Charlotte A
KW  - Obesity
KW  - 
Food insecurity
KW  - 
Diet quality
KW  - 
Barriers
KW  - 
Grocery stores
JF  - Food Policy
AV  - public
Y1  - 2025/02//
VL  - 131
TI  - Understanding the barriers to purchasing healthier, more environmentally sustainable food for people living with obesity and varying experiences of food insecurity in the UK
N1  - © 2025 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
ER  -