title: Development and Testing of the Toronto Nutrition Environment Measures Survey-Store (ToNEMS-S).
abstract: To describe the adaptation and inter-rater reliability assessment of the Toronto Nutrition Environment Measures Survey-Store.
  
  
  
  A total of 55 food stores (2 bakeries, 2 dollar stores, 19 gas/convenience stores, 18 grocery stores, 4 pharmacies, 8 specialty stores, and 2 superstores) were assessed in 2014. Cohen's kappa and intra-class correlation coefficients (ICC) were assessed for inter-rater reliability for product availability, price, quality, ethno-cultural accessibility scores, and overall store scores.
  
  
  
  Inter-rater reliability was high for availability (average kappa = 0.91), price (average ICC = 0.964), ethno-cultural accessibility score (ICC = 0.981), and overall store scores (ICC = 0.991).
  
  
  
  Measures in the Toronto Nutrition Environment Measures Survey-Store demonstrated excellent inter-rater agreement. Limited access to fruits and vegetables and ethno-cultural foods are related to diet-related chronic diseases, particularly among immigrants. Findings of the study may be useful in guiding public health programming.
authors: Division of Nutritional Sciences, Cornell University, Ithaca, NY. Electronic address: bl592@cornell.edu.
authors: Brian K
authors: BK
authors: Lo
authors: Propel Centre for Population Health Impact, University of Waterloo, Waterloo, Ontario, Canada.
authors: Leia M
authors: LM
authors: Minaker
authors: Division of Community Health and Humanities, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
authors: Catherine L
authors: CL
authors: Mah
authors: Toronto Food Strategy, Toronto Public Health, Toronto, Ontario, Canada.
authors: Brian
authors: B
authors: Cook
mesh_terms: D003132:Commerce / Q000706:statistics & numerical data; D004032:Diet / Q000706:statistics & numerical data; D005523:Food Supply / Q000706:statistics & numerical data*; D006801:Humans; D009749:Nutrition Surveys / Q000379:methods* / Q000592:standards*; D009864:Ontario; D015203:Reproducibility of Results
keywords: NEMS; culture; food environment; food stores; reliability; survey