title: Between exposure, access and use: Reconsidering foodscape influences on dietary behaviours.
abstract: Good accessibility to both healthy and unhealthy food outlets is a greater reality than food deserts. Yet, there is a lack of conceptual insights on the contextual factors that push individuals to opt for healthy or unhealthy food outlets when both options are accessible. Our comprehension of foodscape influences on dietary behaviours would benefit from a better understanding of the decision-making process for food outlet choices. In this paper, we build on the fundamental position that outlet choices are conditioned by how much outlets' attributes accommodate individuals' constraints and preferences. We further argue that food outlets continuously experienced within individuals' daily-path help people re-evaluate food acquisition possibilities, push them to form intentions, and shape their preferences for the choices they will subsequently make. Doing so, we suggest differentiating access, defined as the potential for the foodscape to be used at the time when individuals decide to do so, from exposure, which acts as a constant catalyst for knowledge, intention, preferences and routine tendency. We conclude with implications for future research, and discuss consequences for public policy.
authors.affiliation: Département de médecine sociale et préventive, Université de Montréal, 7101 avenue du Parc, Montréal, Québec H3N 1X9, Canada; Centre de recherche du centre hospitalier de l' Université de Montréal (CRCHUM), tour St-Antoine - S02-340, 850 rue St-Denis, Montréal, Québec H2X 0A9, Canada. Electronic address: christelle.clary@lshtm.ac.uk.
authors.forename: Christelle
authors.initials: C
authors.lastname: Clary
authors.affiliation: Departments of Sociology and Anthropology, Pennsylvania State University, 211 Oswald Tower, University Park, PA 16802, United States of America.
authors.forename: Stephen Augustus
authors.initials: SA
authors.lastname: Matthews
authors.affiliation: Département de médecine sociale et préventive, Université de Montréal, 7101 avenue du Parc, Montréal, Québec H3N 1X9, Canada; Centre de recherche du centre hospitalier de l' Université de Montréal (CRCHUM), tour St-Antoine - S02-340, 850 rue St-Denis, Montréal, Québec H2X 0A9, Canada.
authors.forename: Yan
authors.initials: Y
authors.lastname: Kestens
mesh_terms: D002755:Choice Behavior; D004032:Diet; D004777:Environment; D005247:Feeding Behavior; D005502:Food; D005518:Food Preferences; D005523:Food Supply; D006801:Humans; D012111:Residence Characteristics
keywords: Access; Conceptual; Dietary behaviours; Exposure; Food environment; Mobility