The Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making

Food environment indices often focus on food affordability, overlooking public health aspects. This study introduces a Nutrition-Sensitive Food-Environment Index (N-FEI) that assesses the interplay between food diversity, accessibility, and water and sanitation facilities linked to malnutrition risk...

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Autores principales: Akingbemisilu, Tosin Harold, Jordan, Irmgard, Asiimwe, Robert, Bodjrenou, Sam, Nabuuma, Deborah, Odongo, Nicanor, Onyango, Kevin Omondi, Teferi, Ermias, Tokeshi, Casey, Lundy, Mark, Termote, Celine
Formato: Journal Article
Lenguaje:Inglés
Publicado: 2025
Materias:
Acceso en línea:https://hdl.handle.net/10568/175055
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author Akingbemisilu, Tosin Harold
Jordan, Irmgard
Asiimwe, Robert
Bodjrenou, Sam
Nabuuma, Deborah
Odongo, Nicanor
Onyango, Kevin Omondi
Teferi, Ermias
Tokeshi, Casey
Lundy, Mark
Termote, Celine
author_browse Akingbemisilu, Tosin Harold
Asiimwe, Robert
Bodjrenou, Sam
Jordan, Irmgard
Lundy, Mark
Nabuuma, Deborah
Odongo, Nicanor
Onyango, Kevin Omondi
Teferi, Ermias
Termote, Celine
Tokeshi, Casey
author_facet Akingbemisilu, Tosin Harold
Jordan, Irmgard
Asiimwe, Robert
Bodjrenou, Sam
Nabuuma, Deborah
Odongo, Nicanor
Onyango, Kevin Omondi
Teferi, Ermias
Tokeshi, Casey
Lundy, Mark
Termote, Celine
author_sort Akingbemisilu, Tosin Harold
collection Repository of Agricultural Research Outputs (CGSpace)
description Food environment indices often focus on food affordability, overlooking public health aspects. This study introduces a Nutrition-Sensitive Food-Environment Index (N-FEI) that assesses the interplay between food diversity, accessibility, and water and sanitation facilities linked to malnutrition risks. Data from 17,294 food vendors collected between 2020 and 2023 in six countries were used. Sensitivity analyses, Monte Carlo simulations, and variance decomposition were conducted to validate the index’s robustness. The machine learning algorithm XGBoost was used to predict health risks from Demographic and Health Surveys (DHS) data, integrated into food environment data through geospatial techniques. The index model is scalable and adaptable for global use. Integrating comprehensive food environment assessments at the administrative census level is recommended to reduce estimation biases and to enhance the policymaking process. Future research should examine using the index for monitoring and evaluating food system transformations, tracking changes in food environments and related health outcomes.
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spelling CGSpace1750552025-12-11T21:34:53Z The Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making Akingbemisilu, Tosin Harold Jordan, Irmgard Asiimwe, Robert Bodjrenou, Sam Nabuuma, Deborah Odongo, Nicanor Onyango, Kevin Omondi Teferi, Ermias Tokeshi, Casey Lundy, Mark Termote, Celine machine learning malnutrition dietary diversity spatial analysis food environment hygiene Food environment indices often focus on food affordability, overlooking public health aspects. This study introduces a Nutrition-Sensitive Food-Environment Index (N-FEI) that assesses the interplay between food diversity, accessibility, and water and sanitation facilities linked to malnutrition risks. Data from 17,294 food vendors collected between 2020 and 2023 in six countries were used. Sensitivity analyses, Monte Carlo simulations, and variance decomposition were conducted to validate the index’s robustness. The machine learning algorithm XGBoost was used to predict health risks from Demographic and Health Surveys (DHS) data, integrated into food environment data through geospatial techniques. The index model is scalable and adaptable for global use. Integrating comprehensive food environment assessments at the administrative census level is recommended to reduce estimation biases and to enhance the policymaking process. Future research should examine using the index for monitoring and evaluating food system transformations, tracking changes in food environments and related health outcomes. 2025-06-02 2025-06-11T09:41:51Z 2025-06-11T09:41:51Z Journal Article https://hdl.handle.net/10568/175055 en Open Access application/pdf Akingbemisilu, T.H.; Jordan, I.; Asiimwe, R.; Bodjrenou, S.; Nabuuma, D.; Odongo, N.; Onyango, K.O.; Teferi, E..; Tokeshi, C.; Lundy, M..; Termote, C. (2025) The Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making. Journal of Sustainability 1(1). ISSN: 3052-3761
spellingShingle machine learning
malnutrition
dietary diversity
spatial analysis
food environment
hygiene
Akingbemisilu, Tosin Harold
Jordan, Irmgard
Asiimwe, Robert
Bodjrenou, Sam
Nabuuma, Deborah
Odongo, Nicanor
Onyango, Kevin Omondi
Teferi, Ermias
Tokeshi, Casey
Lundy, Mark
Termote, Celine
The Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making
title The Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making
title_full The Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making
title_fullStr The Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making
title_full_unstemmed The Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making
title_short The Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making
title_sort nutrition sensitive food environment index a comprehensive approach to assessing food environments in association with health risks for policy decision making
topic machine learning
malnutrition
dietary diversity
spatial analysis
food environment
hygiene
url https://hdl.handle.net/10568/175055
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