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

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dc.creatorAkingbemisilu, Tosin Harold
dc.creatorJordan, Irmgard
dc.creatorAsiimwe, Robert
dc.creatorBodjrenou, Sam
dc.creatorNabuuma, Deborah
dc.creatorOdongo, Nicanor
dc.creatorOnyango, Kevin Omondi
dc.creatorTeferi, Ermias
dc.creatorTokeshi, Casey
dc.creatorLundy, Mark
dc.creatorTermote, Celine
dc.date2025-06-02
dc.date2025-06-11T09:41:51Z
dc.date2025-06-11T09:41:51Z
dc.date.accessioned2026-06-27T13:21:20Z
dc.descriptionFood 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.
dc.formatapplication/pdf
dc.identifierhttps://hdl.handle.net/10568/175055
dc.identifier.urihttp://hdl.handle.net/123456789/56747
dc.languageen
dc.publisherDSRPT GbR
dc.rightsOpen Access
dc.sourceAkingbemisilu, 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): p. 1-29. ISSN: 3052-3761
dc.subjectmachine learning
dc.subjectmalnutrition
dc.subjectdietary diversity
dc.subjectspatial analysis
dc.subjectfood environment
dc.subjecthygiene
dc.titleThe Nutrition-Sensitive Food Environment Index: A comprehensive approach to assessing food environments in association with health risks for policy decision making
dc.typeJournal Article

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