Skip to main content
Top
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Research article

A cross-sectional description of mobile food vendors and the foods they serve: potential partners in delivering healthier food-away-from-home choices

Authors: Melissa M. Reznar, Katherine Brennecke, Jamie Eathorne, Joel Gittelsohn

Published in: BMC Public Health | Issue 1/2019

Login to get access

Abstract

Background

Food away from home (FAFH) in the US is associated with adverse health outcomes, and food dollars spent on FAFH continues to increase. FAFH studies have typically focused on restaurants and carryout establishments, but mobile food vendors – popularly known in the US as food trucks – have become more numerous and are an understudied segment of FAFH. The objective of this study was to assess mobile food vendors, their attitudes toward health and nutrition, and the foods they serve.

Methods

This was a cross-sectional study of 41 mobile food vendors in Michigan, US. The survey contained questions about food and nutrition attitudes, such as barriers to putting healthy items on menus and perceived agreement with healthy food preparation practices. Participants were classified into a healthy and a less healthy attitude group based on whether they believed healthy menu items could be successful or not. In addition, participant menus were collected and analyzed according to whether menu items were healthy, moderately healthy, or unhealthy. Descriptive, univariate, and bivariate analyses were conducted.

Results

Two-thirds of the participants felt that healthy menu items could be successful, and yet taste and value were the most important menu item success factors, each rated as important by 100% of the participants. Low consumer demand was the biggest barrier to putting healthy items on the menu (76%) whereas lack of chef interest (29%) and need for special training (24%) were the smallest. 72% of the vendors offered at least one healthy menu item, but only 20% of all reviewed menu items were healthy overall. There was no difference in the proportion of menu items that were healthy when comparing those with healthy attitudes (23% of menu items healthy) to those less healthy attitudes (17% of menu items healthy, p = 0.349).

Conclusions

Mobile food vendors had positive views about putting healthy items on menus. However, a low proportion of menu items were classified as healthy. This suggests that mobile food vendors are promising potential public health partners in improving the health profile of FAFH, but that education of vendors is needed to ensure the success of healthier items.
Appendix
Available only for authorised users
Literature
3.
go back to reference Nguyen BT, Powell LM. The impact of restaurant consumption among US adults: effects on energy and nutrient intakes. Public Health Nutr. 2014;17(11):2445–52.CrossRef Nguyen BT, Powell LM. The impact of restaurant consumption among US adults: effects on energy and nutrient intakes. Public Health Nutr. 2014;17(11):2445–52.CrossRef
4.
go back to reference Todd JE. Changes in consumption of food away from home and intakes of energy and other nutrients among US working-age adults, 2005-2014. Public Health Nutr. 2017;20(18):3238–46.CrossRef Todd JE. Changes in consumption of food away from home and intakes of energy and other nutrients among US working-age adults, 2005-2014. Public Health Nutr. 2017;20(18):3238–46.CrossRef
6.
go back to reference Lachat C, Nago E, Verstraeten R, Roberfroid D, Van Camp J, Kolsteren P. Eating out of home and its association with dietary intake: a systematic review of the evidence. Obes Rev. 2012;13(4):329–46.CrossRef Lachat C, Nago E, Verstraeten R, Roberfroid D, Van Camp J, Kolsteren P. Eating out of home and its association with dietary intake: a systematic review of the evidence. Obes Rev. 2012;13(4):329–46.CrossRef
7.
go back to reference Seguin RA, Aggarwal A, Vermeylen F, Drewnowski A. Consumption frequency of foods away from home linked with higher body mass index and lower fruit and vegetable intake among adults: a cross-sectional study. J Environ Public Health. 2016;2016:3074241.CrossRef Seguin RA, Aggarwal A, Vermeylen F, Drewnowski A. Consumption frequency of foods away from home linked with higher body mass index and lower fruit and vegetable intake among adults: a cross-sectional study. J Environ Public Health. 2016;2016:3074241.CrossRef
8.
go back to reference Bezerra IN, Curioni C, Sichieri R. Association between eating out of home and body weight. Nutr Rev. 2012;70(2):65–79.CrossRef Bezerra IN, Curioni C, Sichieri R. Association between eating out of home and body weight. Nutr Rev. 2012;70(2):65–79.CrossRef
9.
go back to reference Bahadoran Z, Mirmiran P, Azizi F. Fast food pattern and cardiometabolic disorders: a review of current studies. Health Promot Perspect. 2016;5(4):231–40.CrossRef Bahadoran Z, Mirmiran P, Azizi F. Fast food pattern and cardiometabolic disorders: a review of current studies. Health Promot Perspect. 2016;5(4):231–40.CrossRef
10.
go back to reference Alvarez A. Food trucks in the US (IBISWorld industry report OD4322). New York: IBISWorld, Inc; 2017. Alvarez A. Food trucks in the US (IBISWorld industry report OD4322). New York: IBISWorld, Inc; 2017.
11.
go back to reference Lucan SC, Maroko AR, Bumol J, Varona M, Torrens L, Schechter CB. Mobile food vendors in urban neighborhoods-implications for diet and diet-related health by weather and season. Health Place. 2014;27:171–5.CrossRef Lucan SC, Maroko AR, Bumol J, Varona M, Torrens L, Schechter CB. Mobile food vendors in urban neighborhoods-implications for diet and diet-related health by weather and season. Health Place. 2014;27:171–5.CrossRef
12.
go back to reference Tester JM, Yen IH, Laraia B. Mobile food vending and the after-school food environment. Am J Prev Med. 2010;38(1):70–3.CrossRef Tester JM, Yen IH, Laraia B. Mobile food vending and the after-school food environment. Am J Prev Med. 2010;38(1):70–3.CrossRef
13.
go back to reference Cohen DA, Colaiaco B, Martinez-Wenzl M, Montes M, Han B, Berry SH. Can Latino food trucks (loncheras) serve healthy meals? A feasibility study. Public Health Nutr. 2017;20(7):1279–85.CrossRef Cohen DA, Colaiaco B, Martinez-Wenzl M, Montes M, Han B, Berry SH. Can Latino food trucks (loncheras) serve healthy meals? A feasibility study. Public Health Nutr. 2017;20(7):1279–85.CrossRef
14.
go back to reference Backman D, Cheung J, Francis D, Sugerman S, Granger C. Catering trucks in California promote healthful eating in low-wage worksites. J Nutr Educ Behav. 2011;43(4 Suppl 2):155.CrossRef Backman D, Cheung J, Francis D, Sugerman S, Granger C. Catering trucks in California promote healthful eating in low-wage worksites. J Nutr Educ Behav. 2011;43(4 Suppl 2):155.CrossRef
15.
go back to reference Taylor DE, Ard KJ. Food availability and the Food Desert frame in Detroit: an overview of the City’s food system. Environ Pract. 2015;17(2):102–33.CrossRef Taylor DE, Ard KJ. Food availability and the Food Desert frame in Detroit: an overview of the City’s food system. Environ Pract. 2015;17(2):102–33.CrossRef
16.
go back to reference Dillman DA, Smyth JD, Christian LM. Internet, phone, mail, and mixed-mode surveys. 4th ed. Hoboken: Wiley; 2014. Dillman DA, Smyth JD, Christian LM. Internet, phone, mail, and mixed-mode surveys. 4th ed. Hoboken: Wiley; 2014.
17.
go back to reference Reichler G, Dalton S. Chefs’ attitudes toward healthful food preparation are more positive than their food science knowledge and practices. J Am Diet Assoc. 1998;98(2):165–9.CrossRef Reichler G, Dalton S. Chefs’ attitudes toward healthful food preparation are more positive than their food science knowledge and practices. J Am Diet Assoc. 1998;98(2):165–9.CrossRef
19.
go back to reference Obbagy JE, Condrasky MD, Roe LS, Sharp JL, Rolls BJ. Chefs’ opinions about reducing the calorie content of menu items in restaurants. Obesity (Silver Spring). 2011;19(2):332–7.CrossRef Obbagy JE, Condrasky MD, Roe LS, Sharp JL, Rolls BJ. Chefs’ opinions about reducing the calorie content of menu items in restaurants. Obesity (Silver Spring). 2011;19(2):332–7.CrossRef
20.
go back to reference Weber D. The food truck handbook. Hoboken: Wiley; 2012. Weber D. The food truck handbook. Hoboken: Wiley; 2012.
21.
go back to reference Condrasky M, Ledikwe JH, Flood JE, Rolls BJ. Chefs’ opinions of restaurant portion sizes. Obesity (Silver Spring). 2007;15(8):2086–94.CrossRef Condrasky M, Ledikwe JH, Flood JE, Rolls BJ. Chefs’ opinions of restaurant portion sizes. Obesity (Silver Spring). 2007;15(8):2086–94.CrossRef
22.
go back to reference US Food and Drug Administration: FDA implied nutrient content claims and related label statements. 21 CFR §101.65. 2018 https://www.ecfr.gov. Accessed 26 Dec 2018. US Food and Drug Administration: FDA implied nutrient content claims and related label statements. 21 CFR §101.65. 2018 https://​www.​ecfr.​gov. Accessed 26 Dec 2018.
25.
go back to reference Saelens BE, Glanz K, Sallis JF, Frank LD. Nutrition environment measures study in restaurants (NEMS-R): development and evaluation. Am J Prev Med. 2007;32(4):273–81.CrossRef Saelens BE, Glanz K, Sallis JF, Frank LD. Nutrition environment measures study in restaurants (NEMS-R): development and evaluation. Am J Prev Med. 2007;32(4):273–81.CrossRef
27.
go back to reference Lee-Kwan SH, Goedkoop S, Yong R, Batorsky B, Hoffman V, Jeffries J, Hamouda M, Gittelsohn J. Development and implementation of the Baltimore healthy carry-outs feasibility trial: process evaluation results. BMC Public Health. 2013;13:638.CrossRef Lee-Kwan SH, Goedkoop S, Yong R, Batorsky B, Hoffman V, Jeffries J, Hamouda M, Gittelsohn J. Development and implementation of the Baltimore healthy carry-outs feasibility trial: process evaluation results. BMC Public Health. 2013;13:638.CrossRef
28.
go back to reference Middleton G. A preliminary study of chefs’ attitudes and knowledge of healthy eating in Edinburgh's restaurants. Int J Hosp Manag. 2000;19(4):399–412.CrossRef Middleton G. A preliminary study of chefs’ attitudes and knowledge of healthy eating in Edinburgh's restaurants. Int J Hosp Manag. 2000;19(4):399–412.CrossRef
29.
go back to reference Glanz K, Resnicow K, Seymour J, Hoy K, Stewart H, Lyons M, Goldberg J. How major restaurant chains plan their menus: the role of profit, demand, and health. Am J Prev Med. 2007;32(5):383–8.CrossRef Glanz K, Resnicow K, Seymour J, Hoy K, Stewart H, Lyons M, Goldberg J. How major restaurant chains plan their menus: the role of profit, demand, and health. Am J Prev Med. 2007;32(5):383–8.CrossRef
30.
go back to reference Noormohamed A, Lee SH, Batorsky B, Jackson A, Newman S, Gittelsohn J. Factors influencing ordering practices at Baltimore City carryouts: qualitative research to inform an obesity prevention intervention. Ecol Food Nutr. 2012;51(6):481–91.CrossRef Noormohamed A, Lee SH, Batorsky B, Jackson A, Newman S, Gittelsohn J. Factors influencing ordering practices at Baltimore City carryouts: qualitative research to inform an obesity prevention intervention. Ecol Food Nutr. 2012;51(6):481–91.CrossRef
31.
go back to reference Wagner HS, Howland M, Mann T. Effects of subtle and explicit health messages on food choice. Health Psychol. 2015;34(1):79–82.CrossRef Wagner HS, Howland M, Mann T. Effects of subtle and explicit health messages on food choice. Health Psychol. 2015;34(1):79–82.CrossRef
32.
go back to reference Valdivia Espino JN, Guerrero N, Rhoads N, Simon NJ, Escaron AL, Meinen A, Nieto FJ, Martinez-Donate AP. Community-based restaurant interventions to promote healthy eating: a systematic review. Prev Chronic Dis. 2015;12:E78.CrossRef Valdivia Espino JN, Guerrero N, Rhoads N, Simon NJ, Escaron AL, Meinen A, Nieto FJ, Martinez-Donate AP. Community-based restaurant interventions to promote healthy eating: a systematic review. Prev Chronic Dis. 2015;12:E78.CrossRef
33.
go back to reference Livingstone MBE, Pourshahidi LK. Portion size and obesity. Adv Nutr. 2014;5(6):829–34.CrossRef Livingstone MBE, Pourshahidi LK. Portion size and obesity. Adv Nutr. 2014;5(6):829–34.CrossRef
34.
go back to reference Benton D. Portion size: what we know and what we need to know. Crit Rev Food Sci Nutr. 2015;55(7):988–1004.CrossRef Benton D. Portion size: what we know and what we need to know. Crit Rev Food Sci Nutr. 2015;55(7):988–1004.CrossRef
35.
go back to reference Lee-Kwan SH, Bleich SN, Kim H, Colantuoni E, Gittelsohn J. Environmental intervention in carryout restaurants increases sales of healthy menu items in a low-income urban setting. Am J Health Promot. 2015;29(6):357–64.CrossRef Lee-Kwan SH, Bleich SN, Kim H, Colantuoni E, Gittelsohn J. Environmental intervention in carryout restaurants increases sales of healthy menu items in a low-income urban setting. Am J Health Promot. 2015;29(6):357–64.CrossRef
36.
go back to reference Patel AA, Lopez NV, Lawless HT, Njike V, Beleche M, Katz DL. Reducing calories, fat, saturated fat, and sodium in restaurant menu items: effects on consumer acceptance. Obesity (Silver Spring). 2016;24(12):2497–508.CrossRef Patel AA, Lopez NV, Lawless HT, Njike V, Beleche M, Katz DL. Reducing calories, fat, saturated fat, and sodium in restaurant menu items: effects on consumer acceptance. Obesity (Silver Spring). 2016;24(12):2497–508.CrossRef
37.
go back to reference Olstad DL, Goonewardene LA, McCargar LJ, Raine KD. Choosing healthier foods in recreational sports settings: a mixed methods investigation of the impact of nudging and an economic incentive. Int J Behav Nutr Phys Act. 2014;11:6.CrossRef Olstad DL, Goonewardene LA, McCargar LJ, Raine KD. Choosing healthier foods in recreational sports settings: a mixed methods investigation of the impact of nudging and an economic incentive. Int J Behav Nutr Phys Act. 2014;11:6.CrossRef
38.
go back to reference Tal A, Wansink B. An apple a day brings more apples your way: healthy samples prime healthier choices. Psychol Mark. 2015;32(5):575–84.CrossRef Tal A, Wansink B. An apple a day brings more apples your way: healthy samples prime healthier choices. Psychol Mark. 2015;32(5):575–84.CrossRef
39.
go back to reference Ayala GX, Castro IA, Pickrel JL, Williams CB, Lin SF, Madanat H, Jun HJ, Zive M. A restaurant-based intervention to promote sales of healthy children's menu items: the Kids’ choice restaurant program cluster randomized trial. BMC Public Health. 2016;16:5.CrossRef Ayala GX, Castro IA, Pickrel JL, Williams CB, Lin SF, Madanat H, Jun HJ, Zive M. A restaurant-based intervention to promote sales of healthy children's menu items: the Kids’ choice restaurant program cluster randomized trial. BMC Public Health. 2016;16:5.CrossRef
40.
go back to reference Hanni KD, Garcia E, Ellemberg C, Winkleby M. Targeting the taqueria: implementing healthy food options at Mexican American restaurants. Health Promot Pract. 2009;10(2 Suppl):99S. Hanni KD, Garcia E, Ellemberg C, Winkleby M. Targeting the taqueria: implementing healthy food options at Mexican American restaurants. Health Promot Pract. 2009;10(2 Suppl):99S.
41.
go back to reference Chen R, Carrillo M, Kapp J, Cheadle A, Angulo A, Chrisman N, Rubio R. Partnering with REACH to create a “diabetes-friendly” restaurant: a restaurant owner’s experience. Prog Community Health Partnersh. 2011;5(3):307–12.CrossRef Chen R, Carrillo M, Kapp J, Cheadle A, Angulo A, Chrisman N, Rubio R. Partnering with REACH to create a “diabetes-friendly” restaurant: a restaurant owner’s experience. Prog Community Health Partnersh. 2011;5(3):307–12.CrossRef
42.
go back to reference Crixell SH, Friedman B, Fisher DT, Biediger-Friedman L. Improving children's menus in community restaurants: best food for families, infants, and toddlers (best food FITS) intervention, south Central Texas, 2010-2014. Prev Chronic Dis. 2014;11:E223.CrossRef Crixell SH, Friedman B, Fisher DT, Biediger-Friedman L. Improving children's menus in community restaurants: best food for families, infants, and toddlers (best food FITS) intervention, south Central Texas, 2010-2014. Prev Chronic Dis. 2014;11:E223.CrossRef
43.
go back to reference Nevarez CR, Lafleur MS, Schwarte LU, Rodin B, de Silva P, Samuels SE. Salud Tiene Sabor: a model for healthier restaurants in a Latino community. Am J Prev Med. 2013;44(3 Suppl 3):186.CrossRef Nevarez CR, Lafleur MS, Schwarte LU, Rodin B, de Silva P, Samuels SE. Salud Tiene Sabor: a model for healthier restaurants in a Latino community. Am J Prev Med. 2013;44(3 Suppl 3):186.CrossRef
45.
go back to reference Anseel F, Lievens F, Schollaert E, Choragwicka B. Response rates in organizational science, 1995–2008: a meta-analytic review and guidelines for survey researchers. J Bus Psychol. 2010;25(3):335–49.CrossRef Anseel F, Lievens F, Schollaert E, Choragwicka B. Response rates in organizational science, 1995–2008: a meta-analytic review and guidelines for survey researchers. J Bus Psychol. 2010;25(3):335–49.CrossRef
46.
go back to reference Cho YI, Johnson TP, Vangeest JB, Vangeest JB, Johnson TP. Enhancing surveys of health care professionals: a meta-analysis of techniques to improve response. Eval Health Prof. 2013;36(3):382–407.CrossRef Cho YI, Johnson TP, Vangeest JB, Vangeest JB, Johnson TP. Enhancing surveys of health care professionals: a meta-analysis of techniques to improve response. Eval Health Prof. 2013;36(3):382–407.CrossRef
47.
go back to reference Millar MM, Dillman DA. Improving response to web and mixed-mode surveys. Public Opin Q. 2011;75(2):249–69.CrossRef Millar MM, Dillman DA. Improving response to web and mixed-mode surveys. Public Opin Q. 2011;75(2):249–69.CrossRef
Metadata
Title
A cross-sectional description of mobile food vendors and the foods they serve: potential partners in delivering healthier food-away-from-home choices
Authors
Melissa M. Reznar
Katherine Brennecke
Jamie Eathorne
Joel Gittelsohn
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7075-8

Other articles of this Issue 1/2019

BMC Public Health 1/2019 Go to the issue