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Determinants of food retail outlet choice in an urban food environment: a qualitative study in Indonesia.

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Titel: Determinants of food retail outlet choice in an urban food environment: a qualitative study in Indonesia.
Autoren: Colozza D; Department of Global Health and Social Medicine, King's College London, London, UK. david.colozza@kcl.ac.uk.; Department of Geography, King's College London, London, UK. david.colozza@kcl.ac.uk.; Department of Geography, National University of Singapore, Singapore, Singapore. david.colozza@kcl.ac.uk.
Quelle: BMC public health [BMC Public Health] 2025 Nov 03; Vol. 25 (1), pp. 3737. Date of Electronic Publication: 2025 Nov 03.
Publikationsart: Journal Article
Sprache: English
Info zur Zeitschrift: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central, [2001-
MeSH-Schlagworte: Urban Population*/statistics & numerical data , Commerce* , Choice Behavior* , Food Supply*/statistics & numerical data, Humans ; Indonesia ; Qualitative Research ; Female ; Male ; Adult ; Middle Aged ; Interviews as Topic ; Fast Foods
Abstract: Competing Interests: Declarations. Ethics approval and consent to participate: This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. Ethical approval was obtained from Research Ethics Office, King’s College London (Research Ethics Number: MR/17/18–244), and the Ministry of Technology, Research and Higher Education of the Republic of Indonesia (Approval Number: 2948/FRP/E5/Dit.KI/IX/2018). Informed consent was obtained in writing from all participants prior to data collection. Consent for publication: All participants provided written informed consent to the collection and publication of data gathered. Competing interests: The authors declare no competing interests.
Background: Urbanisation and food system transformations in low- and middle-income countries (LMICs) are reshaping local food retail environments, influencing diets and nutrition outcomes. The expansion of ultra-processed products (UPPs) and changing food outlet landscapes are key drivers of the triple burden of malnutrition across LMICs, including rising rates of obesity and related non-communicable disease (NCD). Yet, qualitative insights into how local communities interact with evolving food retail environments remains limited.
Methods: A qualitative study in three urban communities of Yogyakarta, Indonesia, between September 2018 and April 2019. A total of 45 semi-structured interviews lasting between 35 min and 1.5 h were conducted with individuals primarily responsible for household food purchasing and preparation, supported by transect walks to map food outlet types. Data were analysed iteratively, combining emic perspectives with pre-determined themes based on established urban food environments and food systems frameworks.
Results: Participants accessed a wide range of formal and informal food retail outlets. Food acquisition strategies were diverse and dynamic, with respondents often relying on multiple outlets for different product types. Five main themes emerged as key drivers of food retail outlet choice: economic reasons, convenience, produce quality, product variety, and personal or social relationships with vendors. Supermarkets were visited infrequently and mainly used for bulk or non-perishable purchases, while markets and other traditional outlets were preferred for daily needs due to perceived freshness, affordability, and trust in sellers.
Conclusion: Findings highlight the complexity of urban food acquisition in LMIC settings, where residents navigate diverse food retail options shaped by economic, social, and contextual factors. Informal vendors remain central to everyday food access across socio-economic groups, pointing to the need for context-specific public health policies and programmes that do not assume a linear transition toward formalisation, but instead work with existing informal structures. Interventions should aim to regulate the availability and marketing of UPPs, support healthier retail environments across all outlet types, and leverage trust, familiarity, and local networks in shaping dietary behaviours through bottom-up approaches.
(© 2025. The Author(s).)
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Contributed Indexing: Keywords: Food retail environment; Food systems; Indonesia; Low- and middle-income countries (LMICs); Nutrition
Entry Date(s): Date Created: 20251103 Date Completed: 20251104 Latest Revision: 20251107
Update Code: 20251107
PubMed Central ID: PMC12581566
DOI: 10.1186/s12889-025-23574-7
PMID: 41184802
Datenbank: MEDLINE
Beschreibung
Abstract:Competing Interests: Declarations. Ethics approval and consent to participate: This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. Ethical approval was obtained from Research Ethics Office, King’s College London (Research Ethics Number: MR/17/18–244), and the Ministry of Technology, Research and Higher Education of the Republic of Indonesia (Approval Number: 2948/FRP/E5/Dit.KI/IX/2018). Informed consent was obtained in writing from all participants prior to data collection. Consent for publication: All participants provided written informed consent to the collection and publication of data gathered. Competing interests: The authors declare no competing interests.<br />Background: Urbanisation and food system transformations in low- and middle-income countries (LMICs) are reshaping local food retail environments, influencing diets and nutrition outcomes. The expansion of ultra-processed products (UPPs) and changing food outlet landscapes are key drivers of the triple burden of malnutrition across LMICs, including rising rates of obesity and related non-communicable disease (NCD). Yet, qualitative insights into how local communities interact with evolving food retail environments remains limited.<br />Methods: A qualitative study in three urban communities of Yogyakarta, Indonesia, between September 2018 and April 2019. A total of 45 semi-structured interviews lasting between 35 min and 1.5 h were conducted with individuals primarily responsible for household food purchasing and preparation, supported by transect walks to map food outlet types. Data were analysed iteratively, combining emic perspectives with pre-determined themes based on established urban food environments and food systems frameworks.<br />Results: Participants accessed a wide range of formal and informal food retail outlets. Food acquisition strategies were diverse and dynamic, with respondents often relying on multiple outlets for different product types. Five main themes emerged as key drivers of food retail outlet choice: economic reasons, convenience, produce quality, product variety, and personal or social relationships with vendors. Supermarkets were visited infrequently and mainly used for bulk or non-perishable purchases, while markets and other traditional outlets were preferred for daily needs due to perceived freshness, affordability, and trust in sellers.<br />Conclusion: Findings highlight the complexity of urban food acquisition in LMIC settings, where residents navigate diverse food retail options shaped by economic, social, and contextual factors. Informal vendors remain central to everyday food access across socio-economic groups, pointing to the need for context-specific public health policies and programmes that do not assume a linear transition toward formalisation, but instead work with existing informal structures. Interventions should aim to regulate the availability and marketing of UPPs, support healthier retail environments across all outlet types, and leverage trust, familiarity, and local networks in shaping dietary behaviours through bottom-up approaches.<br /> (© 2025. The Author(s).)
ISSN:1471-2458
DOI:10.1186/s12889-025-23574-7