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Alison Gustafson, Qishan Wu, Colleen Spees, Nicolle Putnam, Ingrid Adams, Danielle Harp, Heather Bush, and Chris Taylor
Objective: The aim of this study was to: 1) Describe the bi-directional relationship between parent and adolescent food shopping patterns and behaviors. 2) Assess the association between adolescent and parent self-reported food shopping behaviors, dietary patterns and body mass index. Design: Cross-sectional survey. Setting: Four rural counties in Kentucky and Ohio, United States, 2013 Subjects: Adolescents, ages 13-18, and their primary caregiver who conducted at least 25% of the food shopping. Results: Close to 60% of adolescents report grocery shopping with their parent. There was almost complete agreement between the parent and adolescent for eating fast-food together (p=0.0069), but low agreement on purchasing food from convenience stores (p=0.15). Adolescents who purchase food from school vending, gas stations, and convenience stores combined often consumed more added sugars and sugar-sweetened beverages(SSB) (2.66 [95% CI 0.43, 4.90]). Lastly, those who shopped with a friend at a fast food establishment consumed more mean added sugars. Conclusion: Adolescents and parents are influenced by their social and food store shopping behaviors. Policies and interventions need to address cumulative shopping behavior practices and social interactions within these venues.