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HEIs are nowadays subject to different disrupting events of a varying and transformative nature. Aside from the emergence of EdTechs, the COVID-19 pandemic has brought about the forced digitalization of most traditional higher education institutions (HEIs). In this context, a born-digital university is subject to the increasing dual pressure of traditional universities shifting their learning offers and competition from the new emerging EdTech players. This chapter provides an analysis of the competitive situation of HEIs and the envisaged business model changes required for a born-digital university to tackle this increasing competitive challenge in a context of ongoing digital transformation. It adopts a business approach for higher education, placing the student (as the main client) at the centre of the analysis. The starting point is the identification of the dimensions of student preferences in their choice of higher education provider with a view to analysing the position of the main types of competitors in higher education -traditional, face-to-face universities, and EdTechs- and to ultimately propose a matrix of required business model changes for a born-digital university.
To evaluate the association between diet quality and cost for foods purchased for consumption at home and away from home.
Design:
Cross-sectional analysis. Multivariable linear regression models evaluated the association between diet quality and cost for all food, food at home (FAH) and food away from home (FAFH).
Setting:
Daily food intake data from the National Health and Nutrition Examination Survey (2005–2016). Food prices were derived using data from multiple, publicly available databases. Diet quality was assessed using the Healthy Eating Index-2015 and the Alternative Healthy Eating Index-2010.
Participants:
30 564 individuals ≥20 years with complete and reliable dietary data.
Results:
Mean per capita daily diet cost was $14·19 (95 % CI (13·91, 14·48)), including $6·92 (95 % CI (6·73, 7·10)) for FAH and $7·28 (95 % CI (7·05, 7·50)) for FAFH. Diet quality was higher for FAH compared to FAFH (P < 0·001). Higher diet quality was associated with higher food costs overall, FAH and FAFH (P < 0·001 for all comparisons).
Conclusions:
These findings demonstrate that higher diet quality is associated with higher costs for all food, FAH and FAFH. This research provides policymakers, public health professionals and clinicians with information needed to support healthy eating habits. These findings are particularly relevant to contemporary health and economic concerns that have worsened because of the COVID-19 pandemic.
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