Out Of Home Research Articles

Educational and employment for adults with a history of migration and foster care in Finland

Abstract Several studies document the adverse educational prospects for both immigrant-origin as well as out of home placed children and youth. Few studies have examined the educational and employment outcomes of migrant-origin young adults with a history of out-of-home care (OHC), which is the aim of our study. Methods. We studied all subjects born in 1976 to 1995 abroad and immigrated to Finland as underage persons prior to 2010 (N = 20 037), comparing them to children born in Finland to foreign born parents (N = 3198) and a matched random sample of host population (N = 23 187) according to register data 1991 to 2015. We formed OHC alumni and non-OHC alumni groups among refugee-origin born abroad and in Finland, non-refugee-origin born abroad and in Finland as well as native Finns group. Logistic regression analysis was used in which age of the child in the first placement, number of placements and the type of the first place were adjusted. Results.Minors both with refugee and non-refugee background born in Finland were more likely than native Finns to be placed in OHC. A history of OHC predicted less chance of degrees completed and being employed compared to non-OHC peers in all study groups. Refugee background born abroad having history in OHC had lower educational and employment outcomes as young adults compared to other OHC groups. Education made difference since immigrant background having OHC history and post-compulsory degree had two times higher likelihood of being employed. The first OHC during teenage years decreased odds for post-compulsory education but increased odds for employment. Multiple placements in OHC decreased a youth’s chances of completing degrees and employment Key messages • Education made difference since persons with OHC history and degrees done had two times higher likelihood of being employed. • Refugee origin OHC alumni were in the most vulnerable position with less degrees and less employment, and thus they need any support in their studies.

Examining the Stability and Durability of Child Care Arrangements during the COVID-19 Pandemic in Canada

La pandémie de COVID-19 a provoqué d'importantes perturbations dans tous les secteurs du travail et de la vie familiale, y compris les services de garde éducatifs à l'enfance (SGÉE). Les recherches démontrent que l'instabilité (soit les interruptions aux services de garde) et l'absence de durabilité des SGÉE (soit le maintien des mêmes services de garde au fil du temps) peuvent exacerber le stress des parents et nuire au développement de l'enfant. S'inspirant des données d'un sondage original réalisé en décembre 2020 auprès de 882 parents de jeunes enfants de quatre provinces canadiennes, les autrices ont examiné les choix des parents au sujet de la garde d'enfants avant la pandémie et les répercussions de la COVID-19 sur ces dispositions, dans l'immédiat et à long terme. Dans leur échantillon, elles ont trouvé que a) les services hors du domicile étaient plus instables et plutôt moins durables que ceux à domicile; b) la perte d'accès pendant la pandémie à cause de la fermeture des centres de la petite enfance était moins marquée en Colombie-Britannique, ce qui était toutefois contrebalancé par un taux relativement élevé de retraits volontaires; c) l'Ontario a présenté un taux relativement élevé de pertes d'accès en raison des fermetures et des retraits volontaires; d) dans l'ensemble, 64 % des dispositions en matière de garde se sont révélées durables, mais e) la durabilité était plus faible dans les familles à plus faible revenu et en Ontario. En revanche, la durabilité était beaucoup plus élevée au Québec, ce qui fait ressortir le rôle possible des investissements dans les politiques des SGÉE pour protéger les parents et les enfants en cas d’événements déstabilisants.

Exploring food consumption patterns in the province of Kenitra, Northwest of Morocco

BackgroundMorocco is currently undergoing rapid changes in diets and lifestyles, influenced by globalization and urbanization, leading to a shift away from the Mediterranean diet (MedDiet) toward Western diets.ObjectiveDescribe and explore the food consumption patterns of the population of Kenitra province and their adherence to the MedDiet using a validated survey.MethodThe current cross-sectional study involved 442 respondents from Kenitra province, comprising individuals aged 18 and above. The survey included a combination of closed and open-ended questions regarding food consumption patterns and socio-demographic characteristics. Adherence to the MedDiet was assessed using the Panagiotakos method to calculate the MedDiet score (MDS). Additionally, each participant’s adherence to the MedDiet was evaluated using a method based on Martínez-González’s approach.ResultsThe results indicate that 31% of the participants eat vegetables, 28% eat fruits, and 19% eat wholegrain bread daily. Furthermore, 58% regularly use olive oil in their cooking. Eating out of home (OOH) was high, with popular places being restaurants and cafes (70%), fast food outlets (20%), and workplace canteens (7%). Overall, participants showed moderate adherence to the MedDiet, with a mean MDS of 36.3 ± 19.7.ConclusionsPromoting healthy eating habits is crucial in Kenitra. With moderate consumption of nutrient-dense foods and the popularity of the MedDiet, targeted interventions and educational initiatives can promote healthy dietary behaviors, improving overall public health.

Exercise as medicine! Physical activity mitigated the impact of the COVID-19 pandemic on depressive symptoms in adults with depression

We investigated the longitudinal association between physical activity (PA) and symptoms of depression and anxiety in people with depression during the COVID-19 pandemic. We used data from baseline (June 2020) to wave 3 (June 2021) of the PAMPA Cohort, an ambispective cohort with adults in south Brazil. The Hospital Anxiety and Depression Scale assessed depressive and anxiety symptoms in all waves. Participants reported frequency (minutes), type (aerobic, strength, combined), and place (out of home, at home) of physical activity at baseline. Generalized linear models were used to investigate the interaction between time and PA, adjusting for possible confounding variables. Subjective memory decline was assessed using multivariate Cox proportional hazard regression models to obtain adjusted hazard ratio (HR) and respective 95% confidence interval (CI). Participants (n = 424) with self-reported clinically diagnosed depression were included. We observed a non-linear increase trajectory of depression during the first year of the COVID-19 pandemic. PA was associated with a slower trajectory of depressive (slope: −1.89; 95%CI: −3.34, −0.43 points) but not anxiety (slope: −1.33; 95%CI: −2.93, 0.25 points) symptoms during the COVID-19 pandemic. Participants who continued physically active from pre-pandemic in wave 1 showed a lower risk of subjective memory decline during follow-up than those who persisted inactive in the same period (HR: 0.52; 95%CI: 0.30, 0.89). PA attenuated the impact of the COVID-19 pandemic on depressive symptoms in adults living with depression in south Brazil. Regularity of physical activity was associated with fewer depression and anxiety symptoms and a lower risk of subjective memory decline.

Being a Substantial Out of Home Eater: Affecting Factors and Evidence on Daily Nutritional Intake Among University Students

In this cross-sectional study, it was aimed to investigate the factors affecting the choice of out of home (OH) eating in university students. A questionnaire containing the sections of age, accommodation and education status was applied to the participants (n = 399). The 24h dietary records were obtained from the participants. The participants were asked to write the locations where they consume the meals. The percentages of substantial OH eaters were 16.7% and 17.7% in males and females, respectively (p>0.05). Staying in dormitory status was found to be increased the probability of being a substantial eater compared to the reference of staying with family (odds ratios were 9.93 for females and 14.79 for males; p<0.05 for both genders). Substantial OH eaters had a higher protein, a higher carbohydrate, and a higher starch intakes than at home eaters (p<0.05 for all nutrients). It has been shown that university students mostly prefer fast food restaurants for OH eating.

The relationship between weight status and food environments, peer influence and dietary intake among high-school students: a case-control study

Purpose The purpose of this study is to evaluate the relationship between weight status and food environments, peer influence and dietary intake among high-school students in Shiraz, Iran. Design/methodology/approach Applying a case-control design, 406 adolescents (n = 203 overweight or obese and n = 203 normal weight) aged 14–18 years were selected using a multistage cluster random sampling method. Demographic information, physical activity level and anthropometric indices were collected. Dietary intake was determined using a 147-item food frequency questionnaire. Food environment (home and out of home) and peer influence were determined by a validated questionnaire. Findings The type of food purchased using pocket money was different between adolescents with overweight or obesity and normal weight adolescents (p < 0.001). The out-of-home food environment score was not different between groups, but the home food environment score (p = 0.004) and the peer influence score (p = 0.001) were higher in normal weight adolescents. Adolescents with overweight or obesity consumed higher amounts of carbohydrate (p = 0.006) and lower amounts of protein (p = 0.01) and more sweet junk foods (p = 0.01), nonstarchy vegetables (p = 0.03) and fruits (p = 0.01) compared to the normal weight group. Originality/value Home food environment, peer influence, differences in macronutrient intake and dietary patterns may be contributing factors to adolescent weight status.

Eating out intensity, ultra-processed foods and BMI among Albanian youth.

Ultra-processed foods (UPF) and eating out of home (OH) are changing nutrition, particularly among youth in constrained settings. We aimed to assess the role of eating OH intensity on the associations of UPF and unprocessed or minimally processed foods (UMPF) with BMI among Albanian youth. Cross-sectional. Albania, a south-eastern European country. 281 youth, predominantly females. UPF and UMPF were defined based on NOVA, while eating OH intensity based on energy percentage from OH foods. Multivariable models tested associations of UPF and UMPF with BMI stratified by eating OH intensity, controlled for relevant covariates including diet quality, portion size and costs. The respondents age ranged between 18 and 23 years with a female predominance (87·5 %). Mean energy from UPF and UMPF was 846 (sd: 573·0) and 802·9 (422·5) kcals, respectively. Among substantial at home eaters UPF intake was not associated (β = −0·07, 95 % CI (−0·13, 0·267)) with BMI; however, UMPF negatively associated with BMI (β = −0·24, 95 % CI (−0·43, −0·06)). Among those defined as substantial OH eaters, UPF (β = 0·24, 95 % CI (0·08, 0·40)) and UMPF (β = 0·18, 95 % CI (0·04, 0·33)) were positively associated with BMI. Our findings provide evidence for the hypothesis that eating OH plays an important role in the association of UPF and UMPF with BMI in youth. While causality cannot be established due to cross-sectional design, to the best of our knowledge, we provide the first assessment of UPF and UMPF intake in a south-eastern European setting, while highlighting the need for establishing and integrating youth nutrition into national nutritional surveillance systems for key dietary risk factors in Albania.

The Development and Potential of a Digital out of Home Food Environment Monitoring Platform.

The rapidly growing field of digital meal delivery platforms has transformed the out of home (OOH) food environment, presenting both opportunities and challenges for public health. This paper introduces the development and potential of a novel digital platform designed for monitoring the OOH food environment. Drawing on publicly available data from meal delivery applications, this platform provides valuable insights into the landscape of digital food offerings, such as the most common restaurants per region, average caloric content per meal type, and energy value per monetary unit. This research addresses the current void in regulations for this digital environment, particularly around food labeling and provision of nutrition information. Even though the platform has significantly improved our understanding of the digital food ecosystem, it highlights gaps, primarily due to the lack of publicly available individual data and inconsistencies in provided information. Despite these challenges, the proposed digital platform holds considerable promise for better understanding the digital food environment, supporting healthier food choices, and informing future policy interventions aimed at regulating the online food environment. This research advocates for mandatory regulations in the digital food sector to ensure comprehensive, comparable, and transparent nutrition information and equality in access to nutritious foods.

Modeling daily in-home activities using machine learning techniques

Activity-based modeling for travel demand forecasting have mainly focused on out-of-home activities. However, out-of-home (OH) and in-home (IH) activities are closely related decisions. For example, individuals working-from-home for longer duration are less likely to make commute trips to the workplace. Furthermore, COVID-19 has forced individuals to replace their OH with IH activities, which further indicates the need for in-home activity modelling. To address the inter-dependencies and better predict travel demand, efforts are required to model in-home activities. This paper develops machine learning (ML) models to investigate in-home activities. We have considered in-home activities in the four thematic categories: sleeping, leisure and discretionary, household and personal maintenance, and mandatory activities. Models were developed for: 1) activity participation and 2) activity duration. The former is focused on modeling what type of in-home activities individuals would perform during a typical weekday, where the latter models the duration for each in-home activity. Several machine learning models were applied, including artificial neural network (ANN), regression trees (RT), Ensembles, support vector machine (SVM), k-nearest neighbor (KNN), and Gaussian process regression (GPR). For each technique, we seek the best model by fine-tuning the modeling architecture. We also compared the prediction speed of the models to understand how they would perform in practice. The results of the participation models had an overall accuracy above 95%, where the activity duration models had an R2 between 0.74 and 0.94. This research demonstrates how machine learning models are robust and can be adopted to accurately predict activity participation and duration.

How do suburban residents organize their daily lives? A behavioural time–space analysis in Beijing, China

ABSTRACT Rapid suburbanization in China is dramatically reshaping the daily life of urban residents. In China, long-distance commuting, traffic congestion, spatial mismatch and the low quality of life resulting from residential suburbanization are causing widespread concern. This paper compares the changes in time allocation from a time-use perspective, based on two activity-travel survey datasets collected in suburban Beijing in respectively 2007 and 2017. Travelling time to work has increased substantially between 2007 and 2017 and particularly impacted non-working activities. Working and commuting showed to have the greatest impact on time allocated to non-work activities, both in home and out of home, both maintenance and discretionary activities. Furthermore, residents’ allocation of time to non-work activities shows to be influenced too by their socioeconomic attributes, such as gender, marital status and household configuration (e.g. extended family). We found that the space–time constraints imposed by household responsibilities leads to greater gender differences in time allocation. This paper provides insight into how urban residents reallocate their time as a result of increasing suburbanization.

Infant Social Withdrawal Behavior: A Key for Adaptation in the Face of Relational Adversity.

As a result of evolution, human babies are born with outstanding abilities for human communication and cooperation. The other side of the coin is their great sensitivity to any clear and durable violation in their relationship with caregivers. Infant sustained social withdrawal behavior (ISSWB) was first described in infants who had been separated from their caregivers, as in Spitz's description of “hospitalism” and “anaclitic depression.” Later, ISSWB was pointed to as a major clinical psychological feature in failure-to-thrive infants. Fraiberg also described freezing behavior as one of the earliest modes of infant defense in the face of adverse situations threatening the infant's ability to synchronize with caregivers. We hypothesize that ISSWB behaviors are associated with poor vagal brake functioning and that an impaired social engagement system is induced by an impoverished and/or dangerous environment. Recent research using animal models highlight the neurobiology and the genetics of the social Approach/Withdrawal Behavior in infants. The present paper is therefore a plea for social withdrawal behavior to be attributed a more important role as a major psychological defensive mechanism in infancy, and for research into early development and early intervention to make more practical and theoretical use of this concept, thus decreasing the challenge of translation in social neurosciences. This work presents several situations involving developmental hazards in which assessment of ISSWB by means of the Alarm Distress Baby Scale (ADBB) has proven useful, i.e., malnutrition, effects of major maternal depression and or traumatization, assessing social withdrawal in infants with an chronic organic illness (congenital heart disease, Prader-Willi syndrome, cleft lip and/or palate Prader-Willy syndrome, Fetal alcohol syndrome) or assessing ISSWB in out of home placed infants during parental visitation. Relationships between ISSWB and other biophysiological behavioral systems are discussed, particularly links with attachment processes and Porges's polyvagal theory.

The Impact of Both Individual and Contextual Factors on the Acceptance of Personalized Dietary Advice.

(1) Background: The aim of the current study is to investigate which between- and within-person factors influence the acceptance of personalized dietary advice. (2) Methods: A repeated measurements design was used in which 343 participants (M (SD) age = 48 (17.3), 49% female) filled out a baseline survey and started with nine repeated surveys. (3) Results: The results show that the acceptance of personalized dietary advice is influenced by both within-person and between-person factors. The acceptance is higher at lunch compared to breakfast and dinner, higher at home than out of home, higher at moments when individuals have a high intention to eat healthily, find weight control an important food choice motive and have a high healthy-eating self-efficacy. Moreover, the acceptance is higher when individuals do not see the eating context as a barrier and when individuals believe that personalized dietary advice has more benefits than risks. (4) Conclusions: Future behavioral interventions that use personalized dietary advice should consider the context as well as individual differences.

Wearable and Portable GPS Solutions for Monitoring Mobility in Dementia: A Systematic Review.

Dementia is the most common neurodegenerative disorder globally. Disease progression is marked by declining cognitive function accompanied by changes in mobility. Increased sedentary behaviour and, conversely, wandering and becoming lost are common. Global positioning system (GPS) solutions are increasingly used by caregivers to locate missing people with dementia (PwD) but also offer a non-invasive means of monitoring mobility patterns in PwD. We performed a systematic search across five databases to identify papers published since 2000, where wearable or portable GPS was used to monitor mobility in patients with common dementias or mild cognitive impairment (MCI). Disease and GPS-specific vocabulary were searched singly, and then in combination, identifying 3004 papers. Following deduplication, we screened 1972 papers and retained 17 studies after a full-text review. Only 1/17 studies used a wrist-worn GPS solution, while all others were variously located on the patient. We characterised the studies using a conceptual framework, finding marked heterogeneity in the number and complexity of reported GPS-derived mobility outcomes. Duration was the most frequently reported category of mobility reported (15/17), followed by out of home (14/17), and stop and trajectory (both 10/17). Future research would benefit from greater standardisation and harmonisation of reporting which would enable GPS-derived measures of mobility to be incorporated more robustly into clinical trials.

Analysis of the Czech Advertising Market and its Main Players

At a time of global crisis, also at a time of accelerated digitalisation of businesses, sensible investment in communication with their customers is becoming very topical. The paper focuses on the development of investments in Internet advertising in the period 2012-2020. The method used for the research was a comparative analysis, which showed that the amount of money invested in internet advertising increased every year and that, unlike other types of advertising, no year was recorded for internet advertising during the period under review, when the value of investments in a given year would be lower than the value in the previous year. The results show that online advertising is taking an increasing share of total advertising investment. Another finding is that television advertising maintains a dominant position in the advertising market and is not directly affected by the development of investment in Internet advertising. However, the growth of investment in Internet advertising has a direct impact on the volume of investment in print advertising and OOH (Out of Home) advertising. The given types of media showed the largest decrease in terms of market share and negatively copied the development of investments in Internet advertising. In the case of radio advertising, there was also a decrease, but its dependence on Internet advertising has not been proven. However, the question arises as to the development of investments in the coming years. It is possible to anticipate the continuing strengthening of the role of Internet advertising and it will also be interesting to see whether Internet advertising will jeopardize the position of TV advertising. The results of the research will help both researchers and companies in the process of their decision to invest in selected types of advertising.

Effect of Advertising Media on Sales Performance of Cable TV Network Firms in Mwanza City, Tanzania

The study aimed to investigate the impacts of advertising media on sales performance of firms in Cable TV network sector in Mwanza city, Tanzania. Specifically, this study concentrated in determining how digital marketing affects sales performance, determining effect of TV/Radio on sales performance of firms, assessing effect of outdoor (out of home) on sales performance.. This study employed quantitative methodology. The targeted population of the study was about 414 network managers from the six Cable TV network service providers and A sample of 83 network managers, selected from a population of 414 Cable TV network firms and were selected using simple random sampling technique. Questionnaire and documentary review are used to collect data. The study employed descriptive statistics and inferential statistics. The results revealed that all the advertising media namelydigital marketing, TV/Radio and outdoor had a significantly positive effect on sales performance of Cable Network firms. The study further found that mobile marketing had the highest effect of firms’ ales performance followed by outdoor adverting, then social media marketing and lastly TV/Radio. The study lastly recommends that management should create readiness of the company in terms of ensuring products and organization area, and establish a great team. The study also recommended that Cable TV firms should use more of modern advertising especially mobile marketing and social media marketing as they can be accessed by customer 24/7/365 and will reach more people. The marketing/Advertising department should develop marketing plan for advertising to assist measuring effectiveness of each advertising media and hence this can help in developing effective marketing activities.

Towards Managing Visual Pollution: A 3D Isovist and Voxel Approach to Advertisement Billboard Visual Impact Assessment

Visual pollution (VP) is a visual landscape quality issue, and its most consistently recognized symptom is an excess of out of home advertising billboards (OOHb). However, the VP related research concerns landscape aesthetic and advertisement cultural context, leaving the impact of outdoor billboard infrastructure on landscape openness unanswered to date. This research aims to assess the visual impact of outdoor billboard infrastructure on landscape openness, precisely the visual volume—a key geometrical quality of a landscape. The method uses 3D isovists and voxels to calculate the visible and obstructed subsets of visible volume. Using two case studies (Lublin City, Poland) and 26 measurement points, it was found that OOHb decreased landscape openness by at least 4% of visible volume; however, the severe impact may concern up to 35% of visual volume. GIS scientists develop the proposed method for policy-makers, and urban planners end users. It is also the very first example of compiling 3D isovists and voxels in ArcGIS Pro software in an easy-to-replicate framework. The research results, accompanied by statistically significant proofs, explain the visual landscape’s fragility and contribute to understanding the VP phenomenon.

Digital advertising policy acceptance by out-of-home advertising firms: a combination of TAM and TOE framework

By employing a combination of the extended technology acceptance model and the technology-organization-environment framework, this study examines influential factors in the acceptance of digital advertising policy by Korean out of home (OOH) adverting firms undergoing digital transformation. To this end, by employing unique data from a national survey of 1,001 Korean OOH advertising firms, this study examines such firms’ acceptance of digital advertising policy. The results of a hierarchical regression analysis reveal that two key variables—perceived usefulness and perceived ease of use—from the extended technology acceptance model positively influence policy acceptance. The findings also suggest that factors from the technology-organization-environment framework, such as organizational innovativeness and perceived burden of cost in the organizational context, and perceived industry pressure in the environmental context affect policy acceptance. The results of this study demonstrate that the combined model is useful in explaining OOH firms’ decision such as policy acceptance in digital transformation process. The main findings of this study have policy and managerial implications for other countries in digital transformation process.

OUT OF HOME ADVERTISING AND CONSUMER BUYING BEHAVIOUR OF SELECTED FAST MOVING CONSUMER GOODS IN LAGOS STATE, NIGERIA

Fast Moving Consumer Goods are products that are required by almost all users in their day today life. The advertisements for these products need more attention in terms of creating responsiveness among the consumers for their purchase decision. However, consumers are bombarded with lots of information through multiple media like newspapers, magazines and internet but remain engaged from time to time hence lack time to update themselves. This has made it difficult for advertisers to trap consumers hence resort to outdoor messages to reach the target people. Extant studies on the out of home advertising have attempted to elucidate on the challenges of advertising and the attendant supposed solutions, conversely, most of the extant research focus more on developed countries than developing countries such as Nigeria. Hence, this study examined the effect of Out-of-Home Advertising on consumer buying behaviour of selected fast moving consumer goods in Lagos State, Nigeria. Survey research design was adopted for the study. The population of the study consists of individuals living in Lagos State with total number of 2,556,300 and with the sample size of 520 derived from Taro Yamane method. Data was collected using self – administered structured questionnaire and validated for a response rate of 93.4%. Cronbach Alpha reliability for major constructs had an average of 0.80. Random sampling technique was used. The data collected was analysed using simple linear regression. Findings revealed that there is a strong positive and significant relationship between Out-of-Home Advertising and consumer buying behaviour(β= 0.834; R2= 0.695; t(520) = 33.225; p>0.05). The study concludes that Out-of-Home Advertising has significant and positive effect on consumer buying behaviour and recommends that the study findings led to the recommendations that producers of fast moving consumer goods should focus more on out of home advertising such as use of billboards as opposed to other forms of media like T.V and Radio to help boost consumption and sale of their products. The study also recommends marketers of FMCGs to enhance the knowledge and awareness of consumers with regard to existence and location of billboards.

Internacionalização no segmento de mídia out of home: o caso da JCDecaux no mercado brasileiro

Purpose - This case study aims to understand the motivations for the expansion of the French multinational JCDecaux to Brazil, in the light of relevant theories about the internationalization of companies. JCDecaux is the world's largest outdoor media company (out of home), a fast-growing industry of the advertising market in Brazil.Design/methodology - This study explain the case based on the internationalization of companies theories, in the economic (Eclectic Paradigm of International Production) and behavioral (Uppsala School and Business Networks Model) strands. In addition to secondary sources, the research was supported by interviews with experts and executives from the outdoor media industry in Brazil.Findings - The main determining drivers for the entry of JCDecaux in the Brazilian market were identified. The analysis based on the theoretical models of internationalization concluded that the economic approach determined in a more significant way the company's entry into the Brazilian media out of home market. Economic advantages outweighed the costs and risks of Brazil's business environment, making the country attractive to the company's foreign investment.Research limitations - The scarcity of data about the media outdoor was reported by a professional interviewed as a negative feature. Another important limitation is the lack of scientific production about the out-of-home media in Brazil.Originality - This paper contributed to generate important information about the Brazilian outdoor media industry, especially on the phenomenon of internationalization of companies in this industry.

Adherence to healthy and sustainable diets is not differentiated by cost, but rather source of foods among young adults in Albania.

High cost of nutritious foods and eating out of home (OH) might be barriers to healthy and sustainable diets. We examined adherence to Dietary Approaches to Stop Hypertension (DASH), EAT-Lancet reference diet (EAT) and Mediterranean diet score (MDS) and the associations with dietary cost and eating OH. We evaluated cross-sectional data from single multiple-pass 24-h diet recalls from 289 young adults (18-24 years) in Tirana, Albania. Dietary cost (in Albanian Lek (ALL)) was estimated by matching food consumption data with retail prices from local fast-food chains, supermarkets, restaurants and food vendors. Poisson regression was fitted to models that included DASH, EAT and MDS as dependent variables to assess associations between healthy sustainable diet indicators and dietary cost and eating OH. Adjusted models were controlled for BMI, sex and total energy intake (kJ) using the residual method. Our findings indicate relatively poor adherence to healthy and sustainable dietary patterns among young men and women in Albania. Furthermore, better adherence to DASH, EAT or MDS was not associated with dietary cost (per 100 ALL; range incidence rate ratios (IRR): 0·97-1·00; all (un-)adjusted P > 0·05). Nonetheless, eating OH was related to lower adherence to DASH (IRR: 0·79; P = 0·003) and MDS (IRR: 0·69; P < 0·001). In conclusion, adherence to health and sustainable dietary patterns was poor and not differentiated by cost, but rather source of foods (i.e. OH or at home). Further research on the potential public and environmental health effects of these findings is warranted in Albania.