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Healthy and unhealthy food environments are linked with neighbourhood socio-economic disadvantage: an innovative geospatial approach to understanding food access inequities.

Abstract：

OBJECTIVE:This study examined the separate relationships between socio-economic disadvantage and the density of multiple types of food outlets, and relationships between socio-economic disadvantage and composite food environment indices. DESIGN:Cross-sectional data were analysed using geospatial kernel density techniques. Food outlet data included convenience stores, discount stores, fast-food and fast casual restaurants, and grocery stores. Controlling for urbanicity and race/ethnicity, multivariate linear regression was used to examine the relationships between socio-economic disadvantage and density of food outlets. SETTING:This study occurred in a large Southeastern US county containing 255 census block groups with a total population of 474 266, of which 77·1 % was Non-Hispanic White, the median household income was $48 886 and 15·0 % of residents lived below 125 % of the federal poverty line. PARTICIPANTS:The unit of analysis was block groups; all data about neighbourhood socio-economic disadvantage and food outlets were publicly available. RESULTS:As block group socio-economic disadvantage increased, so too did access to all types of food outlets. The total food environment index, calculated as the ratio of unhealthy food outlets to all food outlets, decreased as block group disadvantage increased. CONCLUSIONS:Those who reside in more disadvantaged block groups have greater access to both healthy and unhealthy food outlets. The density of unhealthy establishments was greater in more disadvantaged areas; however, because of having greater access to grocery stores, disadvantaged populations have less obesogenic total food environments. Structural changes are needed to reduce access to unhealthy food outlets to ensure environmental injustice and reduce obesity risk.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Hallum SH,Hughey SM,Wende ME,Stowe EW,Kaczynski AT

doi

10.1017/S1368980020002104

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

3190-3196

issue

eissn

1368-9800

issn

1475-2727

pii

S1368980020002104

journal_volume

pub_type

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Healthy and unhealthy food environments are linked with neighbourhood socio-economic disadvantage: an innovative geospatial approach to understanding food access inequities.