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The relationship between diet and perceived and objective access to supermarkets among low-income housing residents

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  • Caspi, Caitlin E.
  • Kawachi, Ichiro
  • Subramanian, S.V.
  • Adamkiewicz, Gary
  • Sorensen, Glorian
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    Abstract

    In the U.S., supermarkets serve as an important source of year-round produce (Chung & Myers, 1999), and yet access to supermarkets may be scarce in “food deserts,” or poor, urban areas that lack sources of healthy, affordable food (Cummins & Macintyre, 2002). This study examined objective distance to the nearest supermarket and participant-report of supermarket access in relation to fruit and vegetable intake. Street-network distance to the closest supermarket was calculated using GIS mapping. Perceived access was assessed by a survey question asking whether participants had a supermarket within walking distance of home. Cross-sectional survey data were collected from 828 low-income housing residents in three urban areas in greater-Boston. Generalized estimating equations were used to estimate the association between perceived and objective supermarket access and diet. Fruit and vegetable consumption was low (2.63 servings/day). Results suggest that most low-income housing residents in greater-Boston do not live in “food deserts,” as the average distance to a supermarket was 0.76 km (range 0.13–1.22 km). Distance to a supermarket was not associated with fruit and vegetable intake (p = 0.22). Perceived supermarket access was strongly associated with increased fruit and vegetable intake (0.5 servings/day) after controlling for socio-demographic covariates (p < 0.0001). Patterns of mismatch between perceived and objective measures revealed that mismatch between the two measures were high (31.45%). Those who did not report a supermarket within walking distance from home despite the objective presence of a supermarket within 1 km consumed significantly fewer fruits and vegetables (0.56 servings/day) than those with a supermarket who reported one, even after controlling for socio-demographic variables (p = 0.0008). Perceived measures of the food environment may be more strongly related to dietary behaviors than objective ones, and may incorporate components of food access not captured in objective measures.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 75 (2012)
    Issue (Month): 7 ()
    Pages: 1254-1262

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    Handle: RePEc:eee:socmed:v:75:y:2012:i:7:p:1254-1262

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    Keywords: USA; Food access; Neighborhood; Low-income housing; Health behaviors; Perceived measures; Objective measures;

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    1. Neil Wrigley & Daniel Warm & Barrie Margetts, 2003. "Deprivation, diet, and food-retail access: findings from the Leeds 'food deserts' study," Environment and Planning A, Pion Ltd, London, vol. 35(1), pages 151-188, January.
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    Cited by:
    1. Caspi, Caitlin E. & Kawachi, Ichiro & Subramanian, S.V. & Tucker-Seeley, Reginald & Sorensen, Glorian, 2013. "The social environment and walking behavior among low-income housing residents," Social Science & Medicine, Elsevier, vol. 80(C), pages 76-84.

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