Neighborhood Impact on Healthy Food Availability and Pricing in Food Stores
Open accessAbstract
Availability and price of healthy foods in food stores has the potential to influence purchasing patterns, dietary intake, and weight status of individuals. This study examined whether demographic factors of the store neighborhood or store size have an impact on the availability and price of healthy foods in sample of grocery stores and supermarkets. The Nutrition Environment Measures Study-Store (NEMS-S) instrument, a standardized observational survey, was utilized to evaluate food stores (N = 42) in a multi-site (Vermont and Arkansas) study in 2008. Census data associated with store census tract (median household income and proportion African-American) were used to characterize store neighborhood and number of cash registers was used to quantify store size. Median household income was significantly associated with the NEMS healthy food availability score (r = 0.36, P < 0.05); neither racial composition (r = -0.23, P = 0.14) nor store size (r = 0.27, P = 0.09) were significantly related to the Availability score. Larger store size (r = 0.40, P < 0.01) was significantly associated with the NEMS-S Price scores, indicating more favorable prices for healthier items; neither racial composition nor median household income were significantly related to the Price score (P's > 0.05). Even among supermarkets, healthier foods are less available in certain neighborhoods, although, when available, the quality of healthier options did not differ, suggesting that targeting availability may offer promise for policy initiatives. Furthermore, increasing access to larger stores that can offer lower prices for healthier foods may provide another avenue for enhancing food environments to lower disease risk.
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Prices of similar foods vary substantially due to other factors, in particular, the type of store in which they are sold.
“Additionally, research evaluating a variety of predictors suggests that prices of similar foods vary substantially due to other factors, in particular, the type of store in which they are sold.157–159”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [159]
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- Authors
- Krukowski, R. A., West, D. S., Harvey-Berino, J., & Elaine Prewitt, T.
- Affiliations
- University of Arkansas for Medical Sciences (US)
- Corresponding author
- Krukowski, Rebecca A.
- Venue
- Journal of Community Health
- Published
- 2010-02-03
- Volume
- 35
- Issue
- 3
- Pages
- 315-320
- ISSN
- 0094-5145 (ISSN-L)
- 1573-3610
- PMC
- PMC3071013
- OpenAlex
- W2094354855
- Cited by
- 136
- References
- 42
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 4 · 2023: 5 · 2022: 5 · 2021: 9 · 2020: 14 · 2019: 4 · 2018: 13 · 2017: 8 · 2016: 10 · 2015: 10 · 2014: 6 · 2013: 16 · 2012: 11
- FWCI
- 21.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Community Health (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 056746, R01DK056746)
- Topics
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
- Keywords
- healthy food availability, food stores, grocery stores, supermarkets, neighborhood socioeconomic characteristics, median household income, racial composition, store size, food environment, food access, food purchasing
- MeSH terms
- Arkansas, Black or African American, Commerce, Data Collection, Food, Food Supply, Humans, Income, Residence Characteristics, Vermont, Censuses
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