Cited by 2,003Food Security and Health in Diverse PopulationsHealth disparities and outcomesObesity, Physical Activity, Diet

Neighborhood Environments

Larson, Nicole I., Story, Mary T., Nelson, Melissa C.·2009·American Journal of Preventive Medicine

Abstract

Background Poor dietary patterns and obesity, established risk factors for chronic disease, have been linked to neighborhood deprivation, neighborhood minority composition, and low area population density. Neighborhood differences in access to food may have an important influence on these relationships and health disparities in the U.S. This article reviews research relating to the presence, nature, and implications of neighborhood differences in access to food.Methods A snowball strategy was used to identify relevant research studies (n=54) completed in the U.S. and published between 1985 and April 2008.Results Research suggests that neighborhood residents who have better access to supermarkets and limited access to convenience stores tend to have healthier diets and lower levels of obesity. Results from studies examining the accessibility of restaurants are less consistent, but there is some evidence to suggest that residents with limited access to fast-food restaurants have healthier diets and lower levels of obesity. National and local studies across the U.S. suggest that residents of low-income, minority, and rural neighborhoods are most often affected by poor access to supermarkets and healthful food. In contrast, the availability of fast-food restaurants and energy-dense foods has been found to be greater in lower-income and minority neighborhoods.Conclusions Neighborhood disparities in access to food are of great concern because of their potential to influence dietary intake and obesity. Additional research is needed to address various limitations of current studies, identify effective policy actions, and evaluate intervention strategies designed to promote more equitable access to healthy foods.

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Crossref · 10.1016/j.amepre.2008.09.025

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Authors
Larson, N. I., Story, M. T., & Nelson, M. C.
Affiliations
University of Minnesota (US)
Corresponding author
Larson, Nicole I.
Venue
American Journal of Preventive Medicine
Publisher
Elsevier BV
Published
2009-01
Volume
36
Issue
1
Pages
74-81.e10
ISSN
0749-3797 (ISSN-L)
OpenAlex
W2155409140
Cited by
2,003
References
111
Citations by year
2026: 51 · 2025: 86 · 2024: 89 · 2023: 101 · 2022: 102 · 2021: 136 · 2020: 166 · 2019: 91 · 2018: 133 · 2017: 127 · 2016: 140 · 2015: 177 · 2014: 145 · 2013: 143 · 2012: 121
FWCI
11.95
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
neighborhood food environment, food access, food deserts, supermarkets, convenience stores, fast food restaurants, obesity, dietary intake, health disparities, neighborhood disadvantage, minority neighborhoods, low-income communities, rural neighborhoods, energy-dense foods
MeSH terms
Diet, Feeding Behavior, Food Supply, Humans, Obesity, Poverty Areas, Residence Characteristics, Risk Factors, United States, Marketing, Health Status Disparities

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