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Neighborhood Environments
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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“Several approaches are effective (Table 6).152,196,202–214”
From Components of a Cardioprotective Diet: New Insights (2011) · cites this paper as [208]
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“In a review of 54 US studies published between 1985 and 2008 on neighborhood differences in access to food, residents of low-income, minority, and rural neighborhoods generally had less access to supermarkets and healthful foods.30”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [30]
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Metadata
- Authors
- Larson, N. I., Story, M. T., & Nelson, M. C.
- Affiliations
- University of Minnesota (US)
- Corresponding author
- Larson, Nicole I.
- ORCID
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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