Disparities and access to healthy food in the United States: A review of food deserts literature
Open accessAbstract
Increasingly, studies are focusing on the role the local food environment plays in residents' ability to purchase affordable, healthy and nutritious foods. In a food desert, an area devoid of a supermarket, access to healthy food is limited. We conducted a systematic review of studies that focused on food access and food desert research in the United States. The 31 studies identified utilized 9 measures to assess food access. Results from these studies can be summarized primarily into four major statements. Findings from other countries offer insight into ways, in which future research, policy development and program implementation in the U.S. may continue to be explored.
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Healthy foods are primarily available in supermarkets, and although sometimes found at corner stores, gas stations, restaurants, and convenience stores, healthy items are available at higher prices and a lower quantity or quality.
“Healthy foods are primarily available in supermarkets, and although sometimes found at corner stores, gas stations, restaurants, and convenience stores, healthy items are available at higher prices and a lower quantity or quality [38,39].”
From Agroecological Transition: A Territorial Examination of the Simultaneity of Limited Farmer Livelihoods and Food Insecurity (2022) · cites this paper as [39]
HFP neighborhoods in the United States are disproportionately people of color experiencing high poverty rates; compared with more affluent areas, food prices in these neighborhoods are higher, and food quality is poorer, often inedible.
“HFP neighborhoods in the United States are disproportionately people of color experiencing high poverty rates.Compared with more affluent areas, the food prices in these neighborhoods are higher, and food quality is poorer, often inedible [39,40], exacerbating consumers' challenges accessing healthy foods.”
From Agroecological Transition: A Territorial Examination of the Simultaneity of Limited Farmer Livelihoods and Food Insecurity (2022) · cites this paper as [39]
Walker and Keane identified four explanatory factors in their systematic review of food access in HFP areas in the United States.
“In their systematic review of food access in HFP areas in the United States, Walker and Keane [39] identified four explanatory factors.”
From Agroecological Transition: A Territorial Examination of the Simultaneity of Limited Farmer Livelihoods and Food Insecurity (2022) · cites this paper as Walker and Keane [39]
A second contributing factor to food access in HFP areas is racial and ethnic disparities.
“A second contributing factor is racial and ethnic disparities”
From Agroecological Transition: A Territorial Examination of the Simultaneity of Limited Farmer Livelihoods and Food Insecurity (2022) · cites this paper as Walker and Keane [39]
Cites
The United States Department of Agriculture
True, A. C. (1912) · The Annals of the American Academy of Political and Social Science · doi:10.1177/000271621204000113 · Cited by 5,152 · see citing works
Poverty and obesity: The role of energy density and energy costs
Drewnowski, A., & Specter, S. (2004) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/79.1.6 · Cited by 2,786 · see citing works
Neighborhood characteristics associated with the location of food stores and food service places
Morland, K. B., Wing, S., Roux, A. V. D., & Poole, C. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(01)00403-2 · Cited by 1,662 · see citing works
Morland, K., Wing, S., & Roux, A. D. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.11.1761 · Cited by 1,289 · see citing works
Diet, nutrition and the prevention of excess weight gain and obesity
Ba, S., Caterson, I. D., Seidell, J. C., & James, W. P. T. (2004) · Public Health Nutrition · doi:10.1079/phn2003585 · Cited by 1,150 · see citing works
Food store availability and neighborhood characteristics in the United States
Powell, L. M., Slater, S., Mirtcheva, D., Bao, Y., & Chaloupka, F. J. (2007) · Preventive Medicine · doi:10.1016/j.ypmed.2006.08.008 · Cited by 1,059 · see citing works
Zenk, S. N., Schulz, A. J., Israel, B. A., James, S. A., Bao, S., & Wilson, M. L. (2005) · American Journal of Public Health · doi:10.2105/ajph.2004.042150 · Cited by 982 · see citing works
Associations of Neighborhood Characteristics With the Location and Type of Food Stores
Moore, L. V., & Roux, A. V. D. (2005) · American Journal of Public Health · doi:10.2105/ajph.2004.058040 · Cited by 926 · see citing works
Fast food, race/ethnicity, and income
Block, J. P., Scribner, R. A., & DeSalvo, K. B. (2004) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.06.007 · Cited by 834 · see citing works
Environmental Health Disparities: A Framework Integrating Psychosocial and Environmental Concepts
Gee, G. C., & Payne-Sturges, D. C. (2004) · Environmental Health Perspectives · doi:10.1289/ehp.7074 · Cited by 821 · see citing works
Nutrition Environment Measures Survey in Stores (NEMS-S)Development and Evaluation
Glanz, K., Sallis, J. F., Saelens, B. E., & Frank, L. D. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2006.12.019 · Cited by 742 · see citing works
Obesogenic environments: exploring the built and food environments
Lake, A. A., & Townshend, T. (2006) · The Journal of the Royal Society for the Promotion of Health · doi:10.1177/1466424006070487 · Cited by 679 · see citing works
Rose, D., & Richards, R. (2004) · Public Health Nutrition · doi:10.1079/phn2004648 · Cited by 605 · see citing works
“Food deserts”—evidence and assumption in health policy making
Cummins, S., & Macintyre, S. (2002) · BMJ · doi:10.1136/bmj.325.7361.436 · Cited by 558 · see citing works
Do the Poor Pay More for Food? An Analysis of Grocery Store Availability and Food Price Disparities
Chung, C., & Myers, S. L. (1999) · Journal of Consumer Affairs · doi:10.1111/j.1745-6606.1999.tb00071.x · Cited by 550 · see citing works
Measuring racial discrimination
(2005) · Choice Reviews Online · doi:10.5860/choice.42-4949 · Cited by 547 · see citing works
Urban problems and community development
Ferguson, R. F., & Dickens, W. T. (2000) · The Social Science Journal · doi:10.1016/s0362-3319(00)00069-0 · Cited by 457 · see citing works
Morrison, R. S., Wallenstein, S. R., Natale, D. K., Senzel, R. S., & Huang, L.-L. (2000) · New England Journal of Medicine · doi:10.1056/nejm200004063421406 · Cited by 454 · see citing works
Deprivation, Diet, and Food-Retail Access: Findings from the Leeds ‘Food Deserts' Study
Wrigley, N., Warm, D. L., & Margetts, B. (2003) · Environment and Planning A Economy and Space · doi:10.1068/a35150 · Cited by 446 · see citing works
Fruit and vegetable access in four low-income food deserts communities in Minnesota
Hendrickson, D., Smith, C., & Eikenberry, N. (2006) · Agriculture and Human Values · doi:10.1007/s10460-006-9002-8 · Cited by 374 · see citing works
Retail Stores in Poor Urban Neighborhoods
Alwitt, L. F., & Donley, T. (1997) · Journal of Consumer Affairs · doi:10.1111/j.1745-6606.1997.tb00830.x · Cited by 364 · see citing works
Raja, S., Ma, C., & Yadav, P. K. (2008) · Journal of Planning Education and Research · doi:10.1177/0739456x08317461 · Cited by 361 · see citing works
Block, D., & Kouba, J. (2006) · Public Health Nutrition · doi:10.1017/phn2005924 · Cited by 336 · see citing works
Inagami, S., Cohen, D. A., Finch, B. K., & Asch, S. M. (2006) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2006.03.019 · Cited by 323 · see citing works
Mortality, inequality and race in American cities and states
Deaton, A., & Lubotsky, D. H. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(02)00115-6 · Cited by 319 · see citing works
Morello-Frosch, R. A., Pastor, M., Porras, C., & Sadd, J. L. (2002) · Environmental Health Perspectives · doi:10.1289/ehp.02110s2149 · Cited by 318 · see citing works
African Americans’ Access to Healthy Food Options in South Los Angeles Restaurants
Lewis, L. B., Sloane, D. C., Nascimento, L. M., Diamant, A. L., Guinyard, J. J., Yancey, A. K., & Flynn, G. (2005) · American Journal of Public Health · doi:10.2105/ajph.2004.050260 · Cited by 313 · see citing works
Morland, K. B., & Filomena, S. (2007) · Public Health Nutrition · doi:10.1017/s1368980007000079 · Cited by 306 · see citing works
Zenk, S. N., Schulz, A. J., Israel, B. A., James, S. A., Bao, S., & Wilson, M. L. (2006) · PubMed · doi:10.13016/0ao9-rv3u · Cited by 287 · see citing works
Neighborhood Risk Factors for Obesity
Lopez, R. P. (2007) · Obesity · doi:10.1038/oby.2007.251 · Cited by 281 · see citing works
Cubbin, C., Hadden, W. C., & Winkleby, M. A. (2001) · PubMed · Cited by 251 · see citing works
Food deserts: towards the development of a classification
Shaw, H. J. (2006) · Geografiska Annaler Series B Human Geography · doi:10.1111/j.0435-3684.2006.00217.x · Cited by 246 · see citing works
Kaufman, P., MacDonald, J. M., Lutz, S. M., & Smallwood, D. M. (1997) · RePEc: Research Papers in Economics · doi:10.22004/ag.econ.34065 · Cited by 203 · see citing works
Rural Food Deserts: Low-income Perspectives on Food Access in Minnesota and Iowa
Smith, C., & Morton, L. W. (2009) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2008.06.008 · Cited by 196 · see citing works
Rural Poor Have Less Access to Supermarkets, Large Grocery Stores
Kaufman, P., & Kaufman, P. R. (1998) · RePEc: Research Papers in Economics · doi:10.22004/ag.econ.289786 · Cited by 190 · see citing works
Closing the Grocery Gap in Underserved Communities
Giang, T., Karpyn, A. E., Burton-Laurison, H., Hillier, A. E., & Perry, R. D. (2008) · Journal of Public Health Management and Practice · doi:10.1097/01.phh.0000316486.57512.bf · Cited by 177 · see citing works
Furey, S., Strugnell, C., & McIlveen, M. H. (2001) · Agriculture and Human Values · doi:10.1023/a:1015218502547 · Cited by 143 · see citing works
Food Deserts and Overweight Schoolchildren: Evidence from Pennsylvania*
Schafft, K. A., Jensen, E. B., & Hinrichs, C. C. (2009) · Rural Sociology · doi:10.1111/j.1549-0831.2009.tb00387.x · Cited by 129 · see citing works
Environmental justice: building a unified vision of health and the environment.
Lee, C. (2002) · Environmental Health Perspectives · doi:10.1289/ehp.02110s2141 · Cited by 127 · see citing works
Food retail change and the growth of food deserts: a case study of Cardiff
Guy, C., Clarke, G., & Eyre, H. (2004) · International Journal of Retail & Distribution Management · doi:10.1108/09590550410521752 · Cited by 122 · see citing works
Food security in rural America: A study of the availability and costs of food
Morris, P. M., Neuhauser, L., & Campbell, C. (1992) · Journal of Nutrition Education · doi:10.1016/s0022-3182(12)80140-3 · Cited by 120 · see citing works
Access to Healthful Foods among an Urban Food Insecure Population: Perceptions versus Reality
Freedman, D. A., & Bell, B. A. (2009) · Journal of Urban Health · doi:10.1007/s11524-009-9408-x · Cited by 116 · see citing works
Lang, T., & Caraher, M. (1998) · Health Education Journal · doi:10.1177/001789699805700303 · Cited by 113 · see citing works
Measuring Racial Discrimination in American Housing Markets: The Housing Market Practices Survey.
Wienk, R. E. (1979) · Cited by 107 · see citing works
Saha, S. (2000) · New England Journal of Medicine · doi:10.1056/nejm200008103430615 · Cited by 106 · see citing works
Food deserts and how to tackle them: a study of one city's approach
Reisig, V., & Hobbiss, A. (2000) · Health Education Journal · doi:10.1177/001789690005900203 · Cited by 100 · see citing works
Racial Inequalities in Housing: An Examination of Recent Trends
Bianchi, S. M., Farley, R., & Spain, D. (1982) · Demography · doi:10.2307/2061127 · Cited by 92 · see citing works
Curtis, K. A., & McClellan, S. (1995) · Urban anthropology and studies of cultural systems and world economic development · Cited by 91 · see citing works
Local Food Environments: They're All Stocked Differently
Freedman, D. A. (2009) · American Journal of Community Psychology · doi:10.1007/s10464-009-9272-6 · Cited by 90 · see citing works
Garasky, S., Morton, L. W., & Greder, K. A. (2004) · Iowa State University Digital Repository (Iowa State University) · Cited by 67 · see citing works
Richards, R., & Smith, C. (2007) · Social Science & Medicine · doi:10.1016/j.socscimed.2007.06.013 · Cited by 67 · see citing works
The Leeds “food deserts” intervention study: what the focus groups reveal
Wrigley, N., Warm, D. L., Margetts, B., et al. (2004) · International Journal of Retail & Distribution Management · doi:10.1108/09590550410521798 · Cited by 64 · see citing works
The Urban Grocery Store GapPreprint
Cotterill, R. W., Franklin, A. W., Cotterill, R., et al. (1995) · RePEc: Research Papers in Economics · doi:10.22004/ag.econ.161547 · Cited by 57 · see citing works
Inequalities in retail choice: exploring consumer experiences in suburban neighbourhoods
Kirkup, M. H., de Kervenoael, R., Hallsworth, A. G., et al. (2004) · International Journal of Retail & Distribution Management · doi:10.1108/09590550410564746 · Cited by 53 · see citing works
Supermarket access in the inner cities
Nayga, R. M., & Weinberg, Z. (1999) · Journal of Retailing and Consumer Services · doi:10.1016/s0969-6989(98)00029-0 · Cited by 43 · see citing works
Start Right–Eat Right Award Scheme: Implementing Food and Nutrition Policy in Child Care Centers
Pollard, C. M., Lewis, J. M., & Miller, M. (2001) · Health Education & Behavior · doi:10.1177/109019810102800306 · Cited by 41 · see citing works
Sexton, K. (2000) · Human and Ecological Risk Assessment An International Journal · doi:10.1080/10807030008951330 · Cited by 32 · see citing works
THE LOCAL FOOD ENVIRONMENT AND HEALTH: SOME REFLECTIONS FROM THE UNITED KINGDOM
Cummins, S. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.4.521 · Cited by 29 · see citing works
Chapter 1 : Neighborhood Racial and Ethnic Diversity in U.S. Cities
Nyden, P. W., Lukehart, J., Maly, M. T., et al. (1998) · Cited by 29 · see citing works
Pollard, C. M., Binns, C. W., & Lewis, J. M. (2008) · Australia and New Zealand Health Policy · doi:10.1071/hp080527 · Cited by 19 · see citing works
Obtaining Food: Shopping Constraints of the Poor
(1990) · The Black Scholar · doi:10.1080/00064246.1990.11412952 · Cited by 11 · see citing works
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- Authors
- Walker, R. E., Keane, C. R., & Burke, J. G.
- Affiliations
- Harvard University (US)
- University of Pittsburgh (US)
- Corresponding author
- Walker, Renee E.
- Venue
- Health & Place
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 16
- Issue
- 5
- Pages
- 876-884
- ISSN
- 1353-8292 (ISSN-L)
- OpenAlex
- W2002735931
- Cited by
- 1,716
- References
- 61
- Citations by year
- 2026: 93 · 2025: 116 · 2024: 135 · 2023: 120 · 2022: 155 · 2021: 163 · 2020: 147 · 2019: 139 · 2018: 118 · 2017: 127 · 2016: 112 · 2015: 110 · 2014: 67 · 2013: 52 · 2012: 37
- FWCI
- 62.07
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Health & Place (publishedVersion)
- PubMed (publishedVersion)
- University Libraries (University of Maryland) (submittedVersion)
- Digital Repository at the University of Maryland (University of Maryland College Park)
- 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
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- food deserts, food access, healthy food access, food environment, food insecurity, food access disparities, food policy, nutrition policy
- MeSH terms
- Food Supply, Humans, Residence Characteristics, Restaurants, United States, Marketing, Food, Organic
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