Food store access and household fruit and vegetable use among participants in the US Food Stamp Program
Open accessAbstract
Objective: Recent research on access to food among low-income populations in industrialised countries has begun to focus on neighbourhood food availability as a key determinant of dietary behaviour. This study examined the relationship between various measures of food store access and household fruit and vegetable use among participants in the Food Stamp Program, America's largest domestic food assistance programme. Design: A secondary data analysis was conducted using the 1996–97 National Food Stamp Program Survey. The survey employed a 1-week food inventory method, including two at-home interviews, to determine household food use. Separate linear regression models were developed to analyse fruit and vegetable use. Independent variables included distance to store, travel time to store, ownership of a car and difficulty of supermarket access. All models controlled for a full set of socio-economic variables. Subjects: A nationally representative sample of participants (n = 963) in the Food Stamp Program. Results: After controlling for confounding variables, easy access to supermarket shopping was associated with increased household use of fruits (84 grams per adult equivalent per day; 95% confidence interval 5, 162). Distance from home to food store was inversely associated with fruit use by households. Similar patterns were seen with vegetable use, though associations were not significant. Conclusions: Environmental factors are importantly related to dietary choice in a nationally representative sample of low-income households, reinforcing the importance of including such factors in interventions that seek to effect dietary improvements.
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Four larger cross-sectional studies found greater accessibility to neighborhood supermarkets was associated with more healthful dietary habits; 1 small cross-sectional study and the only large longitudinal study did not.
“Four larger cross-sectional studies found that greater accessibility to neighborhood supermarkets (presence, number, or distance) was associated with more healthful dietary habits284–287; 1 small cross-sectional study288 and the only large longitudinal study289 did not.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [287]
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A Natural Experiment Opportunity in Two Low-Income Urban Food Desert Communities
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- Authors
- Rose, D., & Richards, R.
- Affiliations
- Tulane University (US)
- Corresponding author
- Rose, Donald
- Venue
- Public Health Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2004-12
- Volume
- 7
- Issue
- 8
- Pages
- 1081-1088
- ISSN
- 1368-9800 (ISSN-L)
- 1475-2727
- OpenAlex
- W2067954797
- Cited by
- 605
- References
- 16
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 14 · 2023: 21 · 2022: 21 · 2021: 22 · 2020: 21 · 2019: 19 · 2018: 39 · 2017: 34 · 2016: 43 · 2015: 37 · 2014: 40 · 2013: 35 · 2012: 57
- FWCI
- 27.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Public Health Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Agriculture
- Food and Nutrition Service
- Economic Research Service
- 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 › Obesity, Physical Activity, Diet
- Keywords
- fruit and vegetable intake, Supplemental Nutrition Assistance Program, low-income households, food aid, travel time, car ownership, dietary behaviour
- MeSH terms
- Adult, Automobiles, Female, Food Services, Food Supply, Fruit, Health Services Accessibility, Humans, Male, Middle Aged, Nutrition Surveys, Poverty, United States, Vegetables, Linear Models
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