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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 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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“…that inequalities in this access have increased over time (Morland, Wing, and Roux 2002; Reidpath et al. 2002; Block, Scribner, and DeSalvo 2004; Rose and Richards 2004; Winkler, Turrell, and Patterson 2006; Boyle, Stone-Francisco, and Samuels 2007; Hackett et al. 2008; Hemphill et al. 2008;…”
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“…is mixed with several studies reporting that access to a supermarket is associated with a lower risk of obesity (Lopez, 2007; Morland et al., 2006) or obesity related behaviors (Rose & Richards, 2004) while others have found no such relationship (Wang, Kim, Gonzalez, MacLeod, & Winkleby, 2007b).”
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“The presence of a neighbourhood supermarket has been particularly associated with an increased consumption of fresh fruits and vegetables(13-16).”
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“Fruit and vegetable consumption tends to vary inversely with distance to a grocery store (Rose and Richards, 2004; Zenk et al., 2008), although at least one study found this not to be the case (Boone-Heinonen et al., 2011).”
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“Other studies have characterized socio-economically disadvantaged neighborhoods as having higher density of fast food outlets and fewer supermarkets with modestly priced fruit and vegetables ( 12 ,3437).”
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“The cut-off points of 5 miles or 10min correspond approximately to the mean response, and are also consistent with the cut-off points used in previous studies((18)).”
MethodNeighborhood Food Environments and Body Mass Index
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“Fulltime groceries were subsequently classified into three types: (1) small food stores (sales of $1 million/year); (2) medium food stores (sales of $1‐$5 million/year); and ( 3 ) supermarkets (sales of $5 million/year).”
BackgroundSelf-citationFood Availability/Convenience and Obesity
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Does opening a supermarket in a food desert change the food environment?
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“…linked living in a neighborhood without supermarkets or sources of healthy foods to worse dietary intakes (Laraia et al., 2004; Moore et al., 2008; Rose and Richards, 2004) and diet-related health outcomes such as obesity and type 2 diabetes (Black and Macinko, 2008; Bodor et al., 2010; Keenan…”
Fruit and vegetable availability: a micro environmental mediating variable?
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“, 2010), placing fresh F&V in local convenience stores (Bodor et al., 2008; Rose and Richards, 2004), or providing F&V baskets to seniors (Johnson et al.”
BackgroundSmith, D. M., Cummins, S., Clark, C., & Stansfeld, S. A. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-70 · Cited by 141
Rose, D. D., Bodor, J. N., Hutchinson, P., & Swalm, C. M. (2010) · Journal of Nutrition · doi:10.3945/jn.109.113159 · Cited by 130
“A number of these earlier studies documented that easier access to supermarkets, measured in a number of different ways, was associatedwith food consumption, particularly improved fruit or vegetable intakes (10,14), or overall diet quality (8,9).”
BackgroundSelf-citationUrban Planning and Health Equity
Northridge, M. E., & Freeman, L. (2011) · Journal of Urban Health · doi:10.1007/s11524-011-9558-5 · Cited by 127
Dietary acid load and chronic kidney disease among adults in the United States
Banerjee, T., Crews, D. C., Wesson, D. E., Tilea, A. M., Saran, R., Burrows, N. R., Williams, D. E., & Powe, N. R. (2014) · BMC Nephrology · doi:10.1186/1471-2369-15-137 · Cited by 126
“Studies of the food and low SES environment suggest that low-income individuals often live in neighborhoods where there are few full-service grocery stores and may not have easy access to transportation to allow for shopping at such stores in outlying areas [37].”
BackgroundRefugees Connecting with a New Country through Community Food Gardening
Harris, N., Minniss, F. R., & Somerset, S. M. (2014) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph110909202 · Cited by 125
D’Angelo, H., Suratkar, S., Song, H., Stauffer, E., & Gittelsohn, J. (2011) · Public Health Nutrition · doi:10.1017/s1368980011000498 · Cited by 129
“Orleans found a positive association between fruit and vegetable consumption and easy access to supermarkets, in which easy access was defined by shopping mainly at a supermarket and either car ownership or a round-trip travel time of ,30 min((33)).”
BackgroundGrigsby‐Toussaint, D. S., Zenk, S. N., Odoms‐Young, A. M., Ruggiero, L., & Moise, I. K. (2010) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2010.02.008 · Cited by 121
“Previous studies report that shopping at or living in close proximity to a large supermarket or grocery store (which tend to have the widest selection of fruits and vegetables) is associated with greater intake of fruits and vegetables (11,12,13,14), while convenience store proximity is negatively associated with frui…”
BackgroundBivoltsis, A., Cervigni, E., Trapp, G., Knuiman, M. W., Hooper, P., & Ambrosini, G. L. (2018) · International Journal of Health Geographics · doi:10.1186/s12942-018-0139-7 · Cited by 118
“It is likely that the effects of spatial exposure measures on dietary intake are small, relative to a range of other factors such as within-store characteristics [57], individual preferences [58] and perceptions of access and availability [59].”
BackgroundDistance to food stores & adolescent male fruit and vegetable consumption: mediation effects
Jago, R., Baranowski, T., Baranowski, J. C., Cullen, K. W., & Thompson, D. (2007) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-4-35 · Cited by 117
Food environment and fruit and vegetable intake in a urban population: A multilevel analysis
Pessoa, M. C., Mendes, L. L., Gomes, C. S., Martins, P., & Velásquez-Meléndez, G. (2015) · BMC Public Health · doi:10.1186/s12889-015-2277-1 · Cited by 114
“Studies showed the association between increased FV intake and an increased number of stores that sell these types of food, such as supermarkets or stores specializing in the sale of fruit and vegetables [11, 24, 36, 37].”
BackgroundSadler, R. C., Gilliland, J., & Arku, G. (2011) · International Journal of Health Geographics · doi:10.1186/1476-072x-10-34 · Cited by 104
“The presumption that all residents shop at the nearest food retailer, however, is a flawed concept [1,65,66].”
BackgroundSharkey, J. R., Horel, S. A., & Dean, W. R. (2010) · International Journal of Health Geographics · doi:10.1186/1476-072x-9-26 · Cited by 106
“As a result, proximity to food stores may influence food choice through food cost and availability [24,25,27,32,33].”
BackgroundThe Influence of Neighborhood Food Stores on Change in Young Girls' Body Mass Index
Leung, C. W., Laraia, B. A., Kelly, M., Nickleach, D., Adler, N. E., Kushi, L. H., & Yen, I. H. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.03.013 · Cited by 99
Hillier, A. E. (2008) · The Annals of the American Academy of Political and Social Science · doi:10.1177/0002716207308399 · Cited by 100
Bihan, H., Castetbon, K., Méjean, C., Péneau, S., Pelabon, L., Jellouli, F., Clésiau, H. L., & Herçberg, S. (2010) · Journal of Nutrition · doi:10.3945/jn.109.118273 · Cited by 97
Mhurchú, C. N., Vandevijvere, S., Waterlander, W. E., Thornton, L. E., Kelly, B., Cameron, A. J., Snowdon, W., & Swinburn, B. A. (2013) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2013.12.535 · Cited by 97
Scarmo, S., Henebery, K. E., Peracchio, H., Cartmel, B., Lin, H., Ermakov, I. V., Gellermann, W., Bernstein, P. S., Duffy, V. B., & Mayne, S. T. (2012) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2012.31 · Cited by 98
A Natural Experiment Opportunity in Two Low-Income Urban Food Desert Communities
Dubowitz, T., Ncube, C. N., Leuschner, K. J., & Tharp-Gilliam, S. (2015) · Health Education & Behavior · doi:10.1177/1090198115570048 · Cited by 94
Measuring Food Environments: A Guide to Available Instruments
Ohri‐Vachaspati, P., & Leviton, L. C. (2010) · American Journal of Health Promotion · doi:10.4278/ajhp.080909-lit-190 · Cited by 93
Cummins, S., Smith, D. M., Taylor, M., Dawson, J., Marshall, D., Sparks, L., & Anderson, A. S. (2009) · Public Health Nutrition · doi:10.1017/s1368980009004984 · Cited by 92
Etiologies of Obesity in Children: Nature and Nurture
Skelton, J. A., Irby, M. B., Grzywacz, J. G., & Miller, G. (2011) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2011.09.006 · Cited by 102
Dimitri, C., Oberholtzer, L., Zive, M., & Sandolo, C. (2014) · Food Policy · doi:10.1016/j.foodpol.2014.06.002 · Cited by 90
Environment, Design, and Obesity
Wells, N. M., Ashdown, S. P., Davies, E. H. S., Cowett, F. D., & Yang, Y. (2006) · Environment and Behavior · doi:10.1177/0013916506295570 · Cited by 89
“Other researchers have documented that easy access to supermarket shopping is associated with household fruit consumption (though not statistically significant; Rose & Richards, 2004).”
BackgroundBlitstein, J. L., Snider, J. W., & Evans, W. D. (2012) · Public Health Nutrition · doi:10.1017/s1368980012000523 · Cited by 90
“This observation concurs with Rose and Richards’ finding that few low-income individuals lack access to supermarkets((21)).”
BackgroundResultUrban foodscape trends: Disparities in healthy food access in Chicago, 2007–2014
Kolak, M., Bradley, M., Block, D., Pool, L. R., Garg, G., Toman, C. K., Boatright, K., Lipiszko, D., Koschinsky, J., Kershaw, K. N., et al. (2018) · Health & Place · doi:10.1016/j.healthplace.2018.06.003 · Cited by 86
Food retailer practices, attitudes and beliefs about the supply of healthy foods
Andreyeva, T., Middleton, A., Long, M. W., Luedicke, J., & Schwartz, M. B. (2011) · Public Health Nutrition · doi:10.1017/s1368980011000061 · Cited by 92
Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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