New Neighborhood Grocery Store Increased Awareness Of Food Access But Did Not Alter Dietary Habits Or Obesity
Open accessAbstract
National and local policies to improve diet in low-income US populations include increasing physical access to grocery stores and supermarkets in underserved neighborhoods. In a pilot study that evaluated the impacts of opening a new supermarket in a Philadelphia community considered a "food desert"-part of the Pennsylvania Fresh Food Financing Initiative-we found that the intervention moderately improved residents' perceptions of food accessibility. However, it did not lead to changes in reported fruit and vegetable intake or body mass index. The effectiveness of interventions to improve physical access to food and reduce obesity by encouraging supermarkets to locate in underserved areas therefore remains unclear. Nevertheless, the present findings suggest that simply improving a community's retail food infrastructure may not produce desired changes in food purchasing and consumption patterns. Complementary policy changes and interventions may be needed to help consumers bridge the gap between perception and action. The replication of our findings in other settings and research into the factors that influence community residents' receptivity to improved food access are urgently required.
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Strategies involving community engagement may be promising for reducing disparities.
“As the paper in this issue by Beti Thompson and colleagues discuss in detail, community-engaged strategies are potentially promising for ameliorating disparities.(25)”
From Evaluating strategies for reducing health disparities by addressing the social determinants of health. (2016) · cites this paper as [25]
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- Authors
- Cummins, S., Flint, E., & Matthews, S. A.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Pennsylvania State University (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2014-02
- Volume
- 33
- Issue
- 2
- Pages
- 283-291
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- PMC
- PMC4201352
- OpenAlex
- W2102134730
- Cited by
- 451
- References
- 41
- Citations by year
- 2026: 14 · 2025: 19 · 2024: 17 · 2023: 25 · 2022: 31 · 2021: 39 · 2020: 42 · 2019: 36 · 2018: 55 · 2017: 53 · 2016: 58 · 2015: 44 · 2014: 17
- FWCI
- 103.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Funders
- National Institute for Health and Care Research (SRF-2010-03-05)
- National Institute of Environmental Health Sciences (R21ES014211)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R25-HD41025, R24HD041025)
- 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
- food deserts, grocery store access, supermarket location, food access, dietary habits, fruit and vegetable intake, obesity, body mass index, low-income communities, food purchasing
- MeSH terms
- Adult, Aged, Awareness, Black or African American, Feeding Behavior, Female, Food Supply, Health Promotion, Humans, Longitudinal Studies, Male, Middle Aged, Obesity, Pilot Projects, Poverty Areas, Residence Characteristics, Philadelphia, Body Mass Index, Marketing
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