African Americans’ Access to Healthy Food Options in South Los Angeles Restaurants
Open accessAbstract
Objectives. We examined availability and food options at restaurants in less affluent (target area) and more affluent (comparison area) areas of Los Angeles County to compare residents’ access to healthy meals prepared and purchased away from home. We also considered environmental prompts that encourage the purchase of various foods. Methods. We designed an instrument to assess the availability, quality, and preparation of food in restaurants. We also assessed advertisements and promotions, cleanliness, and service for each restaurant. We assessed 659 restaurants: 348 in the target area and 311 in the comparison area. Results. The nutritional resource environment in our target area makes it challenging for residents to eat healthy away from home. Poorer neighborhoods with a higher proportion of African American residents have fewer healthy options available, both in food selections and in food preparation; restaurants in these neighborhoods heavily promote unhealthy food options to residents. Conclusions. Environment is important in understanding health status: support for the healthy lifestyle associated with lower risks for disease is difficult in poorer communities with a higher proportion of African American residents.
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Similar findings were seen in St Louis and South Los Angeles, in which fast-food restaurants were more densely located in lower-income urban neighborhoods.
“Similar findings were seen in St Louis, Missouri,331 and South Los Angeles, California,332 in which fast-food restaurants were more densely located in lower-income urban neighborhoods.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [332]
In South Los Angeles, more affluent areas had significantly greater availability of healthier restaurant options in terms of preparation methods and menu choices.
“In the latter analysis, more affluent areas also had significantly greater availability of healthier restaurant options both in terms of preparation methods and menu choices.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [332]
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- Authors
- Lewis, L. B., Sloane, D. C., Nascimento, L. M., Diamant, A. L., Guinyard, J. J., Yancey, A. K., & Flynn, G.
- Affiliations
- University of Southern California (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2005-04
- Volume
- 95
- Issue
- 4
- Pages
- 668-673
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1449239
- OpenAlex
- W2154420549
- Cited by
- 313
- References
- 27
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 10 · 2022: 14 · 2021: 4 · 2020: 9 · 2019: 15 · 2018: 13 · 2017: 9 · 2016: 18 · 2015: 14 · 2014: 18 · 2013: 21 · 2012: 21
- FWCI
- 40.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- University of Southern California
- Centers for Disease Control and Prevention
- U.S. Public Health Service (02153)
- 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
- African Americans, healthy food access, restaurants, food environment, food availability, food quality, cooking, food marketing, food promotion, neighborhood affluence, racial disparities, South Los Angeles, food deserts
- MeSH terms
- Black or African American, Diet Surveys, Female, Health Status, Humans, Male, Poverty Areas, Residence Characteristics, Restaurants, Los Angeles, Chi-Square Distribution
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