The Contextual Effect of the Local Food Environment on Residents’ Diets: The Atherosclerosis Risk in Communities Study
Open accessAbstract
Objectives. We studied the association between the local food environment and residents’ report of recommended dietary intake. Methods. Recommended intakes of foods and nutrients for 10 623 Atherosclerosis Risk in Communities participants were estimated from food frequency questionnaires. Supermarkets, grocery stores, and full-service and fast-food restaurants were geocoded to census tracts. Results. Black Americans’ fruit and vegetable intake increased by 32% for each additional supermarket in the census tract (relative risk [RR] = 1.32; 95% confidence interval [CI] = 1.08, 1.60). White Americans’ fruit and vegetable intake increased by 11% with the presence of 1 or more supermarket (RR = 1.11; 95% CI = 0.93, 1.32). Conclusions. These findings suggest the local food environment is associated with residents’ recommended diets.
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In 2 studies, relationships between neighborhood supermarket accessibility and health outcomes were stronger in blacks than in whites.
“In 2 of these studies,284,292 relationships were stronger in blacks than in whites.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [284]
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 [284]
A few cross-sectional studies assessed relation of neighborhood fast-food restaurants to dietary habits, with generally null results.
“A few cross-sectional studies have assessed the relation of neighborhood fast-food restaurants to dietary habits, with generally null results.284,288,302”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [284]
Some cross-sectional studies assessed relation of neighborhood full-service restaurants with dietary habits, with generally null results.
“Some cross-sectional studies have assessed the relation of neighborhood full-service restaurants with dietary habits, with generally null results.284,288”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [284]
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- Authors
- Morland, K., Wing, S., & Roux, A. D.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- At the time of the study, Kimberly Morland was, and Steve Wing is, with the Department of Epidemiology, University of North Carolina, Chapel Hill. Ana Diez Roux is with the Division of General Medicine, College of Physicians and Surgeons and the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2002-11
- Volume
- 92
- Issue
- 11
- Pages
- 1761-1768
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1447325
- OpenAlex
- W2163281445
- Cited by
- 1,289
- References
- 43
- Citations by year
- 2026: 10 · 2025: 15 · 2024: 21 · 2023: 22 · 2022: 30 · 2021: 44 · 2020: 33 · 2019: 43 · 2018: 41 · 2017: 56 · 2016: 65 · 2015: 65 · 2014: 79 · 2013: 79 · 2012: 98
- FWCI
- 62.03
- 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)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- National Institutes of Health (5r29hl059386-05)
- National Heart, Lung, and Blood Institute (R29 HL59386)
- National Institute of Environmental Health Sciences (2 R25 ES08206-05, R25ES008206)
- 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 › Nutritional Studies and Diet
- Keywords
- local food environment, food access, fruit and vegetable intake, supermarkets, grocery stores, fast food restaurants, racial differences, dietary intake, Atherosclerosis Risk in Communities Study, census tracts
- MeSH terms
- Arteriosclerosis, Black or African American, Cholesterol, Dietary, Commerce, Diet, Dietary Fats, Eating, Female, Food Supply, Fruit, Humans, Male, Middle Aged, Poverty Areas, Residence Characteristics, Restaurants, Social Conditions, United States, Vegetables, Risk Assessment, Censuses, White People
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