Cited by 1,289Food Security and Health in Diverse PopulationsNutrition, Health and Food BehaviorNutritional Studies and Diet

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The Contextual Effect of the Local Food Environment on Residents’ Diets: The Atherosclerosis Risk in Communities Study

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Morland, Kimberly, Wing, Steve, Roux, Ana Diez·2002·American Journal of Public Health

DOI 10.2105/ajph.92.11.1761PMC PMC1447325

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Abstract

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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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
DOI: 10.2105/ajph.92.11.1761
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 › 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 › 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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The Contextual Effect of the Local Food Environment on Residents’ Diets: The Atherosclerosis Risk in Communities Study

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