Access to food source and food source use are associated with healthy and unhealthy food-purchasing behaviours among low-income African-American adults in Baltimore City

Heather D'Angelo, Sonali Suratkar, Hee Jung Song, Elizabeth Stauffer, Joel Gittelsohn

Research output: Contribution to journalArticle

Abstract

Objective: Although previous research has shown limited availability of healthy food in low-income urban neighbourhoods, the association between food source use and food-purchasing patterns has not yet been examined. We explored food-purchasing patterns in the context of food source use and food source access factors in low-income areas of Baltimore City. Design: Cross-sectional survey. Setting: Predominantly low-income neighbourhoods in East and West Baltimore City. Subjects: A total of 175 low-income African-American adult residents. Results: Supermarkets and corner stores were the most frequently used food sources. Walking was the main form of transportation used by 57 % of all respondents, 97 % of corner-store shoppers and 49 % of supermarket shoppers. Multiple linear regression models adjusting for demographic factors, type of food source used and transportation type found that corner-store use was associated with obtaining more unhealthy food (P = 0·005), whereas driving to the food source was associated with obtaining more healthy food (P = 0·012). Conclusions: The large number of corner stores compared with supermarkets in low-income neighbourhoods makes them an easily accessible and frequently used food source for many people. Interventions to increase the availability and promotion of healthy food in highly accessed corner stores in low-income neighbourhoods are needed. Increased access to transportation may also lead to the use of food sources beyond the corner store, and to increased healthy food purchasing.

Original languageEnglish (US)
Pages (from-to)1632-1639
Number of pages8
JournalPublic Health Nutrition
Volume14
Issue number9
DOIs
StatePublished - Sep 2011

Fingerprint

Baltimore
African Americans
Food
Linear Models

Keywords

  • Access
  • African American
  • Food stores
  • Urban

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Access to food source and food source use are associated with healthy and unhealthy food-purchasing behaviours among low-income African-American adults in Baltimore City. / D'Angelo, Heather; Suratkar, Sonali; Song, Hee Jung; Stauffer, Elizabeth; Gittelsohn, Joel.

In: Public Health Nutrition, Vol. 14, No. 9, 09.2011, p. 1632-1639.

Research output: Contribution to journalArticle

@article{49ee2ccd9ddc48d3bd436707d14c1002,
title = "Access to food source and food source use are associated with healthy and unhealthy food-purchasing behaviours among low-income African-American adults in Baltimore City",
abstract = "Objective: Although previous research has shown limited availability of healthy food in low-income urban neighbourhoods, the association between food source use and food-purchasing patterns has not yet been examined. We explored food-purchasing patterns in the context of food source use and food source access factors in low-income areas of Baltimore City. Design: Cross-sectional survey. Setting: Predominantly low-income neighbourhoods in East and West Baltimore City. Subjects: A total of 175 low-income African-American adult residents. Results: Supermarkets and corner stores were the most frequently used food sources. Walking was the main form of transportation used by 57 {\%} of all respondents, 97 {\%} of corner-store shoppers and 49 {\%} of supermarket shoppers. Multiple linear regression models adjusting for demographic factors, type of food source used and transportation type found that corner-store use was associated with obtaining more unhealthy food (P = 0·005), whereas driving to the food source was associated with obtaining more healthy food (P = 0·012). Conclusions: The large number of corner stores compared with supermarkets in low-income neighbourhoods makes them an easily accessible and frequently used food source for many people. Interventions to increase the availability and promotion of healthy food in highly accessed corner stores in low-income neighbourhoods are needed. Increased access to transportation may also lead to the use of food sources beyond the corner store, and to increased healthy food purchasing.",
keywords = "Access, African American, Food stores, Urban",
author = "Heather D'Angelo and Sonali Suratkar and Song, {Hee Jung} and Elizabeth Stauffer and Joel Gittelsohn",
year = "2011",
month = "9",
doi = "10.1017/S1368980011000498",
language = "English (US)",
volume = "14",
pages = "1632--1639",
journal = "Public Health Nutrition",
issn = "1368-9800",
publisher = "Cambridge University Press",
number = "9",

}

TY - JOUR

T1 - Access to food source and food source use are associated with healthy and unhealthy food-purchasing behaviours among low-income African-American adults in Baltimore City

AU - D'Angelo, Heather

AU - Suratkar, Sonali

AU - Song, Hee Jung

AU - Stauffer, Elizabeth

AU - Gittelsohn, Joel

PY - 2011/9

Y1 - 2011/9

N2 - Objective: Although previous research has shown limited availability of healthy food in low-income urban neighbourhoods, the association between food source use and food-purchasing patterns has not yet been examined. We explored food-purchasing patterns in the context of food source use and food source access factors in low-income areas of Baltimore City. Design: Cross-sectional survey. Setting: Predominantly low-income neighbourhoods in East and West Baltimore City. Subjects: A total of 175 low-income African-American adult residents. Results: Supermarkets and corner stores were the most frequently used food sources. Walking was the main form of transportation used by 57 % of all respondents, 97 % of corner-store shoppers and 49 % of supermarket shoppers. Multiple linear regression models adjusting for demographic factors, type of food source used and transportation type found that corner-store use was associated with obtaining more unhealthy food (P = 0·005), whereas driving to the food source was associated with obtaining more healthy food (P = 0·012). Conclusions: The large number of corner stores compared with supermarkets in low-income neighbourhoods makes them an easily accessible and frequently used food source for many people. Interventions to increase the availability and promotion of healthy food in highly accessed corner stores in low-income neighbourhoods are needed. Increased access to transportation may also lead to the use of food sources beyond the corner store, and to increased healthy food purchasing.

AB - Objective: Although previous research has shown limited availability of healthy food in low-income urban neighbourhoods, the association between food source use and food-purchasing patterns has not yet been examined. We explored food-purchasing patterns in the context of food source use and food source access factors in low-income areas of Baltimore City. Design: Cross-sectional survey. Setting: Predominantly low-income neighbourhoods in East and West Baltimore City. Subjects: A total of 175 low-income African-American adult residents. Results: Supermarkets and corner stores were the most frequently used food sources. Walking was the main form of transportation used by 57 % of all respondents, 97 % of corner-store shoppers and 49 % of supermarket shoppers. Multiple linear regression models adjusting for demographic factors, type of food source used and transportation type found that corner-store use was associated with obtaining more unhealthy food (P = 0·005), whereas driving to the food source was associated with obtaining more healthy food (P = 0·012). Conclusions: The large number of corner stores compared with supermarkets in low-income neighbourhoods makes them an easily accessible and frequently used food source for many people. Interventions to increase the availability and promotion of healthy food in highly accessed corner stores in low-income neighbourhoods are needed. Increased access to transportation may also lead to the use of food sources beyond the corner store, and to increased healthy food purchasing.

KW - Access

KW - African American

KW - Food stores

KW - Urban

UR - http://www.scopus.com/inward/record.url?scp=82555193835&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=82555193835&partnerID=8YFLogxK

U2 - 10.1017/S1368980011000498

DO - 10.1017/S1368980011000498

M3 - Article

C2 - 21450140

AN - SCOPUS:82555193835

VL - 14

SP - 1632

EP - 1639

JO - Public Health Nutrition

JF - Public Health Nutrition

SN - 1368-9800

IS - 9

ER -