TY - JOUR
T1 - Barriers to healthy food access
T2 - Associations with household income and cooking behavior
AU - Wolfson, Julia A.
AU - Ramsing, Rebecca
AU - Richardson, Caroline R.
AU - Palmer, Anne
N1 - Funding Information:
This work was supported by a Center for a Livable Future Lerner Fellowship and a Directed Research Grant from the Johns Hopkins Center for a Livable Future .
Funding Information:
JAW designed the study, developed the survey, generated the hypotheses, conducted the analysis, and wrote the first draft of the manuscript. AP helped develop the survey, and AP and RR contributed to the interpretation of the study findings. All authors provided input on the manuscript and approve the manuscript as submitted. The authors gratefully acknowledge funding from Directed Research Funds from the Center for a Livable Future at the Johns Hopkins School of Public Health that supported this research.
Publisher Copyright:
© 2019
PY - 2019/3
Y1 - 2019/3
N2 - To examine how barriers to healthy food access and household income are associated with cooking and eating behaviors we fielded a nationally representative survey among 1112 adults in the United States in 2015. The survey included measures of barriers to accessing healthy food, household income, and frequency of cooking and eating meals, cooking practices, and other eating behaviors. We used multivariable poisson regression to examine the association of household income and barriers to healthy food access with cooking and eating behavior outcomes. We find that low income was associated with higher barriers to accessing healthy food (barriers) and that both income and barriers were associated with differences in cooking frequency/practices, and consumption behaviors. In interaction models, cooking and eating behaviors did not vary based on barriers for the lowest income level (<$25,000). In the middle income level ($25,000–$59,000), barriers were associated with cooking breakfast (3.35 vs. 2.64 times/week, p = 0.03) and lunch (3.32 vs. 2.56 times/week, p = 0.02) more frequently compared to those who never/rarely encountered barriers. At the highest income level (≥$60,000), barriers were associated with less frequently eating breakfast (4.29 vs. 5.11 times/week, p < 0.001) and lunch (4.77 vs. 5.56, times/week, p < 0.001) compared to those who never/rarely encountered barriers. Barriers to healthy food access are related to both household income and cooking and eating behaviors important for diet quality and healthy eating. Targeted interventions to address time available to shop, and the price, selection and quality of healthy foods, are necessary.
AB - To examine how barriers to healthy food access and household income are associated with cooking and eating behaviors we fielded a nationally representative survey among 1112 adults in the United States in 2015. The survey included measures of barriers to accessing healthy food, household income, and frequency of cooking and eating meals, cooking practices, and other eating behaviors. We used multivariable poisson regression to examine the association of household income and barriers to healthy food access with cooking and eating behavior outcomes. We find that low income was associated with higher barriers to accessing healthy food (barriers) and that both income and barriers were associated with differences in cooking frequency/practices, and consumption behaviors. In interaction models, cooking and eating behaviors did not vary based on barriers for the lowest income level (<$25,000). In the middle income level ($25,000–$59,000), barriers were associated with cooking breakfast (3.35 vs. 2.64 times/week, p = 0.03) and lunch (3.32 vs. 2.56 times/week, p = 0.02) more frequently compared to those who never/rarely encountered barriers. At the highest income level (≥$60,000), barriers were associated with less frequently eating breakfast (4.29 vs. 5.11 times/week, p < 0.001) and lunch (4.77 vs. 5.56, times/week, p < 0.001) compared to those who never/rarely encountered barriers. Barriers to healthy food access are related to both household income and cooking and eating behaviors important for diet quality and healthy eating. Targeted interventions to address time available to shop, and the price, selection and quality of healthy foods, are necessary.
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U2 - 10.1016/j.pmedr.2019.01.023
DO - 10.1016/j.pmedr.2019.01.023
M3 - Article
C2 - 30792944
AN - SCOPUS:85060959676
SN - 2211-3355
VL - 13
SP - 298
EP - 305
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
ER -