Neighborhood Characteristics and Availability of Healthy Foods in Baltimore

Manuel Franco, Ana V. Diez Roux, Thomas A. Glass, Benjamin H Caballero, Frederick L. Brancati

Research output: Contribution to journalArticle

Abstract

Background: Differential access to healthy foods may contribute to racial and economic health disparities. The availability of healthy foods has rarely been directly measured in a systematic fashion. This study examines the associations among the availability of healthy foods and racial and income neighborhood composition. Methods: A cross-sectional study was conducted in 2006 to determine differences in the availability of healthy foods across 159 contiguous neighborhoods (census tracts) in Baltimore City and Baltimore County and in the 226 food stores within them. A healthy food availability index (HFAI) was determined for each store, using a validated instrument ranging from 0 points to 27 points. Neighborhood healthy food availability was summarized by the mean HFAI for the stores within the neighborhood. Descriptive analyses and multilevel models were used to examine associations of store type and neighborhood characteristics with healthy food availability. Results: Forty-three percent of predominantly black neighborhoods and 46% of lower-income neighborhoods were in the lowest tertile of healthy food availability versus 4% and 13%, respectively, in predominantly white and higher-income neighborhoods (p

Original languageEnglish (US)
Pages (from-to)561-567
Number of pages7
JournalAmerican Journal of Preventive Medicine
Volume35
Issue number6
DOIs
StatePublished - Dec 2008

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Baltimore
Food
Multilevel Analysis
Censuses
Cross-Sectional Studies
Economics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Neighborhood Characteristics and Availability of Healthy Foods in Baltimore. / Franco, Manuel; Diez Roux, Ana V.; Glass, Thomas A.; Caballero, Benjamin H; Brancati, Frederick L.

In: American Journal of Preventive Medicine, Vol. 35, No. 6, 12.2008, p. 561-567.

Research output: Contribution to journalArticle

Franco, Manuel ; Diez Roux, Ana V. ; Glass, Thomas A. ; Caballero, Benjamin H ; Brancati, Frederick L. / Neighborhood Characteristics and Availability of Healthy Foods in Baltimore. In: American Journal of Preventive Medicine. 2008 ; Vol. 35, No. 6. pp. 561-567.
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