Perceived and geographic food access and food security status among households with children

Ma, Xiaoguang; Liese, Angela D.; Bell, Bethany A.; Martini, Lauren; Hibbert, James; Draper, Carrie; Burke, Michael P.; Jones, Sonya J.

doi:10.1017/s1368980016000859

Cited by 38 publications

(39 citation statements)

References 51 publications

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“…One potential interpretation of this finding is that participants perceiving lack of access as a significant problem are expressing barriers constraining their food shopping-related choices, such as the foods purchased, frequency of shopping trips, and transportation to stores. We have previously shown that residents’ perceptions of relatively lower availability of healthful foods and relatively greater lack of access are not particularly correlated with spatial availability measures of the built food environment but are strongly associated with household socioeconomic characteristics, including food insecurity [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Food Shopping and Acquisition Behaviors in Relation to BMI among Residents of Low-Income Communities in South Carolina

Liese

Hutto

et al. 2017

IJERPH

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Low-income areas in which residents have poor access to healthy foods have been referred to as “food deserts.” It is thought that improving food access may help curb the obesity epidemic. Little is known about where residents of food deserts shop and if shopping habits are associated with body mass index (BMI). We evaluated the association of food shopping and acquisition (e.g., obtaining food from church, food pantries, etc.) with BMI among 459 residents of low-income communities from two South Carolina counties, 81% of whom lived in United States Department of Agriculture-designated food deserts. Participants were interviewed about food shopping and acquisition and perceptions of their food environment, and weight and height were measured. Distances to food retail outlets were determined. Multivariable linear regression analysis was employed. Our study sample comprising largely African-American women had an average BMI of 32.5 kg/m2. The vast majority of study participants shopped at supermarkets (61%) or supercenters/warehouse clubs (27%). Shopping at a supercenter or warehouse club as one’s primary store was significantly associated with a 2.6 kg/m2 higher BMI compared to shopping at a supermarket, independent of demographics, socioeconomics, physical activity, and all other food shopping/acquisition behaviors. Persons who reported shopping at a small grocery store or a convenience or dollar store as their tertiary store had a 2.6 kg/m2 lower BMI. Respondents who perceived lack of access to adequate food shopping in their neighborhoods as a problem had higher BMI. Living in a food desert census tract was not significantly associated with BMI. Other shopping attributes, including distance to utilized and nearest grocery stores, were not independently associated with BMI. These findings call into question the idea that poor spatial access to grocery stores is a key underlying factor affecting the obesity epidemic. Future research should consider assessing foods purchased and dietary intake within a comprehensive study of food shopping behaviors and health outcomes among persons living in food deserts.

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Section: Discussionmentioning

confidence: 99%

Food Shopping and Acquisition Behaviors in Relation to BMI among Residents of Low-Income Communities in South Carolina

Liese

Hutto

et al. 2017

IJERPH

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“…Neighborhood food environments are commonly measured by “objective” measures such as geographic information system (GIS)-based measurements and store audits, but accounting for perceptions (e.g., perceived availability and accessibility of food or food stores measures) is arguably more important [ 17 ]. Though policies attempting to promote healthy eating have mainly focused on improving geographic proximity to the locations of healthy food outlets, the importance of using self-reported individual perceptions of the neighborhood food environment has been demonstrated [ 18 , 19 , 20 ]. Perceived accessibility to different food outlets may reflect individuals’ shopping behaviors, dietary behaviors, and nutritional status as well or better than objective measures of proximity [ 21 , 22 , 23 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Racial Differences in Perceived Food Swamp and Food Desert Exposure and Disparities in Self-Reported Dietary Habits

Stowers

Jiang

Atoloye

et al. 2020

IJERPH

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Both food swamps and food deserts have been associated with racial, ethnic, and socioeconomic disparities in obesity rates. Little is known about how the distribution of food deserts and food swamps relate to disparities in self-reported dietary habits, and health status, particularly for historically marginalized groups. In a national U.S. sample of 4305 online survey participants (age 18+), multinomial logistic regression analyses were used to assess by race and ethnicity the likelihood of living in a food swamp or food desert area. Predicted probabilities of self-reported dietary habits, health status, and weight status were calculated using the fitted values from ordinal or multinomial logistic regression models adjusted for relevant covariates. Results showed that non-Hispanic, Black participants (N = 954) were most likely to report living in a food swamp. In the full and White subsamples (N = 2912), the perception of residing in a food swamp/desert was associated with less-healthful self-reported dietary habits overall. For non-Hispanic Blacks, regression results also showed that residents of perceived food swamp areas (OR = 0.66, p < 0.01, 95% CI (0.51, 0.86)) had a lower diet quality than those not lving in a food swamp/food desert area. Black communities in particular may be at risk for environment-linked diet-related health inequities. These findings suggest that an individual’s perceptions of food swamp and food desert exposure may be related to diet habits among adults.

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“…Moreover, children experiencing different degrees of food insecurity had higher tendency to purchase foods from stores that contain less-healthful foods particularly the convenience ones, and also making unfavorable food choices such as purchasing unhealthy snack foods and sugar sweetened beverages (25,26). Although food literacy as a key component of shaping eating behaviors can improve food choices by helping food insecure children to develop their skills, many unmodi able factors contribute to make poor food choices such as household income level, poor food access and availability and the high prices of healthy food.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Household Food Insecurity and Food and Nutrition Literacy among Children of 9-12 years of age: a cross-sectional study in a city of Iran

Rouz

Doustmohammadian

Eslami

et al. 2020

Preprint

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ObjectiveThe aim of this study was to assess the relationship between household food insecurity (HFI) with food and nutrition literacy (FNLIT) in a sample of Iranian children. This cross sectional study was performed on 315 children aged 9 to 12 years recruited from the primary schools throughout Mashhad, Iran. The Household Food Insecurity Access Scale (HFIAS) was used to assess the HFI. Also, overall FNLIT score and its sub-categories were evaluated using a validated 40-item questionnaire.Results The prevalence of HFI in the total sample was about 56 %. Also, almost 14 % of students had a low FNLIT score. Food insecure children had significantly lower levels of FNLT and some subscales including nutrition knowledge, food choice literacy, and food label literacy than the food-secure subjects, moreover, they had a higher likelihood of having low FNLIT score (OR = 2.89, CI: 1.03-8.09; p = 0.04). In conclusion, there is a negative association between HFI and FNLIT in children. Further studies to confirm this finding are needed.

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Perceived and geographic food access and food security status among households with children

Cited by 38 publications

References 51 publications

Food Shopping and Acquisition Behaviors in Relation to BMI among Residents of Low-Income Communities in South Carolina

Food Shopping and Acquisition Behaviors in Relation to BMI among Residents of Low-Income Communities in South Carolina

Racial Differences in Perceived Food Swamp and Food Desert Exposure and Disparities in Self-Reported Dietary Habits

Relationship between Household Food Insecurity and Food and Nutrition Literacy among Children of 9-12 years of age: a cross-sectional study in a city of Iran

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