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

American Journal of Public HealthPublished 1 November 2002Open access
Kimberly B. Morland, Steve Wing, Ana Diez Roux
Citations1,294

TL;DR

Findings suggest the local food environment is associated with residents' recommended diets, and black Americans' fruit and vegetable intake increased for each additional supermarket in the census tract.

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.

Keywords

Agricultural and Biological SciencesMedicine