Assessment of a government-subsidized supermarket in a high-need area on household food availability and children’s dietary intakes

Elbel, Brian; Moran, Alyssa J.; Dixon, L. Beth; Kiszko, Kamila; Cantor, Jonathan; Abrams, Courtney; Mijanovich, Tod

doi:10.1017/s1368980015000282

Cited by 131 publications

(145 citation statements)

References 29 publications

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“…In New York City, Elbel and colleagues assessed the impact of a new supermarket on household food availability and children’s dietary intake and did not find any consistent changes in either outcome. 19 Both studies, however, had small sample sizes, limited measures of dietary intake, and few measures of contextual factors and additional outcomes that might explain or illuminate their findings, for example, what was sold at new markets, how people used them, and whether other neighborhood stores changed.…”

Section: Introductionmentioning

confidence: 99%

Diet And Perceptions Change With Supermarket Introduction In A Food Desert, But Not Because Of Supermarket Use

et al. 2015

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Placing full-service supermarkets in food deserts (areas with limited access to healthy foods) has been proposed as an important policy strategy to confront inequalities in healthy food access. Capitalizing on a natural experiment, we enrolled n=1,372 randomly selected households from two comparable neighborhoods, one of which received a full-service supermarket in 2013. We looked at the impact on residents’ diet, perceived access to healthy foods and satisfaction with one’s neighborhood as a place to live. Baseline data was collected in 2011, and follow-up in 2014. Relative to the comparison neighborhood, we found a net positive change in the intervention neighborhood in overall dietary quality, total kilocalories, added sugars, and solid fats, alcohol and added sugars (SoFAAS). However, we did not observe differential improvement in fruit and vegetable intake, whole grain consumption or body mass index (BMI). Regular users of the new supermarket had significantly improved perceived access to healthy foods compared to others, but use of the new supermarket was not related to dietary changes or to improvements with neighborhood satisfaction. Our study is the first to our knowledge to have found significant improvements in multiple dietary outcomes and neighborhood satisfaction among residents of a food desert, following the opening of a supermarket. Our study supports the Healthy Food Financing Initiative and other policies that incentivize food retail venues to locate in food deserts, but we recommend further efforts proceed with caution until research has clarified the mechanisms through which diet is improved and associations with weight status/obesity have been observed.

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Section: Introductionmentioning

confidence: 99%

Diet And Perceptions Change With Supermarket Introduction In A Food Desert, But Not Because Of Supermarket Use

et al. 2015

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“…This includes longitudinal studies that: (1) move beyond retail food outlet type as a proxy to include observed measures of the food environment; (2) are based on larger and more socioeconomically diverse samples with more variability in the neighborhood food environment; (3) account for change over time in environmental features that may influence energy expenditure or otherwise confound food environment-BMI relationships over time; (4) incorporate food shopping and purchasing behaviors—such as those included in the USDA’s National Household Food Acquisition and Purchase Survey—as a mediator in food environment-BMI associations; and (5) assess other objectively measured health outcomes such as blood pressure (Zenk, Thatcher, et al, 2014). Quasi-experimental studies that evaluate naturally occurring changes in the neighborhood food environment, such as those supported by the Pennsylvania Fresh Food Financial Initiative and the federal Healthy Food Financing Initiative, are also a valuable direction for additional research (Cummins, Flint, & Matthews, 2014; Cummins, Petticrew, Higgins, Findlay, & Sparks, 2005; Elbel et al, 2015; Mayne, Auchincloss, & Michael, 2015; Wrigley, Warm, & Margetts, 2003). …”

Section: Discussionmentioning

confidence: 99%

Longitudinal Associations Between Observed and Perceived Neighborhood Food Availability and Body Mass Index in a Multiethnic Urban Sample

et al. 2016

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Introduction Blacks, Hispanics, and women of lower socioeconomic status tend to have a higher risk of obesity. Numerous studies over the past decade examined the role of the neighborhood food environment in body weight. However, few were longitudinal. Purpose This study examined whether multiple measures of neighborhood food availability were associated with body mass index (BMI) over time in a predominately black and Hispanic adult sample living in low to moderate income urban neighborhoods. Methods This longitudinal study utilized two waves of data (2002 (2008), including interviewer-measured height and weight, from a community survey of adults (n=219). In both 2002 and 2008, multiple measures characterized neighborhood food availability: GIS-derived availability of retail food outlets (large grocery store, small grocery store, convenience store, liquor stores), observed fruit and vegetable availability (count of stores selling 10 or more fresh fruit or vegetable varieties), and perceived fruit and vegetable access. Random intercept models estimated multivariable associations, controlling for individual-level demographics and neighborhood median household income. Results Small grocery store availability was associated with 1.22-unit increase in BMI (p=0.047), while each unit increase in perceived fruit and vegetable access was associated with a 0.69-unit decrease in BMI (p=0.055). BMI over time was not associated with large grocery store, convenience store, or liquor store availability, or with observed fruit and vegetable availability. Conclusions Findings suggest that improving the neighborhood food environment, particularly at small grocery stores, may help urban residents living in low to moderate income neighborhoods achieve healthier body weights over time.

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“…However, the sheer number of fast-food-type restaurants and convenience-type stores relative to large grocery stores in Houston might overwhelm any potential for positive dietary influence of large grocery stores on dietary intake if mere exposure plays a role in consumption choices. Taken together with results from intervention studies suggesting that the addition of a large grocery store to a food desert does not alter the dietary intake of local residents, 7,8 these results may suggest a similarly limited role for interventions involving large grocery stores in directly affecting dietary behaviors among African-American adults in Houston, Texas. However, a study in South Carolina suggested that grocery stores affected FV intake indirectly via shopping frequency and subjective perceptions of healthy food availability.…”

Section: Discussionmentioning

confidence: 65%

The Built Food Environment and Dietary Intake among African-American Adults

et al. 2016

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Objectives The built food environment surrounding people's homes may influence their dietary intake. This exploratory study examined how the density of different sources of food in the residential environment was associated with dietary consumption among 77 African-American adults in Houston, Texas. Methods The number of fast-food-type restaurants, large grocery stores, and convenience-type stores within 2- and 5-mile residential buffers were divided by the respective areas to obtain food environment density variables. Intake of fruit and vegetables [FV], fiber [FI], and percent energy from fat [PEF] was assessed using National Health Interview Survey items. Covariate-adjusted regressions were used to assess relations of interest. Results Greater density of fast-food-type restaurants within 2 miles was associated with greater FV, FI, and PEF (ps ≤ .012); and for FV and FI within 5 miles (ps < .004). Density of large grocery stores was unrelated to intake. Greater density of convenience-type stores within 2 miles was negatively associated with FV and FI (ps ≤ .03); results became marginal at 5 miles for FV (p = .10) but not FI (p = .03). Conclusion Maximizing healthy offerings in venue-rich metropolitan areas might provide direction for policies to reduce obesity.

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Assessment of a government-subsidized supermarket in a high-need area on household food availability and children’s dietary intakes

Cited by 131 publications

References 29 publications

Diet And Perceptions Change With Supermarket Introduction In A Food Desert, But Not Because Of Supermarket Use

Diet And Perceptions Change With Supermarket Introduction In A Food Desert, But Not Because Of Supermarket Use

Longitudinal Associations Between Observed and Perceived Neighborhood Food Availability and Body Mass Index in a Multiethnic Urban Sample

The Built Food Environment and Dietary Intake among African-American Adults

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