2017
DOI: 10.1080/19320248.2017.1315328
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Healthy Food Availability Among Food Sources in Rural Maryland Counties

Abstract: Most studies examining the association of the food environment and health outcomes have focused on urban settings. However, rural adults and children have high rates of obesity, which may be related to their food environments. This study examines the food environment in 7 rural counties in Maryland. A cross-sectional study was conducted at 244 retail food stores from 2012 to 2013. Data on store-level characteristics were collected and a healthy food availability index (HFAI) ranging from 0 to 31 points was cal… Show more

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Cited by 23 publications
(15 citation statements)
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“…The developed HFAS and UFAS were not validated against any other metric. Food availability scores have been used in previous research studies [ 39 , 57 , 58 ].…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…The developed HFAS and UFAS were not validated against any other metric. Food availability scores have been used in previous research studies [ 39 , 57 , 58 ].…”
Section: Methodsmentioning
confidence: 99%
“…Formal retailers in Ghana were predominant sources of unhealthy foods including sugary drinks, confectioneries, sugar while in South Africa, formal retailers predominantly provided a mix of healthy and unhealthy food options like highly processed meats, sugar, legumes and vegetables [ 38 ]. Studies conducted in the United States have shown that grocery stores and supermarkets offer a larger variety healthy food options compared to corner stores and convenience stores [ 39 ]. Additionally, studies conducted in high income nations have shown that low income neighborhoods have higher exposure to unhealthy food options [ 40 ].…”
Section: Introductionmentioning
confidence: 99%
“…As an independent risk factor for heart disease, cancer, and diabetes, obesity disproportionately affects Blacks, with the highest rates among those living in the southeastern region of the United States (Alabama, 41.8%; Mississippi, 42.9%), and Black women (57.9%) [6][7][8]. In a systematic review and meta-analysis of 86 cross-sectional and 10 prospective studies, the cross-sectional data showed that vegetarians and vegans had significantly lower BMI values than omnivores [67], while another study demonstrated a reduction in waist circumference and fat mass [93].…”
Section: Obesitymentioning
confidence: 99%
“…Today, the typical Southern-style diet pattern, as seen in the southeastern region of the United States and among Blacks, is high in fried foods, sweetened beverages, and red and processed meats [6]. Additionally, when compared to more affluent neighborhoods, accessible food outlets in lower-income rural communities where some Blacks reside may not offer fresh fruits and vegetables [7][8][9]. These factors contribute to an unhealthy diet and increased risks for obesity and its related diseases.…”
Section: Introductionmentioning
confidence: 99%
“…Healthy foods are more frequent in grocery stores and supermarkets whereas unhealthy foods are more available in convenience stores, gas stations, and general stores [22,23]. While access to traditional foods has become more challenging to Aboriginal peoples in recent years, there will be no alternative but to rely on healthy food stores to practice a relatively healthy diet.…”
Section: Introductionmentioning
confidence: 99%