Objective
To explore potential differences in food shopping behaviors and
healthy food availability perceptions between residents living in areas with
low and high food access.
Design
A cross-sectional telephone survey to assess food shopping behaviors
and perceptions. Data from an eight-county food environment field census
used to define the CDC (Centers for Disease Control and Prevention)
healthier food retail tract and USDA ERS (United States Department of
Agriculture Economic Research Service) food desert measure.
Participants
968 residents in eight South Carolina counties.
Main Outcome Measures
Residents’ food shopping behaviors and healthy food
availability perceptions.
Analysis
Linear and logistic regression.
Results
Compared to residents in high food access areas, residents in low
food access areas traveled further to their primary food store (USDA ERS:
8.8 vs. 7.1 miles, p=0.03; CDC: 9.2 vs. 6.1 miles,
p<0.001), accumulated more total shopping miles
per week; CDC 28.0 vs. 15.4 miles, p<0.001) and
showed differences in perceived healthy food availability
(p<0.001) and shopping access
(p<0.001).
Conclusions and Implications
These findings lend support to ongoing community and policy
interventions aimed at reducing food access disparities.