Neighborhood Fruit and Vegetable Availability and Consumption: The Role of Small Food Stores in an Urban Environment

Department of Community Health Sciences, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, Suite 2301, New Orleans, LA 70112, USA.
Public Health Nutrition (Impact Factor: 2.68). 05/2008; 11(4):413-20. DOI: 10.1017/S1368980007000493
Source: PubMed


Previous studies on the relationship of dietary intake to the neighbourhood food environment have focused on access to supermarkets, quantified by geographic distance or store concentration measures. However, in-store food availability may also be an important determinant, particularly for urban neighbourhoods with a greater concentration of small food stores. This study synthesises both types of information - store access and in-store availability - to determine their potential relationship to fruit and vegetable consumption.
Residents in four census tracts were surveyed in 2001 about their fruit and vegetable intake. Household distances to food stores in these and surrounding tracts were obtained using geographical information system mapping techniques. In-store fruit and vegetable availability was measured by linear shelf space. Multivariate linear regression models were used to measure the association of these neighbourhood availability measures with consumption.
Four contiguous census tracts in central-city New Orleans.
A random sample of 102 households.
Greater fresh vegetable availability within 100 m of a residence was a positive predictor of vegetable intake; each additional metre of shelf space was associated with 0.35 servings per day of increased intake. Fresh fruit availability was not associated with intake, although having a small food store within this same distance was a marginal predictor of fruit consumption.
The findings suggest the possible importance of small neighbourhood food stores and their fresh produce availability in affecting fruit and vegetable intake.

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    • "Examination of the consumer food environment has largely focused on the price, promotion, and placement of foods and beverages (Glanz et al. 2005; Holsten 2009). The availability of healthy foods within stores has a positive influence on customers' purchasing behaviors; for example, shelf space dedicated to fruits and vegetables is positively associated with their purchase (Bodor et al. 2008; Gittelsohn, Rowan, and Gadhoke 2012). Studies have found that point-of-purchase (POP) and pricing strategies are associated with fewer purchases of unhealthy food (Foster et al. 2014; Glanz and Yaroch 2004; Thow, Downs, and Jan 2014). "
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    • "As Morland et al . ( 2002 ) or Bodor , Rose , Farley , Swalm , and Scott ( 2008 ) suggest , the price of fruits and vegetables may not be decisive for their consumption ; the acces - sibility of the grocery stores seems to be a more important factor . Significant contrasts occur in assessment of the food items pri - ces in individual large grocery stores . "
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    • "While this research has provided a useful starting point for analyzing food access, it has used inconsistent classification systems to categorize different food outlet types as proxies for healthy or unhealthy food access (Caspi et al., 2012). In addition, because a wide variety of unhealthy foods are marketed in large grocery stores, and many small neighborhood stores sell fruits and vegetables , research that relies only on store types to evaluate healthy food access may not accurately assess the quality of the food environment (Bodor et al., 2008). "
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