Do minority and poor neighborhoods have higher access to fast-food restaurants in the United States?

被引：52

作者：

James, Peter ^{[1
]}

Arcaya, Mariana C. ^{[2
]}

Parker, Devin M. ^{[3
]}

Tucker-Seeley, Reginald D. ^{[4
]}

Subramanian, S. V. ^{[5
]}

机构：

[1] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA

[2] Harvard Ctr Populat & Dev Studies, Cambridge, MA 02138 USA

[3] Geisel Sch Med Dartmouth, Dartmouth Inst Hlth Policy & Clin Practice, Hanover, NH 03755 USA

[4] Dana Farber Canc Inst, Dept Social & Behav Sci, Ctr Community Based Res, Boston, MA 02115 USA

[5] Harvard Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02115 USA

来源：

HEALTH & PLACE | 2014年 / 29卷

关键词：

Food access; Poverty; Race; LONGITUDINAL-ASSOCIATIONS; FULL-SERVICE; ENVIRONMENT; CONSUMPTION; OBESITY; DEPRIVATION; VALIDATION; ACCURACY; OUTLETS; DENSITY;

D O I：

10.1016/j.healthplace.2014.04.011

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Disproportionate access to unhealthy foods in poor or minority neighborhoods may be a primary determinant of obesity disparities. We investigated whether fast-food access varies by Census block group (CBG) percent black and poverty. Methods: We measured the average driving distance from each CBG population weighted ceramid to the five closest Lop Len fast-food chains and CBG percent black and percent below poverty. Results: Among 209,091 CBGs analyzed (95.1% of all US CBGs), CBG percent black was positively associated with fast-food access controlling for population density and percent poverty (average distance to Fast-food was 3.56 miles closer (95% Cl: -3.64, -3.48) in CBGs with the highest versus lowest quartile of percentage of black residents). Poverty was not independently associated with fast-food access. The relationship between fast-food access and race was stronger in CBGs with higher levels of poverty (p for interaction <0.0001), Conclusions: Predominantly black neighborhoods had higher access to Fast-food while poverty was not an independent predictor of fast-food access. (C) 2014 Elsevier Ltd. All rights reserved

引用

页码：10 / 17

页数：8