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Perceptions of the Neighborhood Retail Food Environment: Predictors in an Ethnically Diverse Sample of Adults

Shannon N. Zenk, PhD1, Amy J. Schulz, PhD2, Laurie Lachance, PhD2, Graciela Mentz, PhD2, William Ridella, MPH3, and Srimathi Kannan, PhD4. (1) Program in Cancer Control and Population Sciences, University of Illinois at Chicago, 1747 W Roosevelt Rd, M/C 275, Chicago, IL 60608, 312-355-2790, szenk@uic.edu, (2) Department of Health Behavior and Health Education, University of Michigan, 109 S Observatory, Ann Arbor, MI 48109, (3) Detroit Department of Health and Wellness Promotion, 1151 Taylor, Detroit, MI 48202, (4) Department of Environmental Health Sciences, University of Michigan, 109 S Observatory, Ann Arbor, MI 48109

Background. In this analysis, we examine individual- and neighborhood-level predictors of perceptions of the neighborhood retail food environment.

Methods. The analysis draws upon a survey conducted by the Healthy Environments Partnership with 919 African-American, Hispanic, and White adults in Detroit. Respondents rated their satisfaction with the selection, quality and affordability of neighborhood foods. Using GIS, we evaluated store availability (large grocer, mom-and-pop grocer, specialty store, convenience store; number of liquor/corner stores) for respondents' census block groups (neighborhoods; n=69), plus a ¼ mile buffer. We classified neighborhoods by poverty level and racial composition. Data were analyzed using HLM 6.0. All results were adjusted for age, gender, race/ethnicity, education, income, employment, and car ownership.

Results. Living in an African-American (>80%) neighborhood was associated with less satisfaction with food selection/quality and affordability in the neighborhood. The presence of a large grocer was positively associated with perceived food selection/quality, whereas a greater number of liquor/corner stores was negatively associated with selection/quality. The presence of a mom-and-pop grocer and a greater number of liquor/corner stores were negatively associated with perceived food affordability. Store availability did not explain less satisfaction with food selection/quality and affordability in African-American neighborhoods.

Conclusion. Consistent with a prior analysis we conducted using observed measures of the food environment as well as other studies, African-American neighborhoods had poorer access to a good selection of high-quality, affordable foods. Improving healthy food options in African-American neighborhoods is a critical first step to reduce diet-related diseases and disparities.

Learning Objectives:

Keywords: Environment, Nutrition

Presenting author's disclosure statement:

Any relevant financial relationships? No

Characterizing the Food Environment Using Geographic Information Systems

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA