153027 Race, Place and Distance Traveled: How Inner City Seniors Eat 5-a-Day

Tuesday, November 6, 2007: 4:50 PM

Kimberly B. Morland, PhD, MPH , Dept of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, NY
Susan W. Filomena , Department of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, NY
Over the past decade, public health researchers have measured the influence of the local environment (i.e. availability of healthy food choices) on diets. Previously, determinates of dietary choices have been described primarily as individual factors such as culture, taste and personal choices. Fewer studies have investigated the joint effect of location and culture in determining diet. Two hundred eighty-five Black, Latino and White non-Latino Seniors from 10 Senior Centers in Brooklyn, NY participated in a cross-sectional study during 2005-2006. Trained staff administered questionnaires in either English or Spanish gaining information on produce purchasing patterns and intake using the NCI Fruit and Vegetable (F&V) Screener. Servings per day were determined by summing weighted averages of frequency and portions sizes over nine F&V categories. Servings were dichotomized to either meeting or not meeting recommended five F&V servings per day. A nine-category independent variable was created describing the joint effects of race and place where the three race groups were categorized into three U.S. census tract defined areas of predominately black (80% black), predominately white (20% black) or racially mixed (21-79% black) based on places of residence. Compared to white participants living in predominately white areas (WW), only black participants living in predominately black areas (BB) had slightly higher proportions meeting the 5 a day (PR=1.06, SE=1.21). However this group also travels on average 1.5 miles to obtain produce compared to 0.75 miles for whites living in predominately white areas, suggesting some Seniors must travel outside of their neighborhoods to maintain healthy diets.

Learning Objectives:
Learning Objectives: 1. Attendees will learn how urban Seniors obtain fruits and vegetables 2. Attendees will learn how neighborhood availability of produce and dietary choices influence dietary intake for Black, Latino and White Seniors . 3. Attendees will learn how distance traveled to obtain healthy foods is an important factor for some Seniors

Keywords: Access and Services, Aging

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.