184501 An Examination of Urban Honolulu Nutrition Environments by Store Type

Tuesday, October 28, 2008: 5:10 PM

Yuka Jokura, BPHE , Public Health Sciences, University of Hawaii, Honolulu, HI
Katie M. Heinrich, PhD , Department of Kinesiology, Kansas State University, Manhattan, KS
Taryn Lee, MPH , Public Health Sciences, University of Hawaii, Honolulu, HI
Jay Maddock, PhD , Public Health Sciences, University of Hawaii, Honolulu, HI
More than 75% of US adults do not eat recommended amounts of fruits and vegetables, with low-income adults and ethnic minorities at higher risk. Honolulu Hawaii has a unique local nutrition environment, impacted by high costs of living, island location, and the largest non-Hispanic minority population in the US. This study assessed the availability, cost, and quality of fresh produce by store type, area income and ethnicity for urban Honolulu. A list of food outlets within downtown Honolulu was created and 85 stores were randomly chosen and assessed. One hundred percent of supermarkets and farmer's markets (FM) and 44% of grocery stores had high produce availability; significantly more so than convenience stores and pharmacies (p<0.001). Produce items were significantly more expensive at convenience stores than all other store types (p<0.01). High average quality ratings were found at 81% of supermarkets, 75% of FMs, 48% of convenience stores, 40% of pharmacies, and 35% of grocery stores. Pharmacies and FMs were most common in the highest income areas, while grocery stores were most prevalent in the lowest income areas. Despite the high availability and quality of fruits and vegetables at supermarkets and FMs, supermarkets were open longer hours and were available in all income areas. These data can help inform health promotion professionals about the local nutrition environment in Honolulu, especially in areas of lower income. Potential initiatives can focus on increasing availability of FMs in Honolulu and allowing the use of food stamps at FMs.

Learning Objectives:
1.Describe constructs of community and consumer nutrition environments 2.Discuss the disparities of nutrition environments of urban Honolulu by income area. 3.Identify potential initiatives to bridging the disparities in food accessibility.

Keywords: Nutrition, Social Inequalities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was a research assistant working on this project.
Any relevant financial relationships? No

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.