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November 2002, Vol 92, No. 11 | American Journal of Public Health 1761-1768
© 2002 American Public Health Association

RESEARCH AND PRACTICE

The Contextual Effect of the Local Food Environment on Residents’ Diets: The Atherosclerosis Risk in Communities Study

Kimberly Morland, PhD, Steve Wing, PhD and Ana Diez Roux, MD, PhD

At the time of the study, Kimberly Morland was, and Steve Wing is, with the Department of Epidemiology, University of North Carolina, Chapel Hill. Ana Diez Roux is with the Division of General Medicine, College of Physicians and Surgeons and the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.

Correspondence: Requests for reprints should be sent to Kimberly Morland, PhD, Department of Community and Preventive Medicine, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, Box 1057, New York, NY 10029 (e-mail: kimberly.morland{at}mssm.edu).

Objectives. We studied the association between the local food environment and residents’ report of recommended dietary intake.

Methods. Recommended intakes of foods and nutrients for 10 623 Atherosclerosis Risk in Communities participants were estimated from food frequency questionnaires. Supermarkets, grocery stores, and full-service and fast-food restaurants were geocoded to census tracts.

Results. Black Americans’ fruit and vegetable intake increased by 32% for each additional supermarket in the census tract (relative risk [RR] = 1.32; 95% confidence interval [CI] = 1.08, 1.60). White Americans’ fruit and vegetable intake increased by 11% with the presence of 1 or more supermarket (RR = 1.11; 95% CI = 0.93, 1.32).

Conclusions. These findings suggest the local food environment is associated with residents’ recommended diets.




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