American Journal of Public Health · 2004 · 492 citations · 25 references
Public HealthCommunity HealthPublic Health NutritionHealth EquityNeighborhood StudiesSocial Determinants Of HealthChronic Disease DisparitiesDiabetes MellitusDiabetes PreventionNeighborhood Health EnvironmentsNeighborhood Health InequalitiesSocioeconomic Determinants Of HealthFood Access DisparitiesFood Retail AccessFood Retail DisparitiesGrocery ShoppingGrocery Store AccessHealthy Food RetailNeighborhood Health DisparitiesUrban Food Access
The study investigates environmental barriers to purchasing diabetes‑healthy foods among people with diabetes, highlighting disparities in availability and cost across neighborhoods. A community coalition compared the availability and cost of five recommended diabetes‑healthy foods in 173 East Harlem grocery stores and 152 Upper East Side stores, documenting which stocked the items. East Harlem stores stocked only 18% of the recommended foods versus 58% in the Upper East Side, with only 9% of East Harlem bodegas carrying all items compared to 48% in the Upper East Side, and residents were more likely to have nearby stores lacking these foods, underscoring the need for greater availability of diabetes‑healthy foods.
Objectives. A community coalition compared the availability and cost of diabetes-healthy foods in a racial/ethnic minority neighborhood in East Harlem, with those in the adjacent, largely White and affluent Upper East Side in New York City. Methods. We documented which of 173 East Harlem and 152 Upper East Side grocery stores stocked 5 recommended foods. Results. Overall, 18% of East Harlem stores stocked recommended foods, compared with 58% of stores in the Upper East Side (P < .0001). Only 9% of East Harlem bodegas (neighborhood stores) carried all items (vs 48% of Upper East Side bodegas), though East Harlem had more bodegas. East Harlem residents were more likely than Upper East Side residents (50% vs 24%) to have stores on their block that did not stock recommended foods and less likely (26% vs 30%) to have stores on their block that stocked recommended foods. Conclusions. A greater effort needs to be made to make available stores that carry diabetes-healthy foods.
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Maureen I Harris, Katherine M. Flegal, Catherine C. Cowie et al. · Diabetes Care · 1998 · 2.7K citations
Why Americans Eat What They Do
Karen Glanz, Michael D. Basil, Edward Maibach et al. · Journal of the American Dietetic Association · 1998 · 1.5K citations