Document Detail

Neighbourhood food environment and area deprivation: spatial accessibility to grocery stores selling fresh fruit and vegetables in urban and rural settings.
MedLine Citation:
PMID:  19491142     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The 'deprivation amplification' hypothesis suggests that residents of deprived neighbourhoods have universally poorer access to high-quality food environments, which in turn contributes to the development of spatial inequalities in diet and diet-related chronic disease. This paper presents results from a study that quantified access to grocery stores selling fresh fruit and vegetables in four environmental settings in Scotland, UK.
METHODS: Spatial accessibility, as measured by network travel times, to 457 grocery stores located in 205 neighbourhoods in four environmental settings (island, rural, small town and urban) in Scotland was calculated using Geographical Information Systems. The distribution of accessibility by neighbourhood deprivation in each of these four settings was investigated.
RESULTS: Overall, the most deprived neighbourhoods had the best access to grocery stores and grocery stores selling fresh produce. Stratified analysis by environmental setting suggests that the least deprived compared with the most deprived urban neighbourhoods have greater accessibility to grocery stores than their counterparts in island, rural and small town locations. Access to fresh produce is better in more deprived compared with less deprived urban and small town neighbourhoods, but poorest in the most affluent island communities with mixed results for rural settings.
CONCLUSIONS: The results presented here suggest that the assumption of a universal 'deprivation amplification' hypothesis in studies of the neighbourhood food environment may be misguided. Associations between neighbourhood deprivation and grocery store accessibility vary by environmental setting. Theories and policies aimed at understanding and rectifying spatial inequalities in the distribution of neighbourhood exposures for poor diet need to be context specific.
Dianna M Smith; Steven Cummins; Mathew Taylor; John Dawson; David Marshall; Leigh Sparks; Annie S Anderson
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-06-02
Journal Detail:
Title:  International journal of epidemiology     Volume:  39     ISSN:  1464-3685     ISO Abbreviation:  Int J Epidemiol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-08     Completed Date:  2010-05-13     Revised Date:  2014-03-14    
Medline Journal Info:
Nlm Unique ID:  7802871     Medline TA:  Int J Epidemiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  277-84     Citation Subset:  IM    
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MeSH Terms
Food Supply / statistics & numerical data*
Geographic Information Systems
Poverty / statistics & numerical data*
Rural Population / statistics & numerical data*
Small-Area Analysis
Time Factors
Urban Population / statistics & numerical data*
Grant Support
PDA/03/07/014//Department of Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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