Healthful and less-healthful foods and drinks from storefront and non-storefront businesses: implications for 'food deserts', 'food swamps' and food-source disparities

被引：10

作者：

Lucan, Sean C. ^{[1
]}

Maroko, Andrew R. ^{[2
]}

Patel, Achint N. ^{[3
]}

Gjonbalaj, Ilirjan ^{[4
]}

Elbel, Brian ^{[5
,6
]}

Schechter, Clyde B. ^{[1
]}

机构：

[1] Montefiore Hlth Syst, Albert Einstein Coll Med, Dept Family & Social Med, Bronx, NY 10467 USA

[2] CUNY, Dept Environm Occupat & Geospatial Hlth Sci, Grad Sch Publ Hlth & Hlth Policy, New York, NY 10021 USA

[3] Albert Einstein Coll Med, Bronx, NY 10467 USA

[4] Montefiore Med Ctr, Dept Psychiat & Behav Sci, 111 E 210th St, Bronx, NY 10467 USA

[5] NYU, Sch Med, Dept Populat Hlth, New York, NY USA

[6] NYU, Wagner Grad Sch Publ Serv, New York, NY USA

来源：

PUBLIC HEALTH NUTRITION | 2020年 / 23卷 / 08期

基金：

美国国家卫生研究院;

关键词：

Food environment; Food stores; Restaurants; Street vendors; Mobile food vendors; Urban; Disparities; NEIGHBORHOOD CHARACTERISTICS; GROUND OBSERVATION; ENVIRONMENT; MOBILE; VENDORS; STORES; AVAILABILITY; BEVERAGES; OBESITY; ACCESS;

D O I：

10.1017/S1368980019004427

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: Conceptualisations of 'food deserts' (areas lacking healthful food/drink) and 'food swamps' (areas overwhelm by less-healthful fare) may be both inaccurate and incomplete. Our objective was to more accurately and completely characterise food/drink availability in urban areas. Design: Cross-sectional assessment of select healthful and less-healthful food/drink offerings from storefront businesses (stores, restaurants) and non-storefront businesses (street vendors). Setting: Two areas of New York City: the Bronx (higher-poverty, mostly minority) and the Upper East Side (UES; wealthier, predominantly white). Participants: All businesses on 63 street segments in the Bronx (n 662) and on 46 street segments in the UES (n 330). Results: Greater percentages of businesses offered any, any healthful, and only less-healthful food/drink in the Bronx (42 center dot 0 %, 37 center dot 5 %, 4 center dot 4 %, respectively) than in the UES (30 %, 27 center dot 9 %, 2 center dot 1 %, respectively). Differences were driven mostly by businesses (e.g. newsstands, gyms, laundromats) not primarily focused on selling food/drink - 'other storefront businesses' (OSBs). OSBs accounted for 36 center dot 0 % of all food/drink-offering businesses in the Bronx (more numerous than restaurants or so-called 'food stores') and 18 center dot 2 % in the UES (more numerous than 'food stores'). Differences also related to street vendors in both the Bronx and the UES. If street vendors and OSBs were not captured, the missed percentages of street segments offering food/drink would be 14 center dot 5 % in the Bronx and 21 center dot 9 % in the UES. Conclusions: Of businesses offering food/drink in communities, OSBs and street vendors can represent substantial percentages. Focusing on only 'food stores' and restaurants may miss or mischaracterise 'food deserts', 'food swamps', and food/drink-source disparities between communities.

引用

页码：1428 / 1439

页数：12