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    Am J Public Health. 2002 Nov;92(11):1761-7.

    The contextual effect of the local food environment on residents' diets: the atherosclerosis risk in communities study.

    Source

    Department of Epidemiology, University of North Carolina, Chapel Hill, USA. kimberly.morland@mssm.edu

    Abstract

    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.

    PMID:
    12406805
    [PubMed - indexed for MEDLINE]
    PMCID:
    PMC1447325
    Free PMC Article

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