Résumé :
|
[BDSP. Notice produite par INIST-CNRS dhjR0xee. Diffusion soumise à autorisation]. OBJECTIVES : We investigated associations between local food environment and neighborhood racial/ethnic and socioeconomic composition. METHODS : Poisson regression was used to examine the association of food stores and liquor stores with racial/ethnic composition and income in selected census tracts in North Carolina, Maryland, and New York. RESULTS : Predominantly minority and racially mixed neighborhoods had more than twice as many grocery stores as predominantly White neighborhoods (for predominantly Black tracts, adjusted stores per population ratio [SR]=2.7 ; 95% confidence interval [CI]=2.2,3.2 ; and for mixed tracts, SR=2.2 ; 95% CI=1.9,2.7) and half as many supermarkets (for predominantly Black tracts, SR=0.5 ; 95% CI=0.3,0.7 ; and for mixed tracts, SR=0.7 ; 95% CI=0.5,1.0, respectively). Low-income neighborhoods had 4 times as many grocery stores as the wealthiest neighborhoods (SR=4.3 ; 95% CI=3.6,5.2) and half as many supermarkets (SR=0.5 ; 95% CI=0.3,0.8). In general, poorer areas and non-White areas also tended to have fewer fruit and vegetable markets, bakeries, specialty stores, and natural food stores. Liquor stores were more common in poorer than in richer areas (SR=1.3 ; 95% CI=1.0,1.6). CONCLUSIONS : Local food environments vary substantially by neighborhood racial/ethnic and socioeconomic composition and may contribute to disparities in health.
|