title: Associations of built food environment with dietary intake among youth with diabetes.
abstract: OBJECTIVE
  To evaluate the associations of supermarket and fast-food outlet accessibility and availability with dietary intake among youth with diabetes.
  
  
  METHODS
  Subjects' residential location and dietary intake was obtained from the SEARCH for Diabetes in Youth study. Food outlet data obtained from the South Carolina Department of Health and Environmental Control and InfoUSA were merged based on names and addresses of the outlets. The comprehensive data were then used to construct accessibility and availability measures for each participant.
  
  
  METHODS
  State of South Carolina.
  
  
  METHODS
  Three hundred fifty-nine youths with diabetes (10 years old and older) from the SEARCH for Diabetes in Youth study.
  
  
  METHODS
  Supermarket and fast-food outlet accessibility and availability; dietary intake represented by Dietary Approaches to Stop Hypertension (DASH) score.
  
  
  METHODS
  Generalized estimating equations analyses.
  
  
  RESULTS
  Increased availability and accessibility of supermarkets were significantly associated with higher DASH score, even after adjusting for individual-level correlates, urbanicity, and fast-food outlet accessibility or availability. Fast-food accessibility, however, was associated only with specific food groups (meat, sweets, and low-fat dairy intake), not with the DASH score.
  
  
  CONCLUSIONS
  Efforts to promote environments conducive to healthful eating may significantly improve the overall dietary intake and reduce diet-related health complications among youth with diabetes.
authors.affiliation: Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.
authors.forename: Archana P
authors.initials: AP
authors.lastname: Lamichhane
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Mayer-Davis
authors.forename: Robin
authors.initials: R
authors.lastname: Puett
authors.forename: Matteo
authors.initials: M
authors.lastname: Bottai
authors.forename: Dwayne E
authors.initials: DE
authors.lastname: Porter
authors.forename: Angela D
authors.initials: AD
authors.lastname: Liese
mesh_terms: D000293:Adolescent; D002648:Child; D003920:Diabetes Mellitus / Q000453:epidemiology*; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D005523:Food Supply / Q000706:statistics & numerical data*; D040362:Geographic Information Systems; D006801:Humans; D008297:Male; D009749:Nutrition Surveys; D012147:Restaurants / Q000706:statistics & numerical data*; D013022:South Carolina / Q000453:epidemiology; D055815:Young Adult