title: The Association between Self-Reported Grocery Store Access, Fruit and Vegetable Intake, Sugar-Sweetened Beverage Consumption, and Obesity in a Racially Diverse, Low-Income Population.
abstract: This study sought to examine the relationship between self-reported time and distance to the nearest retail grocery store, healthy and unhealthy food consumption, and objectively measured body mass index (BMI). We conducted a survey with 1,503 racially diverse, low-income residents at five public health centers in Los Angeles County. Most participants reported shopping at a supermarket (86.7%) and driving (59.9%) to their usual source for groceries. Over half reported living less than a mile from (58.9%) and traveling 5 min or less to reach (50.3%) the nearest grocery store. In the multivariable regression models, neither self-reported distance nor time to the nearest grocery store was consistently associated with fruit and vegetable intake, sugar-sweetened beverage consumption, or BMI. Results suggest that the need to consider access and quality as well as urban planning and transportation, when examining the relationship between the retail food environment and health outcomes.
authors.affiliation: Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health , Los Angeles, CA , USA.
authors.forename: Lauren Nichol
authors.initials: LN
authors.lastname: Gase
authors.affiliation: Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health , Los Angeles, CA , USA.
authors.forename: Amelia Rose
authors.initials: AR
authors.lastname: DeFosset
authors.affiliation: Office of Health Assessment and Epidemiology, Los Angeles County Department of Public Health , Los Angeles, CA , USA.
authors.forename: Lisa V
authors.initials: LV
authors.lastname: Smith
authors.affiliation: Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health , Los Angeles, CA , USA ; Department of Family Medicine, David Geffen School of Medicine at the University of California Los Angeles , Los Angeles, CA , USA ; Department of Epidemiology, Los Angeles Fielding School of Public Health, University of California Los Angeles , Los Angeles, CA , USA.
authors.forename: Tony
authors.initials: T
authors.lastname: Kuo
keywords: food access; food dessert; food environment; fruit and vegetable consumption; obesity