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Where You Shop and Neighborhood Access to Fruit and Vegetables are associated with Self-Rated and Cardiometabolic Health

Corona, Gabrielle (2020) Where You Shop and Neighborhood Access to Fruit and Vegetables are associated with Self-Rated and Cardiometabolic Health. Master Essay, University of Pittsburgh.

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Introduction: The food retail environment may partially explain racial and ethnic disparities in diet and health. However, there is limited understanding of how specific aspects of the food retail environment and food shopping locations may be associated with cardiometabolic (blood pressure, HbA1c, cholesterol, BMI) and self-rated health in low-income minority populations. Methods: We report on 459 individuals from two low-income predominantly Black neighborhoods who participated in a household interview and blood draw in 2018 as part of the Pittsburgh Hill/Homewood Research on Neighborhoods and Health (PHRESH) study. We used logistic regression to examine associations between 1) perceived fruit and vegetable availability, quality, and price, and 2) primary food shopping store type, and reason for shopping there and 3) frequency of shopping at stores with low or high access to healthy foods, with cardiometabolic and self-rated health. Results: On average, participants were 60.7 years old (SD=13.9); 81.7% female; and 80.4% overweight/obese. After sociodemographic adjustment, both higher perceived accessibility and affordability of fruits and vegetables within one’s neighborhood were associated with lower odds of high blood pressure (OR:0.47, 95%CI:0.28-0.79; OR:0.59, 95%CI:0.36-0.96, respectively), as well as lower odds of poor self-rated health (OR:0.59, 95% CI:0.39-0.90; OR:0.62, 95%CI: 0.41-0.94, respectively). Primary food shopping at a discount grocery store compared to a full-service supermarket was associated with lower odds of being overweight (OR:0.51, 95%CI:0.26-0.99). Shopping often versus rarely at stores with low access to healthy foods was associated with increased odds of high total cholesterol (OR:3.52, 95%CI:1.09-11.40). Conclusion: These results suggest that perceived accessibility and affordability of healthy foods and store type used for primary food shopping are important correlates of cardiometabolic risk factors in low-income minority populations. Further research should look towards understanding how direct food choices made at stores impact cardiometabolic outcomes within this population. These results are significant to public health because they show that food stores beyond supermarkets may be important options for accessing healthy food among this population.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Corona, Gabriellegmc55@pitt.edugmc550000-0002-6192-6574
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairGary-Webb, Tiffany L.tgary@pitt.edutgaryUNSPECIFIED
Committee MemberGlynn, Nancy W.glynnn@edc.pitt.eduglynnnUNSPECIFIED
Committee MemberYouk, Ada O.ayouk@pitt.eduayoukUNSPECIFIED
Date: April 2020
Date Type: Submission
Number of Pages: 46
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 28 Aug 2020 16:37
Last Modified: 30 Mar 2023 05:15


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