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Access to food source and food source use are associated with healthy and unhealthy food-purchasing behaviours among low-income African-American adults in Baltimore City

  • Heather D'Angelo (a1), Sonali Suratkar (a2), Hee-Jung Song (a2), Elizabeth Stauffer (a3) and Joel Gittelsohn (a2)
  • DOI:
  • Published online: 31 March 2011

Although previous research has shown limited availability of healthy food in low-income urban neighbourhoods, the association between food source use and food-purchasing patterns has not yet been examined. We explored food-purchasing patterns in the context of food source use and food source access factors in low-income areas of Baltimore City.


Cross-sectional survey.


Predominantly low-income neighbourhoods in East and West Baltimore City.


A total of 175 low-income African-American adult residents.


Supermarkets and corner stores were the most frequently used food sources. Walking was the main form of transportation used by 57 % of all respondents, 97 % of corner-store shoppers and 49 % of supermarket shoppers. Multiple linear regression models adjusting for demographic factors, type of food source used and transportation type found that corner-store use was associated with obtaining more unhealthy food (P = 0·005), whereas driving to the food source was associated with obtaining more healthy food (P = 0·012).


The large number of corner stores compared with supermarkets in low-income neighbourhoods makes them an easily accessible and frequently used food source for many people. Interventions to increase the availability and promotion of healthy food in highly accessed corner stores in low-income neighbourhoods are needed. Increased access to transportation may also lead to the use of food sources beyond the corner store, and to increased healthy food purchasing.

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The present study was conducted at the Department of International Health, Centre for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University. H.D.A. and E.S. were affiliated with this institution at the time of the study

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1.AA Hedley , CL Ogden , CL Johnson (2004) Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA 291, 28472850.

2.KM Flegal , MD Carroll , CL Ogden (2010) Prevalence and trends in obesity among US adults, 1999–2008. JAMA 303, 235241.

4.MC Marshall (2005) Diabetes in African Americans. Postgrad Med J 81, 734740.

5.NI Larson , MT Story & MC Nelson (2009) Neighborhood environments: disparities in access to healthy foods in the US. Am J Prev Med 36, 7481.

6.SN Zenk , LL Lachance , AJ Schulz (2009) Neighborhood retail food environment and fruit and vegetable intake in a multiethnic urban population. Am J Health Promot 23, 255264.

8.SN Zenk , AJ Schulz , T Hollis-Neely (2005) Fruit and vegetable intake in African Americans income and store characteristics. Am J Prev Med 29, 19.

10.K Morland , S Wing & A Diez Roux (2002) The contextual effect of the local food environment on residents’ diets: the atherosclerosis risk in communities study. Am J Public Health 92, 17611767.

11.K Morland , AV Diez Roux & S Wing (2006) Supermarkets, other food stores, and obesity: the atherosclerosis risk in communities study. Am J Prev Med 30, 333339.

12.RA Krukowski , DS West , J Harvey-Berino (2010) Neighborhood impact on healthy food availability and pricing in food stores. J Community Health 35, 315320.

13.LV Moore & AV Diez Roux (2006) Associations of neighborhood characteristics with the location and type of food stores. Am J Public Health 96, 325331.

15.LM Powell , FJ Chaloupka & Y Bao (2007) The availability of fast-food and full-service restaurants in the United States: associations with neighborhood characteristics. Am J Prev Med 33, Suppl. 4, S240S245.

16.LM Powell , S Slater , D Mirtcheva (2007) Food store availability and neighborhood characteristics in the United States. Prev Med 44, 189195.

17.M Franco , AV Diez-Roux , JA Nettleton (2009) Availability of healthy foods and dietary patterns: the Multi-Ethnic Study of Atherosclerosis. Am J Clin Nutr 89, 897904.

18.S Inagami , DA Cohen , AF Brown (2009) Body mass index, neighborhood fast food and restaurant concentration, and car ownership. J Urban Health 86, 683695.

19.F Li , P Harmer , BJ Cardinal (2009) Obesity and the built environment: does the density of neighborhood fast-food outlets matter? Am J Health Promot 23, 203209.

20.M Franco , AV Diez Roux , TA Glass (2008) Neighborhood characteristics and availability of healthy foods in Baltimore. Am J Prev Med 35, 561567.

21.J Gittelsohn , MCT Franceschini , IR Rasooly (2008) Understanding the food environment in a low-income urban setting: implications for food store interventions. J Hunger Environ Nutr 2, 3350.

27.S Sharma , X Cao , C Arcan (2009) Assessment of dietary intake in an inner-city African American population and development of a quantitative food frequency questionnaire to highlight foods and nutrients for a nutritional invention. Int J Food Sci Nutr 60, Suppl. 5, 155167.

30.S Suratkar , J Gittelsohn , HJ Song (2010) Food insecurity is associated with food-related psychosocial factors and behavior among low-income African American adults in Baltimore City. J Hunger Environ Nutr 5, 100119.

31.D Rose , PL Hutchinson , JN Bodor (2009) Neighborhood food environments and body mass index: the importance of in-store contents. Am J Prev Med 37, 214219.

32.JD Stookey , F Constant , CD Gardner (2007) Replacing sweetened caloric beverages with drinking water is associated with lower energy intake. Obesity (Silver Spring) 15, 30133022.

36.K Larsen & J Gilliland (2008) Mapping the evolution of ‘food deserts’ in a Canadian city: supermarket accessibility in London, Ontario, 1961–2005. Int J Health Geogr 7, 16.

37.J Latham & T Moffat (2007) Determinants of variation in food cost and availability in two socioeconomically contrasting neighbourhoods of Hamilton, Ontario, Canada. Health Place 13, 273287.

38.S Cummins (2005) Food environments and obesity – neighbourhood or nation? Int J Epidemiol 35, 100104.

40.CA Monteiro , WL Conde , B Lu (2004) Obesity and inequities in health in the developing world. Int J Obes Relat Metab Disord 28, 11811186.

42.C Filozof , C Gonzalez , M Sereday (2001) Obesity prevalence and trends in Latin-American countries. Obes Rev 2, 99106.

43.B Caballero (2005) A nutrition paradox – underweight and obesity in developing countries. N Engl J Med 352, 15141516.

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