The Relationship Between Food Deserts, Farmers' Markets, Nutrition Benefits, and Health in Delaware Census Tracts; 2017

Overview

Journal Dela J Public Health

Date 2021 Sep 1

PMID 34467066

Citations 2

Authors

Macred Gbenro Jr

Mph Student

Andrea M Brace

Todd L Matthews

Affiliations

Soon will be listed here.

Abstract

Food desert residents struggle to maintain a well-balanced, nutritious diet, increasing their risk of obesity and diabetes. Farmers' markets are a community-level intervention, bringing healthy food to food deserts. This study explores the relationship between food deserts, farmers' market location, the prevalence of obesity and diabetes, and the availability of Nutrition Benefit Programs (NBPs) in Delaware. Data are from the 2017 USDA Food Access Research Atlas and the Farmers' Market Directory. Descriptive statistics and spatial visualization were used to explore census tract-level relationships. Twenty percent of Delaware census tracts are food deserts. Of these, 7.2% have a farmers' market within their boundary, compared to 5.7% of non-food desert tracts. Of these markets, 3.2% accept Farmers' Market Nutrition Program coupons, 9.6% accept WIC Fruit and Vegetable Checks, and 21.6% accept Supplemental Nutrition Assistance Program. Sussex County has the highest obesity and diabetes rates, and the least number of markets that accept NBPs. Fresh food remains inaccessible to low-income residents, which is associated with diet-related chronic diseases. To reduce food insecurity, farmers' markets could expand acceptance of NBPs. Additional farmers' markets could be established in food deserts to increase the availability of healthy food, reducing the risk of developing obesity and diabetes.

Citing Articles

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References

Guillaumie L, Godin G, Vezina-Im L . Psychosocial determinants of fruit and vegetable intake in adult population: a systematic review. Int J Behav Nutr Phys Act. 2010; 7:12. PMC: 2831029. DOI: 10.1186/1479-5868-7-12. View

Morland K, Diez Roux A, Wing S . Supermarkets, other food stores, and obesity: the atherosclerosis risk in communities study. Am J Prev Med. 2006; 30(4):333-9. DOI: 10.1016/j.amepre.2005.11.003. View

Giang T, Karpyn A, Laurison H, Hillier A, Perry R . Closing the grocery gap in underserved communities: the creation of the Pennsylvania Fresh Food Financing Initiative. J Public Health Manag Pract. 2008; 14(3):272-9. DOI: 10.1097/01.PHH.0000316486.57512.bf. View

Saslow L, Mason A, Kim S, Goldman V, Ploutz-Snyder R, Bayandorian H . An Online Intervention Comparing a Very Low-Carbohydrate Ketogenic Diet and Lifestyle Recommendations Versus a Plate Method Diet in Overweight Individuals With Type 2 Diabetes: A Randomized Controlled Trial. J Med Internet Res. 2017; 19(2):e36. PMC: 5329646. DOI: 10.2196/jmir.5806. View

McCormack L, Laska M, Larson N, Story M . Review of the nutritional implications of farmers' markets and community gardens: a call for evaluation and research efforts. J Am Diet Assoc. 2010; 110(3):399-408. DOI: 10.1016/j.jada.2009.11.023. View

Ghosh-Dastidar B, Cohen D, Hunter G, Zenk S, Huang C, Beckman R . Distance to store, food prices, and obesity in urban food deserts. Am J Prev Med. 2014; 47(5):587-95. PMC: 4205193. DOI: 10.1016/j.amepre.2014.07.005. View

Morland K, Wing S, Roux A, Poole C . Neighborhood characteristics associated with the location of food stores and food service places. Am J Prev Med. 2002; 22(1):23-9. DOI: 10.1016/s0749-3797(01)00403-2. View

Cummins S, Macintyre S . Food environments and obesity--neighbourhood or nation?. Int J Epidemiol. 2005; 35(1):100-4. DOI: 10.1093/ije/dyi276. View

. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults--The Evidence Report. National Institutes of Health. Obes Res. 1998; 6 Suppl 2:51S-209S. View

10.

Mokdad A, Ford E, Bowman B, Dietz W, Vinicor F, Bales V . Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2002; 289(1):76-9. DOI: 10.1001/jama.289.1.76. View

11.

Decker D, Flynn M . Food Insecurity and Chronic Disease: Addressing Food Access as a Healthcare Issue. R I Med J (2013). 2018; 101(4):28-30. View

12.

Jilcott S, Wade S, McGuirt J, Wu Q, Lazorick S, Moore J . The association between the food environment and weight status among eastern North Carolina youth. Public Health Nutr. 2011; 14(9):1610-7. DOI: 10.1017/S1368980011000668. View

13.

Morland K, Evenson K . Obesity prevalence and the local food environment. Health Place. 2008; 15(2):491-495. PMC: 4964264. DOI: 10.1016/j.healthplace.2008.09.004. View

14.

Seligman H, Bindman A, Vittinghoff E, Kanaya A, Kushel M . Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999-2002. J Gen Intern Med. 2007; 22(7):1018-23. PMC: 2583797. DOI: 10.1007/s11606-007-0192-6. View

15.

Inagami S, Cohen D, Finch B, Asch S . You are where you shop: grocery store locations, weight, and neighborhoods. Am J Prev Med. 2006; 31(1):10-7. DOI: 10.1016/j.amepre.2006.03.019. View