Improving Fruit and Vegetable Accessibility, Purchasing, and Consumption to Advance Nutrition Security and Health Equity in the United States

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2022 Sep 23

PMID 36141494

Authors

Bailey Houghtaling

Matthew Greene

Kaustubh V Parab

Chelsea R Singleton

Affiliations

Soon will be listed here.

Abstract

In recent years, national and local efforts to improve diet and health in the United States have stressed the importance of nutrition security, which emphasizes consistent access to foods and beverages that promote health and prevent disease among all individuals. At the core of this endeavor is fruit and vegetable (FV) consumption, a dietary practice that is integral to attaining and sustaining a healthy diet. Unfortunately, significant inequities in FV accessibility, purchasing, and consumption exist, particularly among populations that are socially and economically disadvantaged. To achieve nutrition and health equity in the United States, the field must center the goal of nutrition security and initiatives that aim to increase FV consumption, specifically, in future work. The (IJERPH) Special Issue titled "" features several scholarly publications from experts conducting timely research on these topics. In this commentary, we () summarize the U.S.-based literature on inequities in FV accessibility, purchasing, and consumption, () describe how the contributions to this IJERPH special issue can advance nutrition security and health equity, and () outline future research questions from our perspective.

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References

Lee-Kwan S, Moore L, Blanck H, Harris D, Galuska D . Disparities in State-Specific Adult Fruit and Vegetable Consumption - United States, 2015. MMWR Morb Mortal Wkly Rep. 2017; 66(45):1241-1247. PMC: 5726245. DOI: 10.15585/mmwr.mm6645a1. View

Greene M, Houghtaling B, Sadeghzadeh C, De Marco M, Bryant D, Morgan R . Nutrition interventions addressing structural racism: a scoping review. Nutr Res Rev. 2022; 36(1):155-174. DOI: 10.1017/S0954422422000014. View

Freedman D, Clark J, Lounsbury D, Boswell L, Burns M, Jackson M . Food system dynamics structuring nutrition equity in racialized urban neighborhoods. Am J Clin Nutr. 2021; 115(4):1027-1038. DOI: 10.1093/ajcn/nqab380. View

Martinez C, Ritchie L, Lee D, Tsai M, Anderson C, Whaley S . California WIC Participants Report Favorable Impacts of the COVID-Related Increase to the WIC Cash Value Benefit. Int J Environ Res Public Health. 2022; 19(17). PMC: 9518089. DOI: 10.3390/ijerph191710604. View

Karpyn A, Pon J, Grajeda S, Wang R, Merritt K, Tracy T . Understanding Impacts of SNAP Fruit and Vegetable Incentive Program at Farmers' Markets: Findings from a 13 State RCT. Int J Environ Res Public Health. 2022; 19(12). PMC: 9223796. DOI: 10.3390/ijerph19127443. View

Gosliner W, Brown D, Sun B, Woodward-Lopez G, Crawford P . Availability, quality and price of produce in low-income neighbourhood food stores in California raise equity issues. Public Health Nutr. 2018; 21(9):1639-1648. PMC: 5962882. DOI: 10.1017/S1368980018000058. View

Prestemon C, Grummon A, Rummo P, Smith Taillie L . Differences in Dietary Quality by Sexual Orientation and Sex in the United States: NHANES 2011-2016. J Acad Nutr Diet. 2021; 122(5):918-931.e7. PMC: 9038656. DOI: 10.1016/j.jand.2021.12.005. View

Gibb J, Shokoohi M, Salway T, Ross L . Sexual orientation-based disparities in food security among adults in the United States: results from the 2003-2016 NHANES. Am J Clin Nutr. 2021; 114(6):2006-2016. DOI: 10.1093/ajcn/nqab290. View

Nugent N, Byker Shanks C, Seligman H, Fricke H, Parks C, Stotz S . Accelerating Evaluation of Financial Incentives for Fruits and Vegetables: A Case for Shared Measures. Int J Environ Res Public Health. 2021; 18(22). PMC: 8621044. DOI: 10.3390/ijerph182212140. View

10.

Payan D, Diaz Rios L, Ramirez A, De Trinidad Young M . Structural Barriers Influencing Food Insecurity, Malnutrition, and Health Among Latinas During and After COVID-19: Considerations and Recommendations. J Acad Nutr Diet. 2021; 121(5):837-843. PMC: 9391034. DOI: 10.1016/j.jand.2021.01.005. View

11.

Powell L, Singleton C, Li Y, Anderson Steeves E, Castro I, Grigsby-Toussaint D . Changes to SNAP-authorized retailer stocking requirements and the supply of foods and beverages in low-income communities in seven U.S. states. Transl Behav Med. 2019; 9(5):857-864. DOI: 10.1093/tbm/ibz093. View

12.

Diaz Rios L, Stage V, Leak T, Taylor C, Reicks M . Collecting, Using, and Reporting Race and Ethnicity Information: Implications for Research in Nutrition Education, Practice, and Policy to Promote Health Equity. J Nutr Educ Behav. 2022; 54(6):582-593. DOI: 10.1016/j.jneb.2022.01.006. View

13.

Hiza H, Casavale K, Guenther P, Davis C . Diet quality of Americans differs by age, sex, race/ethnicity, income, and education level. J Acad Nutr Diet. 2012; 113(2):297-306. DOI: 10.1016/j.jand.2012.08.011. View

14.

. State-specific trends in fruit and vegetable consumption among adults --- United States, 2000-2009. MMWR Morb Mortal Wkly Rep. 2010; 59(35):1125-30. View

15.

Auvinen A, Simock M, Moran A . Integrating Produce Prescriptions into the Healthcare System: Perspectives from Key Stakeholders. Int J Environ Res Public Health. 2022; 19(17). PMC: 9518562. DOI: 10.3390/ijerph191711010. View

16.

Micha R, Penalvo J, Cudhea F, Imamura F, Rehm C, Mozaffarian D . Association Between Dietary Factors and Mortality From Heart Disease, Stroke, and Type 2 Diabetes in the United States. JAMA. 2017; 317(9):912-924. PMC: 5852674. DOI: 10.1001/jama.2017.0947. View

17.

Jardim T, Mozaffarian D, Abrahams-Gessel S, Sy S, Lee Y, Liu J . Cardiometabolic disease costs associated with suboptimal diet in the United States: A cost analysis based on a microsimulation model. PLoS Med. 2019; 16(12):e1002981. PMC: 6917211. DOI: 10.1371/journal.pmed.1002981. View

18.

VanKim N, Corliss H, Jun H, Calzo J, AlAwadhi M, Austin S . Gender Expression and Sexual Orientation Differences in Diet Quality and Eating Habits from Adolescence to Young Adulthood. J Acad Nutr Diet. 2019; 119(12):2028-2040. PMC: 6885120. DOI: 10.1016/j.jand.2019.05.014. View

19.

Singleton C, Winkler M, Houghtaling B, Adeyemi O, Roehll A, Pionke J . Understanding the Intersection of Race/Ethnicity, Socioeconomic Status, and Geographic Location: A Scoping Review of U.S. Consumer Food Purchasing. Int J Environ Res Public Health. 2020; 17(20). PMC: 7593902. DOI: 10.3390/ijerph17207677. View

20.

Bauer G . Incorporating intersectionality theory into population health research methodology: challenges and the potential to advance health equity. Soc Sci Med. 2014; 110:10-7. DOI: 10.1016/j.socscimed.2014.03.022. View