The association between neighborhood economic hardship, the retail food environment, fast food intake, and obesity: findings from the Survey of the Health of Wisconsin

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  • Additional Information
    • Publication Information:
      BioMed Central Ltd.
    • Publication Date:
      2015
    • Abstract:
      Author(s): Michael Laxy[sup.1,2], Kristen C Malecki[sup.1], Marjory L Givens[sup.1], Matthew C Walsh[sup.1] and F Javier Nieto[sup.1] Background Obesity is a major public health problem in the United States owing to [...]
      Background Neighborhood-level characteristics such as economic hardship and the retail food environment are assumed to be correlated and to influence consumers' dietary behavior and health status, but few studies have investigated these different relationships comprehensively in a single study. This work aims to investigate the association between neighborhood-level economic hardship, the retail food environment, fast food consumption, and obesity prevalence. Methods Linking data from the population-based Survey of the Health of Wisconsin (SHOW, n = 1,570, 2008-10) and a commercially available business database, the Wisconsin Retail Food Environment Index (WRFEI) was defined as the mean distance from each participating household to the three closest supermarkets divided by the mean distance to the three closest convenience stores or fast food restaurants. Based on US census data, neighborhood-level economic hardship was defined by the Economic Hardship Index (EHI). Relationships were analyzed using multivariate linear and logistic regression models. Results SHOW residents living in neighborhoods with the highest economic hardship faced a less favorable retail food environment (WRFEI = 2.53) than residents from neighborhoods with the lowest economic hardship (WRFEI = 1.77; p-trend 0.01). We found no consistent or significant associations between the WRFEI and obesity and only a weak borderline-significant association between access to fast food restaurants and self-reported fast food consumption ([greater than or equai to]2 times/week, OR = 0.59-0.62, p = 0.05-0.09) in urban residents. Participants reporting higher frequency of fast food consumption ([greater than or equai to]2 times vs. 2 times per week) were more likely to be obese (OR = 1.35, p = 0.06). Conclusion This study indicates that neighborhood-level economic hardship is associated with an unfavorable retail food environment. However inconsistent or non-significant relationships between the retail food environment, fast food consumption, and obesity were observed. More research is needed to enhance methodological approaches to assess the retail food environment and to understand the complex relationship between neighborhood characteristics, health behaviors, and health outcomes. Keywords: Obesity, Retail food environment, Economic hardship, Fast food consumption
    • ISSN:
      1471-2458
    • Accession Number:
      10.1186/s12889-015-1576-x
    • Rights:
      Copyright 2015 Gale, Cengage Learning. All rights reserved.
      COPYRIGHT 2015 BioMed Central Ltd.
    • Accession Number:
      edsgcl.541413724
  • Citations
    • ABNT:
      LAXY, M. et al. The association between neighborhood economic hardship, the retail food environment, fast food intake, and obesity: findings from the Survey of the Health of Wisconsin. BMC Public Health, [s. l.], n. 1, 2015. DOI 10.1186/s12889-015-1576-x. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsgih&AN=edsgcl.541413724&custid=s6224580. Acesso em: 23 jan. 2020.
    • AMA:
      Laxy M, Malecki KC, Givens ML, Walsh MC, Nieto FJ. The association between neighborhood economic hardship, the retail food environment, fast food intake, and obesity: findings from the Survey of the Health of Wisconsin. BMC Public Health. 2015;(1). doi:10.1186/s12889-015-1576-x.
    • APA:
      Laxy, M., Malecki, K. C., Givens, M. L., Walsh, M. C., & Nieto, F. J. (2015). The association between neighborhood economic hardship, the retail food environment, fast food intake, and obesity: findings from the Survey of the Health of Wisconsin. BMC Public Health, (1). https://doi.org/10.1186/s12889-015-1576-x
    • Chicago/Turabian: Author-Date:
      Laxy, Michael, Kristen C Malecki, Marjory L Givens, Matthew C Walsh, and F Javier Nieto. 2015. “The Association between Neighborhood Economic Hardship, the Retail Food Environment, Fast Food Intake, and Obesity: Findings from the Survey of the Health of Wisconsin.” BMC Public Health, no. 1. doi:10.1186/s12889-015-1576-x.
    • Harvard:
      Laxy, M. et al. (2015) ‘The association between neighborhood economic hardship, the retail food environment, fast food intake, and obesity: findings from the Survey of the Health of Wisconsin’, BMC Public Health, (1). doi: 10.1186/s12889-015-1576-x.
    • Harvard: Australian:
      Laxy, M, Malecki, KC, Givens, ML, Walsh, MC & Nieto, FJ 2015, ‘The association between neighborhood economic hardship, the retail food environment, fast food intake, and obesity: findings from the Survey of the Health of Wisconsin’, BMC Public Health, no. 1, viewed 23 January 2020, .
    • MLA:
      Laxy, Michael, et al. “The Association between Neighborhood Economic Hardship, the Retail Food Environment, Fast Food Intake, and Obesity: Findings from the Survey of the Health of Wisconsin.” BMC Public Health, no. 1, 2015. EBSCOhost, doi:10.1186/s12889-015-1576-x.
    • Chicago/Turabian: Humanities:
      Laxy, Michael, Kristen C Malecki, Marjory L Givens, Matthew C Walsh, and F Javier Nieto. “The Association between Neighborhood Economic Hardship, the Retail Food Environment, Fast Food Intake, and Obesity: Findings from the Survey of the Health of Wisconsin.” BMC Public Health, no. 1 (2015). doi:10.1186/s12889-015-1576-x.
    • Vancouver/ICMJE:
      Laxy M, Malecki KC, Givens ML, Walsh MC, Nieto FJ. The association between neighborhood economic hardship, the retail food environment, fast food intake, and obesity: findings from the Survey of the Health of Wisconsin. BMC Public Health [Internet]. 2015 [cited 2020 Jan 23];(1). Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsgih&AN=edsgcl.541413724&custid=s6224580