Upload
makan
View
46
Download
0
Tags:
Embed Size (px)
DESCRIPTION
Neighborhood Deprivation and Locational Disadvantage for Access to the Food Store Environment in Texas Colonias. Joseph R. Sharkey, PhD MPH RD Scott Horel, MAG. Areas of Persistent Poverty. Rapidly growing area Much of population increase into new developments - colonias. Colonias. - PowerPoint PPT Presentation
Citation preview
Joseph R. Sharkey, PhD MPH RD
Scott Horel, MAG
Neighborhood Deprivation Neighborhood Deprivation and Locational and Locational
Disadvantage for Access Disadvantage for Access to the Food Store to the Food Store
Environment in Texas Environment in Texas ColoniasColonias
Areas of Persistent Poverty Rapidly growing area Much of population
increase into new developments - colonias
ColoniasImportant low-income housing
areasPrincipal characteristics
→ Cheaply acquired land→ Self-help dwelling construction→ Physical conditions improve over time→ Low-density settlements (ETJ)
Hispanic Older Adults Face Environmental Challenges
Food security
Healthful eating
Prevention and management of nutrition-related health conditions
Purpose
1. Assess the food environment in targeted colonia CBG
2. Examine association between neighborhood deprivation and locational disadvantage for food store access for older adults
Ground-Truthed Methods
0
10
20
30
40
50
60
70
Food Stores(n = 422)
Gro
cery
/ S
up
erm
ark
et
Co
nve
nie
nce
S
tore
s
Dis
co
un
t
Sto
res
Sp
ecia
lty
Mar
kets
Bev
erag
e S
tore
s
Ph
arm
acie
s
Pro
po
rtio
n o
f al
l Fo
od
Sto
res
n = 18
n = 255
n = 37 n = 13n = 2
n = 97
5 sm 2 med
65% gas 47% fast food 23% grocery
27% mobile 31% F/V 35% baked
HidalgoGrocery Stores
Hidalgo Convenience Stores
Neighborhood Deprivation Concentrated neighborhood (Census
block group) disadvantage• Education <9 yr
• Unemployed
• Lack plumbing
• Lack kitchen
• No telephone
• Poverty
• Public assistance
Low, moderate, high, and very high deprivation
Neighborhood CharacteristicsHigh
Deprivation (47 CBG)
Very High Deprivation
(50 CBG)
Below poverty 25%-57% 28%-71%
Public assistance 2%-23% 4%-39%
Unemployed 2%-16% 0-18%
No telephone 0-13% 0-13%
Lack complete plumbing 0-12% 0-27%
Lack complete kitchen 0-16% 0-17%
<10th grade 32%-68% 47%-74%
No vehicle 3%-53% 3%-53%
Neighborhoods (CBG) ≥20% Older Adults
24% (n = 46)
60.0% of residents with no vehicle
34% lacked a complete kitchen
37% poverty
Locational Disadvantage
Distance from CBG centroid to nearest FS and FSP Spatial center of CBG Network distance
Separate for major types of FS and FSP Quartiles for low disadvantage to very high Combined grocery stores/supermarkets
and convenience into one measure of locational disadvantage to any FS
Locational Disadvantage
25% of older adults lived in neighborhoods 2.3-9.9 miles one-way to the nearest supermarket
14% of older adults lived in neighborhoods ≥1.3 miles one-way to the nearest convenience store
Deprivation and Location
3.4-14.9
1.4-4.8
Conclusion First step in understanding influence of food
environment on food choice and diet quality in Hispanic families who live in persistent poverty areas. Limited or non-existent public transportation Many residents do not have access to vehicle
Limited attention to environmental influence, despite food assistance programs.
Difficult to initiate or maintain healthful eating habits without access to healthful foods.
Essential to combine environmental approaches with traditional health individuals.
Preparation for policy change to strengthen food assistance programs, program delivery activities, or interventions to improve nutritional health should include an understanding of where people live and where they shop for food.
Acknowledgements
USDA RIDGE Program, Southern Rural Development Center at Mississippi State University
Texas Healthy Aging Research Network (TxHAN) at SRPH