Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Dumas, Brianna L. ; Harris, Diane M. ; McMahon, Jean M. ; Daymude, Thomas J. ; Warnock, Amy Lowry ; ... More +
Dumas, Brianna L. ; Harris, Diane M. ; McMahon, Jean M. ; Daymude, Thomas J. ; Warnock, Amy Lowry ; Moore, Latetia V. ; Onufrak, Stephen J. Less -
Description:
Introduction

Local governments can address access to healthy food and transportation through policy and planning. This study is the first to examine municipal-level transportation supports for food access.

Methods

We used a nationally representative sample of US municipalities with 1,000 or more persons from the 2014 National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living (N = 2,029) to assess 3 outcomes: public transit availability, consideration of food access in transportation planning, and presence of demand-responsive transportation (DRT). We used χ2 tests to compare prevalences by municipal characteristics including population size, rurality, census region, median educational attainment, poverty prevalence, racial and ethnic population distribution, and low-income low-access to food (LILA) status.

Results

Among municipalities, 33.7% reported no public transit and 14.8% reported having DRT. Both public transit and DRT differed by population size (both P < .001) and census region (both P < .001) and were least commonly reported among municipalities with populations less than 2,500 (46.9% without public transit; 6.6% with DRT) and in the South (40.0% without public transit; 11.1% with DRT). Of those with public transit, 33.8% considered food access in transportation planning; this was more common with greater population size (55.9% among municipalities of ≥50,000 persons vs 16.8% among municipalities of <2,500 persons; P < .001), in the West (43.1% vs 26.8% in the Northeast, 33.7% in the Midwest, 32.2% in the South; P = .003), and municipalities with 20% or more of the population living below federal poverty guidelines (37.4% vs 32.2% among municipalities with less than 20% living in poverty; P = .07).

Conclusion

Results suggest that opportunities exist to improve food access through transportation, especially in smaller and Southern communities, which may improve diet quality and reduce chronic disease.


Subjects:
[+]
Diet, Healthy Food Humans Original Research Policy Prevalence Transportation
Source:
Prev Chronic Dis. 2021; 18
Pubmed ID:
34793691
Pubmed Central ID:
PMC8673943
Document Type:
Journal Article
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:76319d9fa3e778bbc9a2de192bb95862b93bfe1d45aefa6136166083dabf11c9
Download URL:
https://stacks.cdc.gov/view/cdc/113214/cdc_113214_DS1.pdf
File Type:

Supporting Files

• PCD-18-E97.nxml

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