Longitudinal Associations between Objective and Perceived Healthy Food Environment and Diet: The Multi-Ethnic Study of Atherosclerosis

Details

• Alternative Title:
  Soc Sci Med
• Personal Author:
  Gao, Xing ; Engeda, Joseph ; Moore, Latetia V. ; Auchincloss, Amy ; Moore, Kari ; Mujahid, Mahasin S.
• Description:
  Introduction:
  
  Research examining the influence of neighborhood healthy food environment on diet has been mostly cross-sectional and lacked robust characterization of the food environment. We examined longitudinal associations between features of the local food environment and healthy diet, and whether associations were modified by race/ethnicity.
  
  Methods:
  
  Data on 3,634 adults aged 45–84 at Exam 1 and followed for 10 years were obtained from the Multi-Ethnic Study of Atherosclerosis. Diet quality was assessed using the Alternative Healthy Eating Index at Exam 1 (2000–2002) and Exam 5 (2010–2012). We assessed four measures of local food environment using survey-based measures (e.g. perceptions of healthier food availability) and geographic information system (GIS)-based measures (e.g. distance to and density of healthier food stores) at Exam 1 and Exam 5. Random effects models adjusted for age, sex, education, moving status, per capita adjusted income, and neighborhood socioeconomic status and interactions terms to assess effect modification by race/ethnicity.
  
  Results:
  
  Net of confounders, one standard z-score higher average composite local food environment was associated with higher average AHEI diet score (1.39, 95% CI: 1.05, 1.73) over the follow-up period from Exam 1 to 5. This pattern of association was consistent across both GIS-based and survey-based measures of local food environment and was more pronounced among minoritized racial/ethnic groups. There was no association between changes in neighborhood environment and change in AHEI score, or effect modification by race/ethnicity.
  
  Conclusion:
  
  Our findings suggest that neighborhood-level food environment is associated with better diet quality, especially among racially/ethnically minoritized populations.
  
  
• Subjects:
  Adult Aged Aged, 80 And Over Atherosclerosis Cross-Sectional Studies Diet Ethnicity Humans Middle Aged Residence Characteristics
• Keywords:
  Buprenorphine Diet Quality Methadone Mortality Naltrexone Neighborhood Food Environment Treatment
• Source:
  Soc Sci Med. 292:114542
• Pubmed ID:
  34802783
• Pubmed Central ID:
  PMC8748383
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; P2C HD073964/HD/NICHD NIH HHSUnited States/
• Volume:
  292
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:28e16b44351e211119309385e3b84ead96805b1ce0deb54c438d0fc1fd0de7a9c8f7ab42b2d5aad7b7f972e7ea6b45834f07455e8ff1babc8f8253625d57c4f1
• Download URL:
  https://stacks.cdc.gov/view/cdc/113245/cdc_113245_DS1.pdf
• File Type:
  [PDF - 284.10 KB ]