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From Food Desert to Food Oasis: The Potential Influence of Food Retailers on Childhood Obesity Rates

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Abstract

Few studies have examined the influence of the food environment on obesity rates among very young, low-income consumers. This research contributes to this growing literature by examining the relationship between modifications to the retail environment and obesity rates for low-income, preschool-aged children. Based on data combined from various secondary sources, this study finds that changes in the retail environment are significantly related to obesity rates. More specifically, the authors find a positive relationship between the number of convenience stores in the retail environment and obesity rates among low-income, preschool-aged children. Results also show that the percent change in grocery stores and supercenters and club stores in the retail environment is negatively related to the obesity rates of low-income, preschool-aged children [i.e., as grocery stores and supercenters/club stores increase (decrease), obesity decreases (increases)].Further, the percent change in supercenters and club stores mediates the positive relationship between participation in the Supplemental Nutrition Assistance Program (SNAP) and obesity rates.

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Notes

  1. Covariates included socioeconomic variables such as race/ethnicity and household income as well as adult obesity levels.

  2. A complete description of the Food Atlas and its sources may be found at http://www.ers.usda.gov/data-products/food-environment-atlas/data-access-and-documentation-downloads.aspx.

  3. We also performed a supplemental analysis using percent change in the number of convenience stores as a mediator. Results indicate that this variable does not mediate the relationship between SNAP benefits and obesity rates. The estimate of the indirect effect is 0.000 and the confidence interval includes a zero value (LLCI = −0.0004, ULCI = 0.0018) which indicates a nonsignificant indirect effect.

  4. We also performed supplementary analysis to determine if the indirect effect of the percentage change in grocery stores and the indirect effect of the percentage change in supercenters/club stores were significantly different. The estimate of the difference of these two indirect effects is −0.0009. Since the confidence interval (LLCI = −0.0029, ULCI = 0.0010) includes a zero, we can conclude that the strength of the effects are not significantly different.

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Acknowledgments

The research reported in this article, and its preparation, were supported by Agriculture and Food Research Initiative Competitive Grant No. 2011-68001-30014 from the USDA National Institute of Food and Agriculture.

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Correspondence to Elizabeth Howlett.

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Howlett, E., Davis, C. & Burton, S. From Food Desert to Food Oasis: The Potential Influence of Food Retailers on Childhood Obesity Rates. J Bus Ethics 139, 215–224 (2016). https://doi.org/10.1007/s10551-015-2605-5

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