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Environment influences food access and resulting shopping and dietary behaviors among homeless Minnesotans living in food deserts

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Abstract

Qualitative and quantitative methods were used to investigate how shopping behaviors and environment influence dietary intake and weight status among homeless Minnesotans living in food deserts. Seven focus groups (n = 53) and a quantitative survey (n = 255), using the social cognitive theory as the theoretical framework, were conducted at two homeless shelters (S1 and S2) in the Twin Cities area. Heights, weights, and 24-h dietary recalls were also collected. Food stores within a five-block radius of the shelters were evaluated for the price and availability of foods and compared to the Thrifty Food Plan’s market basket prices (MBP). Results showed that almost 80% of the sample was overweight or obese, with women consuming less than the recommended level for the fruits, vegetables, and milk food groups and excess for the fats/oils/sweets food group. Focus groups and participant surveys indicated that the shelter infrastructure and surrounding community influenced the types of foods available, food store access, and the foods purchased and consumed. Participants relied on food assistance programs, including food stamps, to supplement their food supply; however, some felt the high food prices at neighboring stores limited food choice and that food stamps did not adequately cover food costs. Results from the food store survey found the majority of food prices exceeded Midwest or national MBP. To promote healthier dietary intake and weight status, community-based interventions and city planners should aim to increase access to food through improved food availability and food access within the shelter environment and surrounding community.

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Notes

  1. Within a five-block radius, one shelter has one store selling food and the other has two stores selling food. Using Lang and Rayner (2002) definition, both shelters are located in food deserts.

  2. The ESHA Food Processor software program is programmed to use the 1992 USDA Food Guide Pyramid.

References

  • Abusabha, R., and M.L. Woelfel. 2003. Qualitative vs. quantitative methods: Two opposites that make a perfect match. Journal of the American Dietetic Association 103: 566–569.

    Article  Google Scholar 

  • Acheson, D. 1998. Independent inquiry into inequalities in health. London: Stationery Office.

    Google Scholar 

  • Amherst H. Wilder Foundation. 2005. Homeless in Minnesota: 2003. http://www.wilder.org/266.0.html. Accessed 16 March 2005.

  • Bandura, A. 1971. Social learning theory. Morristown, NJ: General Learning Press.

    Google Scholar 

  • Bandura, A. 1977. Social learning theory. Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • Baranowski, T., C.L. Perry, and G.S. Parcel. 1997. How individuals, environments, and health behavior interact. In Health behavior and health education: Theory, research, and practice, 2nd edition, ed. K. Glanz, F.M. Lewis, and B.K. Rimer, 153–178. San Francisco, CA: Jossey-Bass Publishers.

    Google Scholar 

  • Bell, M., L. Wilbur, and C. Smith. 1998. Nutritional status of persons using a local emergency food system program in Middle America. Journal of the American Dietetic Association 98: 1031–1033.

    Article  Google Scholar 

  • Bitto, E.A., L.W. Morton, M.J. Oakland, and M. Sand. 2003. Grocery stores access patterns in rural food deserts. Journal for the Study of Food and Society 6: 35–48.

    Article  Google Scholar 

  • CDC (US Department of Health and Human Services, Centers for Disease Control and Prevention). 2006. Health, United States, 2006. With chart book on trends in the health of Americans. Hyattsville, MD: National Center of Health Statistics.

    Google Scholar 

  • Cummins, S., and S. Macintyre. 1999. The location of food stores in urban areas: A case study in Glasgow. British Food Journal 101: 545–553.

    Article  Google Scholar 

  • Cummins, S., and S. Macintyre. 2002. “Food deserts”—Evidence and assumption in health policy making. British Medical Journal 25: 436–438.

    Article  Google Scholar 

  • Dietz, W. 1995. Does hunger cause obesity? Pediatrics 95: 766–767.

    Google Scholar 

  • Eikenberry, N., and C. Smith. 2004. Healthful eating: Perceptions, motivations, barriers, and promoters in low-income Minnesota communities. Journal of the American Dietetic Association 104: 1158–1161.

    Article  Google Scholar 

  • Eikenberry, N., and C. Smith. 2005. Attitudes, beliefs, and prevalence of dumpster diving as a means to obtain food by Midwestern, low-income, urban dwellers. Agriculture and Human Values 22: 187–202.

    Article  Google Scholar 

  • ESHA. 2004. Food Processor QSL Software, version 9.8. Salem, OR: ESHA Research.

    Google Scholar 

  • Gall, M.D., W.R. Borg, and J.P. Gall. 1996. Educational research: An introduction, 6th ed. New York, NY: Longman Publishers.

    Google Scholar 

  • Garasky, S., L.W. Morton, and K. Greder. 2004. The food environment and food insecurity: Perceptions of rural, suburban, and urban food pantry clients in Iowa. Family Economics and Nutrition Review 16: 41–48.

    Google Scholar 

  • Glanz, K., F.M. Lewis, and B.K. Rimer. 1997. Linking theory, research, and practice. In Health behavior and health education: Theory, research, and practice, 2nd edition, ed. K. Glanz, F.M. Lewis, and B.K. Rimer, 19–40. San Francisco, CA: Jossey-Bass Publishers.

    Google Scholar 

  • Granruth, L.B., and C.H. Smith. 2001. Low-income housing and services program: Towards a new perspective. Washington, DC: National Low Income Housing Coalition. http://www.nlihc.org/doc/Housing.pdf. Accessed 4 Oct 2006.

  • Guenther, P.M., K.W. Dodd, J. Reedy, and S.M. Krebs-Smith. 2006. Most Americans eat much less than recommended amounts of fruits and vegetables. Journal of the American Dietetic Association 106: 1371–1379.

    Article  Google Scholar 

  • Hendrickson, D., C. Smith, and N. Eikenberry. 2006. Low-income individuals face limited fruit and vegetable access in four Minnesotan communities designated as food deserts. Agriculture and Human Values 23: 371–383.

    Article  Google Scholar 

  • Kaufman, P.R. 1998. Rural poor have less access to supermarkets, grocery stores. Rural Development Perspectives 13: 19–26. http://www.ers.usda.gov/publications/rdp/rdp1098/rdp1098c.pdf. Accessed 19 Dec 2006.

  • Landis, J.R., and G.G. Koch. 1977. The measurement of observer agreement for categorical data. Biometrics 33: 159–174.

    Article  Google Scholar 

  • Lang, T., and G. Rayner. 2002. Why health is the key to the future of food and farming. http://www.agobservatory.org/library.cfm?refID=30300. Accessed 19 Dec 2006.

  • Lee, R.D., and D.C. Nieman. 1995. Nutritional assessment, 2nd ed. St. Louis, MO: Mosby-Year Book, Inc.

    Google Scholar 

  • Lin, B.H., and R.M. Morrison. 2002. Higher fruit consumption linked with lower body mass index. Food Review 25: 28–32.

    Google Scholar 

  • Marlett, J.A., M.I. McBurney, and J.L. Slavin. 2002. Position of the American Dietetic Association: Health implications of dietary fiber. Journal of the American Dietetic Association 102: 993–1000.

    Article  Google Scholar 

  • Morgan, D.L., and R.A. Krueger. 1998. The focus group kit. Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Morland, K., S. Wing, A. Diez Rioux, and C. Poole. 2002. Neighborhood characteristics associated with the location of food stores and food service places. American Journal of Preventive Medicine 22: 23–29.

    Article  Google Scholar 

  • Morton, L.W., E.A. Bitto, and M.J. Oakland. 2005. Solving the problems of Iowa food deserts: Food insecurity and civic structure. Rural Sociology 70: 94–112.

    Article  Google Scholar 

  • Olson, C.M. 1999. Nutrition and health outcomes associated with food insecurity and hunger. Journal of Nutrition 129: 521S–524S.

    Google Scholar 

  • Piachaud, D., and J. Webb. 1996. The price of food: Missing out on mass consumption. London: Suntory and Toyota International Centers for Economics and Related Disciplines, London School of Economics and Political Science.

    Google Scholar 

  • Qualitative Solutions and Research. 1999. Melbourne, Australia: NUD*IST Vivo, Pty. Ltd.

  • Richards, R., and C. Smith. 2006. The impact of homeless shelters on food access and choice and developed coping strategies among homeless families in Minnesota. Journal of Nutrition Education and Behavior 38: 96–105.

    Article  Google Scholar 

  • Richards, R., and C. Smith. 2007. Environmental, parental, and personal influences on food choice, access, and overweight status among homeless children. Social Science Medicine 6: 1572–1583.

    Article  Google Scholar 

  • Rinderknecht, K., and C. Smith. 2004. Social cognitive theory in an after-school nutrition intervention for urban Native American youth. Journal of Nutrition Education and Behavior 36: 298–306.

    Article  Google Scholar 

  • Rose, D., and R. Richards. 2004. Food store access and household fruit and vegetable use among participants in the US Food Stamp Program. Public Health Nutrition 7: 1081–1088.

    Article  Google Scholar 

  • Sadovsky, R. 2002. Eating fruit and vegetables affects coronary heart disease risk. American Family Physician 65: 285.

    Google Scholar 

  • Statistical Package for the Social Sciences (SPSS). 2004. V. 14.

  • Stitt, S., G. Griffiths, and D. Grant. 1994. Homeless and hungry: The evidence from Liverpool. Nutrition Health 9: 275–287.

    Google Scholar 

  • Turrell, G. 1996. Structural, material, and economic influences on the food-purchasing choices of socioeconomic groups. Australian and New Zealand Journal of Public Health 20: 611–617.

    Article  Google Scholar 

  • USDA. 1992. http://www.cnpp.usda.gov/Publications/MyPyramid/OriginalFoodGuidePyramids/FGP/FGPPamphlet.pdf.

  • USDA (US Department of Agriculture), Center for Nutrition Policy and Promotion. 1999. Thrifty food plan. Washington, DC: USDA.

    Google Scholar 

  • USDL (US Department of Labor), Bureau of Labor Statistics. 2006. Consumer Price Index-Average Price. 2006. Data. http://data.bls.gov/PDQ/outside.jsp?survey=ap. Accessed 8 Aug 2006.

  • Whelan, A., N. Wrigley, D. Warm, and E. Cannings. 2002. Life in a “food desert”. Urban Studies 39: 2083–2100.

    Article  Google Scholar 

  • Young, C.M. 1981. Dietary methodology. In Assessing changing food consumption patterns, Committee on Food Consumption Patterns, Food and Nutrition Board, National Research Council, 89–118. Washington, DC: National Academy Press.

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Acknowledgements

The authors would like to thank all of the participants for graciously taking the time to share a piece of their life with us. We would also like to thank the staff at the shelters involved for opening their doors to us. The project was funded in part by the Agricultural Experiment Station, the Undergraduate Research Opportunity Program (UROP) at the University, and the Food Stamp Nutrition Education Program.

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Correspondence to Chery Smith.

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Smith, C., Butterfass, J. & Richards, R. Environment influences food access and resulting shopping and dietary behaviors among homeless Minnesotans living in food deserts. Agric Hum Values 27, 141–161 (2010). https://doi.org/10.1007/s10460-009-9191-z

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  • DOI: https://doi.org/10.1007/s10460-009-9191-z

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