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Food deserts and diet-related health outcomes of the elderly
Institution:1. University of Delaware, Joseph R. Biden, Jr. School of Public Policy & Administration, 188A Graham Hall, Newark, DE 19716, United States;2. Kent State University, Department of Economics, 466 College of Business, Kent, OH 44242, United States;3. Economic Research Service, U.S. Department of Agriculture, 355 E Street, SW, Washington, D.C. 20024-3221, United States;1. Department of Nutrition, Federal University of Viçosa, Av. PH Rolfs, s/n., Campus, Viçosa, MG, 36570-000, Brazil;2. Department of Nutrition, Nursing School, Federal University of Minas Gerais, Av. Prof. Alfredo Balena, 190, Santa Efigênia, Belo Horizonte, MG, 30130-100, Brazil;1. Department of Human Geography and Spatial Planning, Utrecht University, Utrecht, The Netherlands;2. Mulier Institute, Centre for Research on Sports in Society, Utrecht, The Netherlands;3. Leibniz Institute of Ecological Urban and Regional Development, Dresden, Germany;1. Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida;2. Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania;3. Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois;4. Department of Preventive and Family Medicine, University of California San Diego, San Diego, California;5. Department of Medicine;6. Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina;1. University of Reading, UK;2. SOAS University of London, UK;1. School of Resource and Environmental Sciences, Wuhan University, Wuhan, China;2. Collaborative Innovation Center of Geospatial Technology, Wuhan University, Wuhan, China;3. Key Laboratory of Geographical Information Systems, Ministry of Education, Wuhan University, Wuhan, China;1. Nutrition Unit, Vitória Academic Center, Federal University of Pernambuco, Brazil;2. College of nutrition, Federal University of Alagoas, Brazil;3. Centre of Studies on Geography and Spatial Planning, Department of Geography and Turism, University of Coimbra, Portugal;4. Center for Health Sciences, Department of Nutrition, Federal University of Pernambuco, Brazil
Abstract:It is hypothesized that residents of neighborhoods with limited access to affordable and nutritious food face greater barriers to eating a healthy diet, which may in turn, result in worse health outcomes for them. Low-income elderly in urban areas may be uniquely affected by these so-called “food deserts” due to limited transportation options, strong attachments to local neighborhoods, fixed incomes, physical limitations in food shopping and meal preparation, and chronic health problems. Using the 2006, 2010, and 2014 waves of the Health and Retirement Study (HRS), the association between the food environment of elderly individuals living in urban Census tracts and their diet-related health was examined. Within urban areas, we find little evidence that food deserts negatively impact the health of lower income elderly individuals. Policies to address the needs of elderly residents of food deserts should be narrowly targeted and carefully justified.
Keywords:Food desert  Food access  Diet-related disease  Elderly  United States
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