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dc.contributor.authorHager, E.R.
dc.contributor.authorCockerham, A.
dc.contributor.authorO'Reilly, N.
dc.date.accessioned2019-07-15T16:12:10Z
dc.date.available2019-07-15T16:12:10Z
dc.date.issued2017
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84988646151&doi=10.1017%2fS1368980016002123&partnerID=40&md5=e64c56ddc5c82016fb1085d10253b2fb
dc.identifier.urihttp://hdl.handle.net/10713/9924
dc.description.abstractObjective: To determine whether living in a food swamp (≥4 corner stores within 0·40 km (0·25 miles) of home) or a food desert (generally, no supermarket or access to healthy foods) is associated with consumption of snacks/desserts or fruits/vegetables, and if neighbourhood-level socio-economic status (SES) confounds relationships. Design: Cross-sectional. Assessments included diet (Youth/Adolescent FFQ, skewed dietary variables normalized) and measured height/weight (BMI-for-age percentiles/Z-scores calculated). A geographic information system geocoded home addresses and mapped food deserts/food swamps. Associations examined using multiple linear regression (MLR) models adjusting for age and BMI-for-age Z-score. Setting: Baltimore City, MD, USA. Subjects: Early adolescent girls (6th/7th grade, n 634; mean age 12·1 years; 90·7 % African American; 52·4 % overweight/obese), recruited from twenty-two urban, low-income schools. Results: Girls’ consumption of fruit, vegetables and snacks/desserts: 1·2, 1·7 and 3·4 servings/d, respectively. Girls’ food environment: 10·4 % food desert only, 19·1 % food swamp only, 16·1 % both food desert/swamp and 54·4 % neither food desert/swamp. Average median neighbourhood-level household income: $US 35 298. In MLR models, girls living in both food deserts/swamps consumed additional servings of snacks/desserts v. girls living in neither (β=0·13, P=0·029; 3·8 v. 3·2 servings/d). Specifically, girls living in food swamps consumed more snacks/desserts than girls who did not (β=0·16, P=0·003; 3·7 v. 3·1 servings/d), with no confounding effect of neighbourhood-level SES. No associations were identified with food deserts or consumption of fruits/vegetables. Conclusions: Early adolescent girls living in food swamps consumed more snacks/desserts than girls not living in food swamps. Dietary interventions should consider the built environment/food access when addressing adolescent dietary behaviours. Copyright The Authors 2016.en_US
dc.description.urihttps://www.doi.org/10.1017/S1368980016002123en_US
dc.language.isoen_USen_US
dc.publisherCambridge University Pressen_US
dc.relation.ispartofPublic Health Nutrition
dc.subjectAdolescentsen_US
dc.subjectAfrican Americanen_US
dc.subjectFood desert/food swampen_US
dc.subjectGeographic information systemen_US
dc.subjectSnacks and dessertsen_US
dc.titleFood swamps and food deserts in Baltimore City, MD, USA: Associations with dietary behaviours among urban adolescent girlsen_US
dc.typeArticleen_US
dc.identifier.doi10.1017/S1368980016002123
dc.identifier.pmid27652511


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