Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item Outpatient weight management in African-Americans: The Healthy Eating and Lifestyle Program (HELP) study(2005) Kumanyika, Shiriki K; Shults, Justine; Fassbender, Jennifer E; Whitt-Glover, Melicia C; Brake, Vivian; Kallan, Michael J; Iqbal, Nayyar; Bowman, Marjorie AItem Ethnic Comparison of Weight Loss in Trial of Nonpharmacologic Interventions in the Elderly(2001) Kumanyika, Shiriki K.; Espeland, Mark A.; Bahnson, Judy L.; Bottom, Juliene B.; Charleston, Jeanne B.; Folmar, Steve; Wilson, Alan C.; Whelton, Paul K.Item Translating the Diabetes Prevention Program Into an Urban Medically Underserved Community(2008) Seidel, Miriam; Powell, Robert; Zgibor, Janice; Siminerio, Linda; Piatt, GretchenItem Translating the Diabetes Prevention Program Into an Urban Medically Undeserved Community(2008) Seidel, Miriam; Powell, Robert; Zgibor, Janice; Siminerio, Linda; Piatt, GretchenItem Ethnic Comparison of Weight Loss in Trial of Nonpharmacologic Interventions in the Elderly(2001) Kumanyika, Shiriki K.; Espeland, Mark A.; Bahnson, Judy L.; Bottom, Juliene B.; Charleston, Jeanne B.; Folmar, Steve; Wilson, Alan C.; Whelton, Paul K.Item Nutrition Education in the K-12 Curriculum: The Role of National Standards - Workshop Summary(The National Academies Press, 2013) Olson, Steve; Moats, SheilaItem The Role of Local Food Availability in Explaining Obesity Rsik Among Young School-Aged Children(2012) Lee, HelenIn recent years, research and public policy attention has increasingly focused on understanding whether modifiable aspects of the local food environment – the types and composition of food outlets families have proximate access to – are drivers of and potential solutions to the problem of childhood obesity in the United States. Given that much of the earlier published research has documented greater concentrations of fast-food outlets alongside limited access to large grocery stores in neighborhoods with higher shares of racial/ethnic minority groups and residents living in poverty, differences in retail food contexts may indeed exacerbate notable child obesity disparities along socioeconomic and racial/ethnic lines. This paper examines whether the lack of access to more healthy food retailers and/or the greater availability of “unhealthy” food purveyors in residential neighborhoods explains children’s risk of excessive weight gain, and whether differential food availability explains obesity disparities. I do so by analyzing a national survey of U.S. children followed over elementary school (Early Childhood Longitudinal Study – Kindergarten Cohort) who are linked to detailed, longitudinal food availability measures from a comprehensive business establishment database (the National Establishment Time Series). I find that children who live in residentially poor and minority neighborhoods are indeed more likely to have greater access to fast-food outlets and convenience stores. However, these neighborhoods also have greater access to other food establishments that have not been linked to increased obesity risk, including large-scale grocery stores. When examined in a multi-level modeling framework, differential exposure to food outlets does not independently explain weight gain over time in this sample of elementary school-aged children. Variation in residential food outlet availability also does not explain socioeconomic and racial/ethnic differences. It may thus be important to reconsider whether food access is, in all settings, a salient factor in understanding obesity risk among young children.Item School and Residential Neighborhood Food Environment and Diet Among California Youth(2012) An, Ruopeng; Sturm, RolandBackground Various hypotheses link neighborhood food environments and diet. Greater exposure to fast-food restaurants and convenience stores is thought to encourage overconsumption; supermarkets and large grocery stores are claimed to encourage healthier diets. For youth, empirical evidence for any particular hypothesis remains limited. Purpose This study examines the relationship between school and residential neighborhood food environment and diet among youth in California. Methods Data from 8226 children (aged 5–11 years) and 5236 adolescents (aged 12–17 years) from the 2005 and 2007 California Health Interview Survey were analyzed in 2011. The dependent variables are daily servings of fruits, vegetables, juice, milk, soda, high-sugar foods, and fast food, which were regressed on measures of food environments. Food environments were measured by counts and density of businesses, distinguishing fast-food restaurants, convenience stores, small food stores, grocery stores, and large supermarkets within a specific distance (varying from 0.1 to 1.5 miles) from a respondent's home or school. Results No robust relationship between food environment and consumption is found. A few significant results are sensitive to small modeling changes and more likely to reflect chance than true relationships. Conclusions This correlational study has measurement and design limitations. Longitudinal studies that can assess links between environmental, dependent, and intervening food purchase and consumption variables are needed. Reporting a full range of studies, methods, and results is important as a premature focus on correlations may lead policy astray.Item New Market Pushes Healthy Eating in "Food Desert" of Avondale(2012) UNSPECIFIEDResidents of one Cincinnati neighborhood are working to turn their community from a "food desert" into an oasis of healthy food. A food desert is an area with a lot of people - without access to fresh fruits and vegetables. Local 12's Angela Ingram explains how organizers plan to turn a small market into a full scale farmer's market.Item Reestablishing Healthy Food Retail: Changing the Landscape of Food Deserts(2012) Karpyn, Allison; Young, Candace; Weiss, StephanieAbstract available at publisher's website.