Third, we advocate for the use of such data in informing the development of a platforms that aim to make the process of accessing healthy food easier via non-food retail based interventions. Second, we show links between perceptions of food access and objectively measured food store scores to uncover inequalities in access in our sample to illustrate potential connections.
First, we provide a methodology for linking perceived and objective definitions of food access among a small sample that could be replicated in cities across the globe. Notably, many people avoided shopping in their own neighborhoods participants traveled an average of 3.38 miles to shop for groceries, and 60% bypassed their nearest grocery store when shopping. Chain stores tended to be rated more highly, while stores in neighborhoods with more African-American or poor residents were rated less favorably and avoided more frequently. Spatial analysis revealed distinct patterns in visiting and avoidance of certain store types. In this study, we present a methodology for linking scores from a modified Nutrition Environment Measures Survey in Stores (conducted at every store in our study site of Flint, Michigan) with perceptions of the acceptability of food stores and shopping locations drawn from seven focus groups (n = 53). To date, however, no studies have provided a method for linking a validated, objective measure of the food environment with qualitative data on how people access healthy food in their community. Within this research domain, papers have examined the spatial element of food access, or individual perceptions about the food environment.
Worldwide, interest in research on methods to define access to healthy food at the local level has grown, given its central connection to carrying out a healthy lifestyle.
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