ArticlePreventive medicine2018
Where do U.S. households purchase healthy foods? An analysis of food-at-home purchases across different types of retailers in a nationally representative dataset.
Article in Preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review on Socioeconomic Differences in the Association between the Food Environment and Dietary Behaviors.Nutrients · 2019Pooled it
- Children's diet quality: a mixed methods study on the role of domestic food environments in influencing food access during the COVID-19 lockdown in Chile.BMC public health · 2026Article
- Impact of Commercial Food Environments on Local Type 2 Diabetes Burden: Cross-Sectional and Ecological Multimodeling Study.JMIR public health and surveillance · 2025Article
- Consumption of Barley, Buckwheat and Quinoa in the United States: Associations with Diet and Metabolic Health.Nutrients · 2025Article
- Article
- "The Dollar Store Got It Going On": Understanding Food Shopping Patterns and Policy Preferences among Dollar Store Shoppers with Low Incomes.Current developments in nutrition · 2024Article
- Relationship Between Local Food Environment and Reliance on Food Pantries: Insights from a Statewide Client Survey in Minnesota.Journal of public health · 2024Article
- Evaluating the impact of marketing interventions on sugar-free and sugar-sweetened soft drink sales and sugar purchases in a fast-food restaurant setting.BMC public health · 2023Article
- Regional Variation in Hormonal and Metabolic Parameters of White and Black Women With PCOS in the United States.The Journal of clinical endocrinology and metabolism · 2023Article
- Article
- Neighborhood Socioeconomic Environment and Risk of Type 2 Diabetes: Associations and Mediation Through Food Environment Pathways in Three Independent Study Samples.Diabetes care · 2022Article
- Changes in the Retail Food Environment in Mexican Cities and Their Association with Blood Pressure Outcomes.International journal of environmental research and public health · 2022Article
- Food Acquisition Practices, Body Mass Index, and Dietary Outcomes by Level of Rurality.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Socio-economic and racial/ethnic disparities in the nutritional quality of packaged food purchases in the USA, 2008-2018.Public health nutrition · 2021Article
- Philadelphia's Excise Tax on Sugar-Sweetened and Artificially Sweetened Beverages and Supplemental Nutrition Assistance Program Benefit Redemption.American journal of public health · 2021Article
- Urban-regional patterns of food purchasing behaviour: a cross-sectional analysis of the 2015-2016 Australian Household Expenditure Survey.European journal of clinical nutrition · 2021Article
- Heterogeneities in Consumer Diet Quality and Health Outcomes of Consumers by Store Choice and Income.Nutrients · 2021Article
- The effect of time use and food cost on dietary quality.Public health nutrition · 2020Article
- Comparison of food and beverage products' availability, variety, price and quality in German and US supermarkets.Public health nutrition · 2020Article
- Longitudinal changes in the retail food environment in Mexico and their association with diabetes.Health & place · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Food shopping decisions are pathways between food environment, diet and health outcomes, including chronic diseases such as diabetes and obesity. The choices of where to shop and what to buy are interrelated, though a better understanding of this dynamic is needed. The U.S. Department of Agriculture's nationally representative Food Acquisitions and Purchase Survey food-at-home dataset was joined with other databases of retailer characteristics and Healthy Eating Index-2010 (HEI) of purchases. We used linear regression models with general estimating equations to assess relationships between trip, store, and shopper characteristics with trip HEI scores. We examined HEI component scores for conventional supermarkets and discount/limited assortment retailers with descriptive statistics. Overall, 4962 shoppers made 11,472 shopping trips over one-week periods, 2012-2013. Trips to conventional supermarkets were the most common (53.6%), followed by supercenters (18.6%). Compared to conventional supermarkets, purchases at natural/gourmet stores had significantly higher HEI scores (β = 6.48, 95% CI = [4.45, 8.51], while those from "other" retailers (including corner and convenience stores) were significantly lower (-3.89, [-5.87, -1.92]). Older participants (versus younger) and women (versus men) made significantly healthier purchases (1.19, [0.29, 2.10]). Shoppers with less than some college education made significantly less-healthy purchases, versus shoppers with more education, as did households participating in SNAP, versus those with incomes above 185% of the Federal Poverty Level. Individual, trip, and store characteristics influenced the healthfulness of foods purchased. Interventions to encourage healthy purchasing should reflect these dynamics in terms of how, where, and for whom they are implemented.
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