ArticleHealth services research2019
Adults with diabetes residing in "food swamps" have higher hospitalization rates.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Spatiotemporal trends in food deserts, food swamps and food environments around schools in Wallonia, Belgium (2008-2024).Archives of public health = Archives belges de sante publique · 2026Article
- The Relationship Between Food Environments and Health Outcomes: A Case Study in Lansing, Michigan.International journal of environmental research and public health · 2025Article
- Personal vehicle use and food security among US adults who are primary shoppers for households with children.Discover food · 2023Article
- The Changing Landscape of Food Deserts and Swamps over More than a Decade in Flanders, Belgium.International journal of environmental research and public health · 2022Article
- Accountable Care Organizations and Health Disparities of Rural Latinos: A Longitudinal Analysis.Population health management · 2022Article
- Racial disparities in triple negative breast cancer: toward a causal architecture approach.Breast cancer research : BCR · 2022Article
- Article
- A Population Health Assessment in a Community Cancer Center Catchment Area: Triple-Negative Breast Cancer, Alcohol Use, and Obesity in New Castle County, Delaware.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- Social inequalities in the surrounding areas of food deserts and food swamps in a Brazilian metropolis.International journal for equity in health · 2021Article
- Timing of Home Health Care Initiation and 30-Day Rehospitalizations among Medicare Beneficiaries with Diabetes by Race and Ethnicity.International journal of environmental research and public health · 2021Article
- Network Engagement in Action: Stakeholder Engagement Activities to Enhance Patient-centeredness of Research.Medical care · 2020Article
- Uncovering the relationship between food-related discussion on Twitter and neighborhood characteristics.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Adults with diabetes residing in "food swamps" have higher hospitalization rates.Health services research · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectiveTo examine the relationship between food swamps and hospitalization rates among adults with diabetes. DATA SOURCES: Blue Cross Blue Shield Association Community Health Management Hub STUDY
designCross-sectional analysis of 784 counties across 15 states. Food swamps were measured using a ratio of fast food outlets to grocers. Multivariate linear regression estimated the association of food swamp severity and hospitalization rates. Population-weighted models were controlled for comorbidities; Medicaid; emergency room utilization; percentage of population that is female, Black, Hispanic, and over age 65; and state fixed effects. Analyses were stratified by rural-urban category. PRINCIPAL
findingsAdults with diabetes residing in more severe food swamps had higher hospitalization rates. In adjusted analyses, a one unit higher food swamp score was significantly associated with 49.79 (95 percent confidence interval (CI) = 19.28, 80.29) additional all-cause hospitalizations and 19.12 (95 percent CI = 11.09, 27.15) additional ambulatory care-sensitive hospitalizations per 1000 adults with diabetes. The food swamp/all-cause hospitalization rate relationship was stronger in rural counties than urban counties.
conclusionsFood swamps are significantly associated with higher hospitalization rates among adults with diabetes. Improving the local food environment may help reduce this disparity.
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