ArticleJournal of the Academy of Nutrition and Dietetics2019
Socioecological Path Analytic Model of Diet Quality among Residents in Two Urban Food Deserts.
Article in Journal of the Academy of Nutrition and Dietetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measures of Perceived Neighborhood Food Environments and Dietary Habits: A Systematic Review of Methods and Associations.Nutrients · 2022Pooled it
- A 2-Group Path Analysis of a Food Environment Conceptual Model by Food Security Status: Home Food Environment Variables Were Associated With Healthy Eating Index 2015 Component Scores for Total Vegetables Among Those With Food Security.Journal of the Academy of Nutrition and Dietetics · 2026Article
- The Social, Behavioral, and Psychological Predictors of Young Women's Food Choices: A Scoping Review.Nutrients · 2025Article
- Neighborhood Racial Segregation Predict the Spatial Distribution of Supermarkets and Grocery Stores Better than Socioeconomic Factors in Cleveland, Ohio: a Bayesian Spatial Approach.Journal of racial and ethnic health disparities · 2024Article
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- Article
- Food security moderates relationship between perceived food environment and diet quality among adults in communities with low access to healthy food retail.Public health nutrition · 2021Article
- Heterogeneities in Consumer Diet Quality and Health Outcomes of Consumers by Store Choice and Income.Nutrients · 2021Article
- Contributions of Food Environments to Dietary Quality and Cardiovascular Disease Risk.Current atherosclerosis reports · 2021Review
- Relationship Between Grocery Shopping Frequency and Home- and Individual-Level Diet Quality Among Low-Income Racial or Ethnic Minority Households With Preschool-Aged Children.Journal of the Academy of Nutrition and Dietetics · 2020Article
- Development of a national childhood obesogenic environment index in the United States: differences by region and rurality.The international journal of behavioral nutrition and physical activity · 2020Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundDiet is critical to chronic disease prevention, yet there are persistent disparities in diet quality among Americans. The socioecological model suggests multiple factors, operating at multiple levels, influence diet quality.
objectiveThe goal was to model direct and indirect relationships among healthy eating identity, perceived control of healthy eating, social support for healthy eating, food retail choice block scores, perceptions of healthy food availability, and food shopping behaviors and diet quality measured using Healthy Eating Index-2010 scores (HEI-2010) for residents living in two urban communities defined as food deserts.
designA cross-sectional design was used including data collected via self-reported surveys, 24-dietary recalls, and through objective observations of food retail environments. PARTICIPANTS/
settingData collection occurred in 2015-2016 in two low-income communities in Cleveland (n=243) and Columbus (n=244), OH.
main outcome measureHEI-2010 scores were calculated based on the average of three 24-hour dietary recalls using the Nutrition Data System for Research. ANALYSIS: Separate path models, controlled for income, were run for each community. Analysis was guided by a conceptual model with 15 hypothesized direct and indirect effects on HEI-2010 scores. Associations were considered statistically significant at P<0.05 and P<0.10 because of modest sample sizes in each community.
resultsAcross both models, significant direct effects on HEI-2010 scores included healthy eating identity (β=.295, Cleveland; β=.297, Columbus, P<0.05) and distance traveled to primary food store (β=.111, Cleveland, P<0.10; β=.175, Columbus, P<0.05). Perceptions of healthy food availability had a significant, inverse effect in the Columbus model (β=-.125, P<0.05). The models explained greater variance in HEI-2010 scores for the Columbus community compared with Cleveland (R
conclusionsFindings highlight the need for tailored dietary intervention approaches even within demographically comparable communities. Interventions aimed at improving diet quality among residents living in food deserts may need to focus on enhancing healthy eating identity using culturally relevant approaches while at the same time addressing the need for transportation supports to access healthy food retailers located farther away.
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