ArticleJournal of racial and ethnic health disparities2025
Neighborhood Retail Food Environment and 6-Year Changes in Cardiometabolic Health in Hispanics/Latinos: HCHS/SOL CASAS.
Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveLittle is known about neighborhood retail food environments and cardiometabolic health among Hispanic/Latino adults, who experience significant health inequities. This study aimed to examine associations of the neighborhood retail food environment with cardiometabolic health of Hispanic/Latino adults over a 6-year period.
methodsParticipants from the Hispanic Community Health Study/Study of Latinos San Diego Field Center (n = 3851) underwent assessments of cardiometabolic risk factors at baseline (2008-2011) and approximately 6 years later (2014-2017). Weight (body mass index [BMI] and overweight/obesity), hypertension (normotensive, prehypertensive, or hypertensive), and diabetes (normoglycemia, prediabetes, or diabetes) status were considered cardiometabolic risk factors. Participants' home addresses at baseline and 6 years later were geocoded. The neighborhood retail environment was quantified using the Modified Retail Food Environment Index (mRFEI) within 800-m circular buffers around these two addresses. Complex survey regression analyses quantified associations between both baseline and changes in neighborhood retail food environment and cardiometabolic health of Hispanic/Latino adults over 6 years.
resultsA one standard deviation higher baseline standardized mRFEI score was associated with approximately 14.3% lower odds of transitioning from a healthy weight to overweight or from overweight to obesity (OR = 0.857, 95%CI [0.738, 0.994], p < 0.05) at year 6. No significant associations were found between the mRFEI and hypertension, diabetes status, or BMI.
conclusionsA healthier retail food environment may be associated with healthier weight profiles among Hispanic/Latino adults over time, suggesting that improving healthy neighborhood food outlet availability may contribute to combating obesity among the Hispanic/Latino population.
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