ArticlePublic health nutrition2025
Measuring access to culturally appropriate food and associations with diabetes among Asian Americans and Native Hawaiians or Pacific Islanders.
Article in Public health nutrition, 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
objectiveThe Food Access Research Atlas (FARA) is a common measure of food access developed by the US Department of Agriculture. However, its sole focus on supermarkets lacks specificity for culturally appropriate food. This ecological study assesses the relationship of FARA and our novel Yelp-based Ethnic Store Measure with diabetes rates among Asian Americans and Native Hawaiians or Pacific Islanders (AAPI).
designThis study leveraged crowd-sourced Yelp data to develop six culturally appropriate food access variables and compare them with FARA at the census tract (CT) level. Estimates of CT AAPI diabetes rates were calculated from hospital and emergency department discharge data. Spatial trends were examined visually and with Moran's
settingSan Diego, California, USA. SUBJECTS: All 626 CT in San Diego, CA.
resultsMost food access variables showed strong spatial autocorrelation. The FARA measure - percent of AAPI population beyond 0·5 miles of a supermarket - was positively associated with AAPI diabetes in OLS (1·88; 95 % CI 0·76, 3·0;
conclusionArea-level, culturally sensitive measures of food access offer valuable insights into the role of culturally appropriate food access on cardiometabolic health among racial and ethnic minorities.
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