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糖尿病患者购买健康食品的障碍:环境差异的证据。

Barriers to buying healthy foods for people with diabetes: evidence of environmental disparities.

作者信息

Horowitz Carol R, Colson Kathryn A, Hebert Paul L, Lancaster Kristie

机构信息

Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA.

出版信息

Am J Public Health. 2004 Sep;94(9):1549-54. doi: 10.2105/ajph.94.9.1549.

Abstract

OBJECTIVES

A community coalition compared the availability and cost of diabetes-healthy foods in a racial/ethnic minority neighborhood in East Harlem, with those in the adjacent, largely White and affluent Upper East Side in New York City.

METHODS

We documented which of 173 East Harlem and 152 Upper East Side grocery stores stocked 5 recommended foods.

RESULTS

Overall, 18% of East Harlem stores stocked recommended foods, compared with 58% of stores in the Upper East Side (P <.0001). Only 9% of East Harlem bodegas (neighborhood stores) carried all items (vs 48% of Upper East Side bodegas), though East Harlem had more bodegas. East Harlem residents were more likely than Upper East Side residents (50% vs 24%) to have stores on their block that did not stock recommended foods and less likely (26% vs 30%) to have stores on their block that stocked recommended foods.

CONCLUSIONS

A greater effort needs to be made to make available stores that carry diabetes-healthy foods.

摘要

目的

一个社区联盟比较了纽约市东哈莱姆区一个种族/族裔少数群体社区中糖尿病健康食品的可获得性和成本,与相邻的、主要为白人且富裕的上东区的情况。

方法

我们记录了东哈莱姆区的173家杂货店和上东区的152家杂货店中,哪些储备了5种推荐食品。

结果

总体而言,东哈莱姆区18%的商店储备了推荐食品,而上东区这一比例为58%(P<.0001)。东哈莱姆区只有9%的杂货店(社区商店)备齐了所有商品(上东区为48%),尽管东哈莱姆区的杂货店更多。与上东区居民相比,东哈莱姆区居民所在街区没有储备推荐食品的商店的可能性更大(50%对24%),而所在街区有储备推荐食品的商店的可能性更小(26%对30%)。

结论

需要做出更大努力,以使销售糖尿病健康食品的商店更加普及。

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