Bertrand Lise, Thérien François, Cloutier Marie-Soleil
Direction de santé publique, Agence de santé et de services sociaux de Montréal, Montréal, QC.
Can J Public Health. 2008 Jan-Feb;99(1):6-11. doi: 10.1007/BF03403732.
This study was conducted to evaluate disparities in access to healthy food in Montreal, focusing on the availability of fresh fruits and vegetables (F/V) as an indicator.
F/V selling area was measured in all food retail stores and public markets offering more than 75 square feet of fresh fruits and vegetables. An accessibility index was elaborated, taking into account motorization rates and the total surface of these fresh foods for sale within an easily accessible zone. The extent of that zone was determined differently for motorized (3 km) and non-motorized (500 m) consumers. Measures were calculated and georeferenced at the level of "Dissemination Areas" according to the 2001 Census.
In general, access to healthy foods is quite good for consumers who shop by car. But 40% of the population have poor access to fruits and vegetables within a walkable distance from home. No relationship is observed between median income in dissemination areas and food supply.
Improved access to healthy food by non-motorized consumers is needed in many areas of Montreal. Implications of differential access to fresh fruits and vegetables for health and environmental sustainability are discussed.
本研究旨在评估蒙特利尔市在获取健康食品方面的差异,重点关注新鲜水果和蔬菜(F/V)的可获得性,并将其作为一项指标。
对所有销售面积超过75平方英尺新鲜水果和蔬菜的食品零售店及公共市场的F/V销售区域进行测量。制定了一个可达性指数,该指数考虑了机动化率以及在一个易于到达区域内这些待售新鲜食品的总面积。对于机动化消费者(3公里)和非机动化消费者(500米),该区域的范围确定方式不同。根据2001年人口普查,在“传播区域”层面计算并地理定位了各项指标。
总体而言,对于开车购物的消费者来说,获取健康食品的情况相当不错。但40%的人口在离家步行可达的范围内获取水果和蔬菜的情况较差。在传播区域的收入中位数与食品供应之间未观察到相关性。
蒙特利尔市的许多地区需要改善非机动化消费者获取健康食品的状况。讨论了获取新鲜水果和蔬菜的差异对健康和环境可持续性的影响。