Tach Laura, Amorim Mariana
Cornell University, Ithaca, NY, USA.
J Urban Health. 2015 Oct;92(5):815-34. doi: 10.1007/s11524-015-9984-x.
Residents of poor and minority neighborhoods have less access to healthy, affordable food than their counterparts in more advantaged neighborhoods, and these disparities translate into population-level health disparities by race and socioeconomic status. Current research debates the extent of these disparities and how they translate into unequal health outcomes, but it has paid less attention to the micro-level decision-making processes and strategies residents employ to access food in the context of constrained personal and neighborhood resources. We examined this gap in the literature using data from in-depth qualitative interviews with 66 poor residents of three urban neighborhoods with varying nutritional environments. We found that economic and geographic constraints strongly influenced where and how residents shopped, but within those constraints, residents developed a number of adaptive strategies to maximize the quality and variety of their groceries. We also found that higher-quality stores and purchases were important to residents not only for their material benefits-such as health and cost-but also for their symbolic value. The presence of many stores, close stores, and high-quality stores offered opportunities for symbolic consumption and boosted neighborhood reputations but also created settings for social exclusion. These results illuminate how inequalities in nutritional environments shape residents' lived experiences and highlight residents' agency and resourcefulness in responding to such constraints.
贫困社区和少数族裔社区的居民比条件更优越社区的居民更难获得健康且价格合理的食物,这些差异导致了基于种族和社会经济地位的人群健康差异。当前的研究对这些差异的程度以及它们如何转化为不平等的健康结果存在争议,但较少关注居民在个人和社区资源有限的情况下获取食物时所采用的微观决策过程和策略。我们利用对三个营养环境各异的城市社区的66名贫困居民进行深入定性访谈的数据,研究了文献中的这一空白。我们发现,经济和地理限制强烈影响居民购物的地点和方式,但在这些限制范围内,居民制定了一些适应性策略,以最大限度地提高食品杂货的质量和种类。我们还发现,质量较高的商店和购买行为对居民很重要,这不仅是因为它们的物质利益,如健康和成本,还因为它们的象征价值。众多商店、附近的商店和高质量的商店的存在,为象征消费提供了机会,提升了社区声誉,但也造成了社会排斥的环境。这些结果阐明了营养环境的不平等如何塑造居民的生活经历,并突出了居民在应对此类限制时的能动性和机智。