Urban poor need to hunt for healthy food

MICHIGAN STATE (US) — Residents in declining urban neighborhoods want healthy food choices but often have to travel long distances to find them.

Most of America’s urban cores were designed for walking but offer little in the way of supermarkets, healthy restaurants, and other amenities to walk to. As a result, the poor are often more overweight than suburban residents, new research shows.

Published in the Journal of Urban Design, the new study contradicts previous research that generally assumed poor people will shop at whatever grocery store is closest.

“This research reveals that the lack of access to basic amenities in declining inner-city neighborhoods—what we call the ‘burdens of place’—is an important variable in shaping travel and diet,” says lead author Igor Vojnovic, associate professor of geography at Michigan State University.

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Vojnovic and colleagues studied the Lansing, Mich., area by surveying urban and suburban residents, collecting socioeconomic data, and using digital mapping to plot average distances to stores, restaurants, doctors’ offices, banks, skating rinks, and other amenities.

Poor urban residents were significantly overweight, with an average body mass index of 28.73, while wealthy suburbanites were only slightly overweight, with an average BMI of 25.05. (For adults, a BMI of 25 is considered overweight and 30 is obese.)

Other findings included:

  • Fast food restaurants were more plentiful in poor neighborhoods. In addition, residents there reported that 55 percent of all dining-out experiences were at fast food eateries, compared with only 13 percent for those in the suburbs.
  • Poor urban residents had to go nearly twice as far as suburbanites to shop at supermarkets.
  • The urban poor made about five trips per month to convenience stores (which aren’t known for stocking healthy foods) compared with only one trip per month for suburbanites.

“Even though the inner cities were designed to improve access, homeowners in the wealthier suburbs were actually closer to the stores and restaurants that offer healthier foods,” Vojnovic says. “In other words, opportunities depend on where you live.”

During the past 30 years, urban planners and business investors have largely ignored poor communities, instead focusing policy, research, and investment efforts on wealthier neighborhoods, Vojnovic says. As a result, little is known about resident behaviors in declining communities, even as the number of poor people increases in the US.

The current study shows that the fundamental principles in city planning and design that have been developed around wealthy communities do not necessarily hold in poor neighborhoods.

Meanwhile, some have advocated an “obesity tax” on unhealthy foods to help pay for the health-care system overhaul or as a policy to curtail obesity. But Vojnovic says such a tax would disproportionately burden the urban poor and noted that this population has little power to influence the location decisions of healthy food suppliers.

A better option might be for states to give subsidies to major supermarket chains, restaurants serving healthy food, and other needed establishments that locate in poor neighborhoods.

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