Abstract

The goal was to examine the relationship between the food environment and selected socioeconomic variables and ethnic/racial makeup in the eight largest urban settings in Texas so as to gain a better understanding of the relationships among Hispanic composition, poverty, and urban foodscapes, comparing border to non-border urban environments. Census-tract level data on (a) socioeconomic factors, like percentage below the poverty line and number of households on foodstamps, and (b) ethnic variables, like percent of Mexican origin and percent foreign born, were obtained from the U.S. Census. Data at the census-tract level on the total number of healthy (e.g., supermarkets) and less-healthy (e.g., fast food outlets) food retailers were acquired from the CDC's modified retail food environment index (mRFEI). Variation among urban settings in terms of the relationship between mRFEI scores and socioeconomic and ethnic context was tested using a mixed-effect model, and linear regression was used to identify significant factors for each urban location. A jackknife variance estimate was used to account for clustering and autocorrelation of adjacent census tracts. Average census-tract mRFEI scores exhibited comparatively small variation across Texas urban settings, while socioeconomic and ethnic factors varied significantly. The only covariates significantly associated with mRFEI score were percent foreign born and percent Mexican origin. Compared to the highest-population county (Harris, which incorporates most of Houston), the only counties that had significantly different mRFEI scores were Bexar, which is analogous to San Antonio (2.12 lower), El Paso (2.79 higher), and Neuces, which encompasses Corpus Christi (2.90 less). Significant interaction effects between mRFEI and percent foreign born (El Paso, Tarrant - Fort Worth, Travis - Austin), percent Mexican origin (Hidalgo - McAllen, El Paso, Tarrant, Travis), and percent living below the poverty line (El Paso) were observed for some urban settings. Percent foreign born and percent Mexican origin tended to be positively associated with mRFEI in some locations (Hidalgo, El Paso) and negatively associated in others (Tarrant, Travis). Findings are consistent with other studies that suggest the effects of Hispanic concentration on the foodscape may be positive (beneficially healthy) in border urban settings and negative in non-border. The evidence implies that the effects of Hispanic ethnic composition on the food environment are location-dependent, reflecting the unique attributes (e.g., culture, infrastructure, social networks) of specific urban settings.

Highlights

  • Disparities in access to healthy food and related adverse health outcomes, such as obesity, diabetes, and cardiovascular disease, are the subject of ongoing research and public policy debates in the United States [1,2,3,4,5,6,7]

  • Significant interaction effects between modified retail food environment index (mRFEI) and percent foreign born (El Paso, Tarrant – Fort Worth, Travis – Austin), percent Mexican origin (Hidalgo – McAllen, El Paso, Tarrant, Travis), and percent living below the poverty line (El Paso) were observed for some urban settings

  • Access to healthy food options is said to differentially place certain race/ethnic groups and socioeconomic strata at higher-than-average risk for obesity and related adverse health outcomes [1, 3, 10, 15, 18, 19, 24,25,26]. This is exemplified in the Texas–Mexico border region, where there is a high concentration of poverty and persons of Mexican origin, coupled with a higher–than-average prevalence of obesity [30], which places Mexican American residents in the region at increased risk for diabetes and uncontrolled hypertension [20,21,22,23,24,25,26,27]

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Summary

Introduction

Disparities in access to healthy food and related adverse health outcomes, such as obesity, diabetes, and cardiovascular disease, are the subject of ongoing research and public policy debates in the United States [1,2,3,4,5,6,7]. Lower-income, primarily minority communities, on the other hand, are more likely to have little or no access to supermarkets, which obliges them to rely mainly on convenience stores and fast food restaurants that sell a more restricted range of healthy food items [1, 3, 10, 14, 15, 18, 19] This reality has spawned research aimed at identifying and analyzing impacts from “food deserts” in impoverished, racially, and ethnically minority communities [1, 3, 4, 19]. One area of particular concern is the southern region of Texas along the U.S.–Mexico Border, where high prevalence of obesity and related health disorders has been documented in a population that is predominately poor, Hispanic, environmentally challenged, and lacking knowledge of and access to healthy food options [20,21,22,23,24,25,26,27]

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