Changes in Neighborhood Foodscapes From 2003 to 2023 by Area Rurality in the United States.
Objectives. To evaluate the change in the US foodscape from 2003 to 2023 overall and by area rurality, considering various modes of transportation. Methods. We conducted this study using longitudinal data on all licensed food retailers, geocoded to census-tract level, and examined changes in the foo...
| Publicado en: | American Journal of Public Health Vol. 116; no. 7; pp. 1004 - 1015 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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American Public Health Association
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=194643732&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194643732 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jul2026 vid: 116 iid: 7 pid: 44 pub: American Public Health Association artinfo: ui: 194643732 10.2105/AJPH.2026.308495 ppf: 1004 ppct: 11 formats: tig: atl: Changes in Neighborhood Foodscapes From 2003 to 2023 by Area Rurality in the United States. aug: au: Wiese, Daniel Shams-White, Marissa M. Zheng, Zhiyuan Henry, Kevin A. McCullough, Marjorie L. Islami, Farhad affil: Department of Surveillance, Prevention, & Health Services Research, American Cancer Society, Atlanta, GA. Population Science Department, American Cancer Society, Atlanta, GA. Department of Geography, Temple University, Philadelphia, PA. su: United States Census Food deserts Food security Socioeconomic factors Transportation Rural conditions Poverty Nature Secondary analysis Food service Descriptive statistics Sales personnel Geographic information systems Data analysis software Neighborhood characteristics sug: subj: Census Food deserts Food security Socioeconomic factors Transportation Rural conditions Poverty United States Mobile Food Services Other support activities for transportation All Other Support Activities for Transportation Nature Secondary analysis Food service Descriptive statistics Sales personnel Geographic information systems Data analysis software Neighborhood characteristics ab: Objectives. To evaluate the change in the US foodscape from 2003 to 2023 overall and by area rurality, considering various modes of transportation. Methods. We conducted this study using longitudinal data on all licensed food retailers, geocoded to census-tract level, and examined changes in the foodscape by estimating the percentages of tracts defined as food deserts (no grocery stores) and food swamps (mostly restaurants or fast-food locations). Results. We found a considerable increase in the percentage of food swamps and no substantial progress in reducing food deserts. For example, using distance-based foodscape measure (one half of a mile from tract borders), between 2003 and 2023, the percentage of tracts categorized as food swamps increased from 80.2% to 88.5%, while the percentage of food deserts decreased minimally from 6.1% to 5.5%. Across all years, the percentage of food deserts was substantially higher in rural areas, and when people used public transit as a mode of transportation. Conclusions. The findings underscore the need for improving accessibility to healthy foods across the United States, particularly in rural areas. Public Health Implications. Expanding public–private partnerships to establish healthy food retailers in food deserts may improve the foodscape quality. (Am J Public Health. 2026;116(7):1004–1014. https://doi.org/10.2105/AJPH.2026.308495) pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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