TY - JOUR AU - Michimi, Akihiko AU - Wimberly, Michael C. PY - 2010 DA - 2010/10/08 TI - Associations of supermarket accessibility with obesity and fruit and vegetable consumption in the conterminous United States JO - International Journal of Health Geographics SP - 49 VL - 9 IS - 1 AB - Limited access to supermarkets may reduce consumption of healthy foods, resulting in poor nutrition and increased prevalence of obesity. Most studies have focused on accessibility of supermarkets in specific urban settings or localized rural communities. Less is known, however, about how supermarket accessibility is associated with obesity and healthy diet at the national level and how these associations differ in urban versus rural settings. We analyzed data on obesity and fruit and vegetable (F/V) consumption from the Behavioral Risk Factor Surveillance System for 2000-2006 at the county level. We used 2006 Census Zip Code Business Patterns data to compute population-weighted mean distance to supermarket at the county level for different sizes of supermarket. Multilevel logistic regression models were developed to test whether population-weighted mean distance to supermarket was associated with both obesity and F/V consumption and to determine whether these relationships varied for urban (metropolitan) versus rural (nonmetropolitan) areas. SN - 1476-072X UR - https://doi.org/10.1186/1476-072X-9-49 DO - 10.1186/1476-072X-9-49 ID - Michimi2010 ER -