Julia Díez, Usama Bilal, Alba Cebrecos, Amanda Buczynski, Robert Lawrence, Thomas Glass, Joel Gittelsohn, Francisco Escobar and Manuel Franco Comparing local availability and accessibility to healthy foods across countries: A case study in Madrid (Spain) and Baltimore (US)
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Comparing local availability and accessibility to healthy foods across countries: A case study in Madrid (Spain) and Baltimore (US)
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Julia Díez, Usama Bilal, Alba Cebrecos, Amanda Buczynski,
Robert Lawrence, Thomas Glass, Joel Gittelsohn, Francisco
Escobar and Manuel Franco
Comparing local availability and
accessibility to healthy foods
across countries: A case study in
Madrid (Spain) and Baltimore (US)
http://hhhproject.eu
Background
o Diet is a cardiovascular risk factor influenced
by the local food environment
o Local food environments are a good example
of a mass influence on population diets
o Inconsistencies around social gradients in
contextual healthy food availability exist
between US and Europe-based studies
http://hhhproject.eu
Conceptual framework
Franco M., Bilal. U.,
Diez J (2016). Food
Environment. The
Encyclopedia of Food
and Health. B.
Caballero, Finglas, P.,
and Toldrá, F. . Oxford:
Academic Press,
Oxford: Academic
Press. 3: 22-26.
http://hhhproject.eu
Aim
To understand cross-national differences in the
local food environment between Madrid and
Baltimore by comparing an average neighborhood
in each city in terms of food store types,
availability, and accessibility to healthy foods.
http://hhhproject.eu
Methods
Study context
We selected one neighborhood (~15000 pop.) in
each city selecting median areas in terms of:
• Educational level
• Aging
• Segregation
• Urban form
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Methods
Variables
• Availability
• Field observations using NEMS-s audit tool
• “Healthy Food Availability Index” (0-28.5)
• “Fruit&Vegetables Availability index” (0-10)
• Accessibility
• Pedestrian network analysis
• Walking distance of 200m, 400m, 800m
http://hhhproject.eu
ResultsMap of the different food stores within the study areas