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September 2004, Vol 94, No. 9 | American Journal of Public Health 1549-1554
© 2004 American Public Health Association


RESEARCH AND PRACTICE

Barriers to Buying Healthy Foods for People With Diabetes: Evidence of Environmental Disparities

Carol R. Horowitz, MD, MPH, Kathryn A. Colson, MPH, Paul L. Hebert, PhD and Kristie Lancaster, PhD

Carol R. Horowitz and Paul L. Hebert are with the Department of Health Policy, Mount Sinai School of Medicine, New York, NY. Carol R. Horowitz is also with, and Kathryn A. Colson, and Kristie Lancaster are with the East Harlem Diabetes Center of Excellence, New York. Carol R. Horowitz is also with the Department of Medicine, Mount Sinai School of Medicine. Kathryn A. Colson is also with the Center for Organizational and Leadership Effectiveness, New York Presbyterian Hospital, New York. Kristie Lancaster is also with the Division of Nutrition, New York University School of Medicine, New York.

Correspondence: Requests for reprints should be sent to Carol Horowitz, MD, MPH, Mt Sinai School of Medicine, 1425 Madison Ave, New York City, NY 10029 (e-mail: carol.horowitz{at}mountsinai.org).

Objectives. A community coalition compared the availability and cost of diabetes-healthy foods in a racial/ethnic minority neighborhood in East Harlem, with those in the adjacent, largely White and affluent Upper East Side in New York City.

Methods. We documented which of 173 East Harlem and 152 Upper East Side grocery stores stocked 5 recommended foods.

Results. Overall, 18% of East Harlem stores stocked recommended foods, compared with 58% of stores in the Upper East Side (P < .0001). Only 9% of East Harlem bodegas (neighborhood stores) carried all items (vs 48% of Upper East Side bodegas), though East Harlem had more bodegas. East Harlem residents were more likely than Upper East Side residents (50% vs 24%) to have stores on their block that did not stock recommended foods and less likely (26% vs 30%) to have stores on their block that stocked recommended foods.

Conclusions. A greater effort needs to be made to make available stores that carry diabetes-healthy foods.




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