Healthy versus Unhealthy Suppliers in Food Desert Neighborhoods: A Network Analysis of Corner Stores' Food Supplier Networks

Int J Environ Res Public Health. 2015 Nov 30;12(12):15058-74. doi: 10.3390/ijerph121214965.

Abstract

Background: Products in corner stores may be affected by the network of suppliers from which storeowners procure food and beverages. To date, this supplier network has not been well characterized.

Methods: Using network analysis, we examined the connections between corner stores (n = 24) in food deserts of Baltimore City (MD, USA) and their food/beverage suppliers (n = 42), to determine how different store and supplier characteristics correlated.

Results: Food and beverage suppliers fell into two categories: Those providing primarily healthy foods/beverages (n = 15) in the healthy supplier network (HSN) and those providing primarily unhealthy food/beverages (n = 41) in the unhealthy supplier network (UHSN). Corner store connections to suppliers in the UHSN were nearly two times greater (t = 5.23, p < 0.001), and key suppliers in the UHSN core were more diverse, compared to the HSN. The UHSN was significantly more cohesive and densely connected, with corner stores sharing a greater number of the same unhealthy suppliers, compared to HSN, which was less cohesive and sparsely connected (t = 5.82; p < 0.001). Compared to African Americans, Asian and Hispanic corner storeowners had on average -1.53 (p < 0.001) fewer connections to suppliers in the HSN (p < 0.001).

Conclusions: Our findings indicate clear differences between corner stores' HSN and UHSN. Addressing ethnic/cultural differences of storeowners may also be important to consider.

Keywords: corner store; food deserts; food environment; food supply; healthy food availability; network analysis; obesity; urban health.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Baltimore
  • Commerce / standards*
  • Commerce / statistics & numerical data
  • Female
  • Food Supply / standards*
  • Food Supply / statistics & numerical data
  • Food, Organic / standards*
  • Health Promotion / methods*
  • Health Promotion / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Models, Theoretical
  • Nutrition Policy*
  • Poverty / statistics & numerical data
  • Urban Population / statistics & numerical data