This study aims to identify the regions and people with low food access (LFA) for Korea at the national level and to examine disparities in food consumption, dietary behavior, and health outcome for those regions and people. Based on the distance to the nearest grocery store from residence, the regions and people with LFA are identified through geographical information system (GIS) analysis. To examine disparities between the regions and people with LFA and without LFA, a consumer survey is conducted and data from National Health and Nutrition Examination Survey and Community Health Survey are analyzed. This study found that there exists a serious access to food issue in Korea, especially for the aged. Moreover, there also exist significant disparities between the regions and people with and without LFA in the distance and one-way travel time to the grocery store that is mainly visited, frequency of offline/online grocery shopping, availability of various foods, dietary habits such as eating regularly, eating nutritionally balanced foods, and eating sufficient fruit/vegetable/whole grains, the acquisition and utilization of food-related information, and health outcomes. This study suggests that, to resolve such a serious food access problem, assistance policies, such as mobile grocery stores and lunch-box delivery, need to be activated in countries similar to Korea since this problem could potentially deteriorate the national medical finances as well as the regional and individual disparities.
Keywords: access to food; disparity; food consumption; food insecurity; health outcomes.