Fruit and Vegetable Intake and Food Store Access: A Cross-Sectional Survey Study in Ypsilanti, Michigan

Given declines in supermarkets in Washtenaw County, Michigan (MI), we aim to characterize the relationship between food store access and fruit and vegetable intake in Ypsilanti, MI. A cross-sectional, convenience sample survey was conducted in March 2011 at the Ypsilanti District Library (n=83). Self-reported food store access, perceived food environment, and fruit and vegetable intake were assessed. Linear and logistic regressions were performed between store access, fruit and vegetable intake, and meeting dietary recommendations. Perception was evaluated for effect modification. Adjusting for demographics, each food store within one mile of participants’ homes increased odds of meeting recommended intake by 105% (OR 2.05, 95% CI: 1.02, 4.10). However, contrary to previous literature, each additional minute to the food store was associated with consumption of 0.37 (95% confidence interval [CI]: 0.10, 0.64) more servings of fruits and vegetables per day. Perception was not a statistically significant effect modifier, but data suggest differences for those with divergent perceptions. Food environment is associated with fruit and vegetable intake in Ypsilanti, MI. Inconsistent findings suggest that programs should focus on enhancing the food environment within the context of perceptions and preferences