Disparities in obesity prevalence due to variation in the retail food environment: Three testable hypotheses

Paula B. Ford, David A. Dzewaltowski

Research output: Contribution to journalReview articlepeer-review

155 Scopus citations


Although the overall population in the United States has experienced a dramatic increase in obesity in the past 25 years, ethnic/racial minorities, and socioeconomically disadvantaged populations have a greater prevalence of obesity, as compared to white, and/or economically advantaged populations. Disparities in obesity are unlikely to be predominantly due to individual psychosocial or biological differences, and they may reflect differences in the built or social environment. The retail food environment is a critical aspect of the built environment that can contribute to observed disparities. This paper reviews the literature on retail food environments in the United States and proposes interrelated hypotheses that geographic, racial, ethnic, and socioeconomic disparities in obesity within the United States are the result of disparities in the retail food environment. The findings of this literature review suggest that poor-quality retail food environments in disadvantaged areas, in conjunction with limited individual economic resources, contribute to increased risk of obesity within racial and ethnic minorities and socioeconomically disadvantaged populations.

Original languageEnglish (US)
Pages (from-to)216-228
Number of pages13
JournalNutrition Reviews
Issue number4
StatePublished - Apr 2008
Externally publishedYes


  • Disparities
  • Food access
  • Food environment
  • Neighborhood effects
  • Obesity

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics


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