Dietary inequalities: what is the evidence for the effect of the neighbourhood food environment?

Health Place. 2014 May;27:229-42. doi: 10.1016/j.healthplace.2013.09.015. Epub 2013 Oct 17.


This review summarises the evidence for inequalities in community and consumer nutrition environments from ten previous review articles, and also assesses the evidence for the effect of the community and consumer nutrition environments on dietary intake. There is evidence for inequalities in food access in the US but trends are less apparent in other developed countries. There is a trend for greater access and availability to healthy and less healthy foods relating to better and poorer dietary outcomes respectively. Trends for price show that higher prices of healthy foods are associated with better dietary outcomes. More nuanced measures of the food environment, including multidimensional and individualised approaches, would enhance the state of the evidence and help inform future interventions.

Keywords: Dietary inequalities; Food environment; Review.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Diet*
  • Food Supply*
  • Health Status Disparities*
  • Humans
  • Nutritional Status
  • Residence Characteristics*
  • United States