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Objective <p>Little is known about neighborhood retail food environments and cardiometabolic health among Hispanic/Latino adults, who experience significant health inequities. This study aimed to examine associations of the neighborhood retail food environment with cardiometabolic health of Hispanic/Latino adults over a 6-year period.</p> Methods <p>Participants from the Hispanic Community Health Study/Study of Latinos San Diego Field Center (<i>n</i> = 3851) underwent assessments of cardiometabolic risk factors at baseline (2008–2011) and approximately 6&#xa0;years later (2014–2017). Weight (body mass index [BMI] and overweight/obesity), hypertension (normotensive, prehypertensive, or hypertensive), and diabetes (normoglycemia, prediabetes, or diabetes) status were considered cardiometabolic risk factors. Participants’ home addresses at baseline and 6&#xa0;years later were geocoded. The neighborhood retail environment was quantified using the Modified Retail Food Environment Index (mRFEI) within 800-m circular buffers around these two addresses. Complex survey regression analyses quantified associations between both baseline and changes in neighborhood retail food environment and cardiometabolic health of Hispanic/Latino adults over 6 years.</p> Results <p>A one standard deviation higher baseline standardized mRFEI score was associated with approximately 14.3% lower odds of transitioning from a healthy weight to overweight or from overweight to obesity (OR = 0.857, 95%CI [0.738, 0.994], <i>p</i> &lt; 0.05) at year 6. No significant associations were found between the mRFEI and hypertension, diabetes status, or BMI.</p> Conclusions <p>A healthier retail food environment may be associated with healthier weight profiles among Hispanic/Latino adults over time, suggesting that improving healthy neighborhood food outlet availability may contribute to combating obesity among the Hispanic/Latino population.</p>

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Neighborhood Retail Food Environment and 6-Year Changes in Cardiometabolic Health in Hispanics/Latinos: HCHS/SOL CASAS

  • 期刊论文

  • 发表日期：

    2025年9月16日

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  • Qianxia Jiang,
  • Linda C. Gallo,
  • Scott Roesch,
  • James F. Sallis,
  • Marta M. Jankowska,
  • Bethany Forseth,
  • Amanda C. McClain,
  • Daniela Sotres-Alvarez,
  • Monica Batalha,
  • Haibo Zhou,
  • Amber Pirzada,
  • Christina Cordero,
  • Martha Daviglus,
  • Jordan A. Carlson

摘要

Objective

Little is known about neighborhood retail food environments and cardiometabolic health among Hispanic/Latino adults, who experience significant health inequities. This study aimed to examine associations of the neighborhood retail food environment with cardiometabolic health of Hispanic/Latino adults over a 6-year period.

Methods

Participants from the Hispanic Community Health Study/Study of Latinos San Diego Field Center (n = 3851) underwent assessments of cardiometabolic risk factors at baseline (2008–2011) and approximately 6 years later (2014–2017). Weight (body mass index [BMI] and overweight/obesity), hypertension (normotensive, prehypertensive, or hypertensive), and diabetes (normoglycemia, prediabetes, or diabetes) status were considered cardiometabolic risk factors. Participants’ home addresses at baseline and 6 years later were geocoded. The neighborhood retail environment was quantified using the Modified Retail Food Environment Index (mRFEI) within 800-m circular buffers around these two addresses. Complex survey regression analyses quantified associations between both baseline and changes in neighborhood retail food environment and cardiometabolic health of Hispanic/Latino adults over 6 years.

Results

A one standard deviation higher baseline standardized mRFEI score was associated with approximately 14.3% lower odds of transitioning from a healthy weight to overweight or from overweight to obesity (OR = 0.857, 95%CI [0.738, 0.994], p < 0.05) at year 6. No significant associations were found between the mRFEI and hypertension, diabetes status, or BMI.

Conclusions

A healthier retail food environment may be associated with healthier weight profiles among Hispanic/Latino adults over time, suggesting that improving healthy neighborhood food outlet availability may contribute to combating obesity among the Hispanic/Latino population.