Table 3. Multivariable Polytomous Association of Food Environment Measures With Obesity-Related Cancer Mortality Among 3038 US Counties or County Equivalents^a.

Variable	Low, %b,c	Moderated		Highe
		%c	AOR (95% CI)	%c	AOR (95% CI)
Food desert
Low	38.4	32.7	1 [Reference]	28.9	1 [Reference]
Moderate	29.7	38.4	1.52 (1.23-1.87)	31.9	1.43 (1.15-1.78)
High	31.8	29.4	1.06 (0.86-1.32)	38.8	1.59 (1.28-1.96)
Food swamp (comprehensive RFEI)
Low	38.1	32.3	1 [Reference]	29.6	1 [Reference]
Moderate	33.8	35.7	1.33 (1.07-1.64)	30.5	1.29 (1.03-1.61)
High	28.1	32.5	1.50 (1.20-1.88)	39.4	2.10 (1.67-2.63)

Abbreviations: AOR, adjusted odds ratio; RFEI, Retail Food Environment Index.

^a Adjusted for the percentage of county population aged 65 years or older. Results from this polytomous generalized mixed-effects models can be interpreted as the log odds of counties with either high or moderate obesity-related cancer mortality rates compared with the log odds of counties with low mortality rates (reference category).

^b Low categorized as counties with obesity-related cancer mortality rates from 31.0 to 74.0 per 100 000 population.

^c Group percentage presented as the proportion of counties within variable strata with food environment category.

^d Moderate categorized as counties with obesity-related cancer mortality rates from 75.0 to 82.0 per 100 000 population.

^e High categorized as counties with obesity-related cancer mortality rates from 83.0 to 185.7 per 100 000 population.