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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2009 Sep 1;100(5):361–364. doi: 10.1007/BF03405271

Economic Access to Fruits and Vegetables in the Greater Quebec City: Do Disparities Exist?

Sarah Drouin 1,✉, Anne-Marie Hamelin 1, Denise Ouellet 1
PMCID: PMC6973982  PMID: 19994739

Abstract

Objectives

To examine the cost of fruits and vegetables (FV) with respect to different food store types, urbanization level and material deprivation for various urban areas of greater Quebec City.

Methods

A sample of 85 food stores was selected. They represented five store types (small, conventional, and large grocery stores; greengrocers; convenience stores) in four geographic areas reflecting three different socio-economic levels. We identified three FV baskets (grocery, fresh FV, food supply in the five store types. Four investigators were trained to conduct a survey of prices for the week of September 17–23, 2007. Analysis of variance and t tests were conducted to examine variations in food baskets with regard to the variables defined in this study. A chi-square test was used to measure the frequency distribution of stores throughout the greater Quebec City.

Results

Only food store type had a significant influence on FV cost: cost was much lower in large grocery stores and greengrocers. Convenience stores, where prices are higher, outnumbered all others in deprived urban areas, supporting the contention that there are inequities in economic access.

Discussion

Economic access to FV may differ by area in the greater Quebec City, putting rural inhabitants and less privileged urban dwellers at the greatest disadvantage; this may, in turn, contribute to health disparities. The results point to the need to improve our understanding of the way components of the food environment at the regional level affect social inequality.

Key words: Food cost, fruits and vegetables, economic access, urbanization level, underprivileged area, health inequalities

Footnotes

Acknowledgements: We are indebted to l’Agence de la Santé et des Services Sociaux de la Capitale-Nationale and the funds of Jean-Paul Houde for study. We also thank the Statistical Consulting Service of the Department of Mathematics and Statistics of Université Laval.

References

  • 1.Pampalon R, Hamel D, De Koninck M, Disant M-J. Perception of place and health: Differences between neighbourhoods in the Quebec City region. Soc Sci Med. 2007;65(1):95–111. doi: 10.1016/j.socscimed.2007.02.044. [DOI] [PubMed] [Google Scholar]
  • 2.Pearce J, Hiscock R, Blakely T, Witten K. The contextual effects of neighbourhood access to supermarkets and convenience stores on individual fruit and vegetable consumption. J Epidemiol Community Health. 2008;62(3):198–201. doi: 10.1136/jech.2006.059196. [DOI] [PubMed] [Google Scholar]
  • 3.James WPT, Nelson M, Ralph A, Leather S. Socioeconomic determinants of health: The contribution of nutrition to inequalities in health. BMJ. 1997;314(7093):1545. doi: 10.1136/bmj.314.7093.1545. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Bertrand L, Thérien F, Cloutier M. Measuring and mapping disparities in access to fresh fruits and vegetables in Montréal. Can J Public Health. 2008;99(1):6–11. doi: 10.1007/BF03403732. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Power E. Les déterminants de la saine alimentation chez les Canadiens à faible revenu. Can J Public Health. 2005;96(suppl3):S42–S48. [Google Scholar]
  • 6.Raine K. Les déterminants de la saine alimentation au Canada. Can J Public Health. 2005;96(suppl3):S8–S15. doi: 10.1007/BF03405195. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Krebs-Smith S, Kantor S. Choose a variety of fruits and vegetables daily: Understanding the complexities. J Nutrition. 2001;131:487S–501S. doi: 10.1093/jn/131.2.487S. [DOI] [PubMed] [Google Scholar]
  • 8.Garriguet D. Vue d’ensemble des habitudes alimentaires des Canadiens. Ottawa, ON: Statistics Canada; 2004. [Google Scholar]
  • 9.World Health Organization. Diet, Nutrition and the Prevention of Chronic diseases: Report of a joint WHO/FAO Expert Consultation. WHO Technical Report Series 916. Geneva: WHO; 2003. [PubMed] [Google Scholar]
  • 10.Henry H, Reicks M, Smith C, Reimer K, Atwell J, Thomas R. Identification of factors affecting purchasing and preparation of fruit and vegetables by stage of change for low-income African American mothers using the think-aloud method. J Am Diet Assoc. 2003;103(12):1643–46. doi: 10.1016/j.jada.2003.09.039. [DOI] [PubMed] [Google Scholar]
  • 11.Pincemail J, Degrune F, Voussure S, Malherbe C, Paquot N, Defraigne J-O. Effet d’une alimentation riche en fruits et légumes sur les taux plasmatiques en antioxydants et des marqueurs des dommages oxydatifs. Nutrition clinique et métabolisme. 2007;21:66–75. doi: 10.1016/j.nupar.2007.04.005. [DOI] [Google Scholar]
  • 12.Block D, Kouba J. A comparison of the availability and affordability of a market basket in two communities in the Chicago area. Public Health Nutr. 2005;9(7):837–45. doi: 10.1017/phn2005924. [DOI] [PubMed] [Google Scholar]
  • 13.Frank S. Higher prices, same benefits: An exploration of WIC food prices in rural and urban Kentucky. Meeting, Louisville, KY: Rural Sociological Society Annual; 2006. [Google Scholar]
  • 14.Fellowes M. From poverty, opportunity: Putting the market to work for lower income families. 2006. [Google Scholar]
  • 15.Crockett EG, Clancy K, Bowering J. Comparing the cost of a thrifty food plan market basket in three areas of New York state. J Nutr Educ. 1992;24:72S–79S. doi: 10.1016/S0022-3182(12)80864-8. [DOI] [Google Scholar]
  • 16.Travers K, Cogdon A, McDonald W. Availability and cost of heart healthy dietary changes in Nova Scotia. J Can Diet Assoc. 1997;58:176–83. [Google Scholar]
  • 17.Duquette MP, Demmers T, Demers J. Étude sur le coût du panier à provisions nutritif dans divers quartiers de Montréal. Montréal: Dispensaire diététique de Montréal; 2006. [Google Scholar]
  • 18.Latham J, Moffat T. Determinants of variation in food cost and availability in two socioeconomically contrasting neighbourhoods of Hamilton, Ontario, Canada. Health Place. 2007;13:273–87. doi: 10.1016/j.healthplace.2006.01.006. [DOI] [PubMed] [Google Scholar]
  • 19.Cahiers de nutrition publique, GÉNUP, Université Laval. 2007.
  • 20.Statistics Canada. Classification des secteurs statistiques (CSS) 2002. [Google Scholar]
  • 21.McNiven C, Puderer H, Janes D. Zones d’influence des régions métropolitaines de recensement et des agglomérations de recensement (ZIM): une description de la méthodologie. Ottawa, ON: Statistics Canada; 2000. [Google Scholar]
  • 22.Statistics Canada. Zone d’influence métropolitaine (ZIM) 2003. [Google Scholar]
  • 23.Chron Dis Can. 2000.
  • 24.Bio clips+ 2005.
  • 25.Groupe AGÉCO. Portrait des réseaux de distribution des fruits et légumes frais du Québec. 2007. [Google Scholar]
  • 26.Hendrickson D, Smith C, Eikenberry N. Fruit and vegetable access in four low-income food deserts communities in Minnesota. Agric Human Values. 2006;23:371–83. doi: 10.1007/s10460-006-9002-8. [DOI] [Google Scholar]
  • 27.Santé Canada. Plan d’action du Canada pour la sécurité alimentaire: une réponse au Sommet mondial de l’alimentation. Ottawa, ON: Agriculture et agroalimentaire Canada; 1998. [Google Scholar]
  • 28.Pouliot N, Hamelin A-M. Public Health Nutr. 2009. Disparities in fruit and vegetable supply: A reason for health concern in the greater Quebec City. [DOI] [PubMed] [Google Scholar]

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