Abstract
Objective
This study was conducted to evaluate disparities in access to healthy food in Montréal, focusing on the availability of fresh fruits and vegetables (F/V) as an indicator.
Method
F/V selling area was measured in all food retail stores and public markets offering more than 75 square feet of fresh fruits and vegetables. An accessibility index was elaborated, taking into account motorization rates and the total surface of these fresh foods for sale within an easily accessible zone. The extent of that zone was determined differently for motorized (3 km) and non-motorized (500 m) consumers. Measures were calculated and georeferenced at the level of “Dissemination Areas” according to the 2001 Census.
Results
In general, access to healthy foods is quite good for consumers who shop by car. But 40% of the population have poor access to fruits and vegetables within a walkable distance from home. No relationship is observed between median income in dissemination areas and food supply.
Conclusion
Improved access to healthy food by non-motorized consumers is needed in many areas of Montréal. Implications of differential access to fresh fruits and vegetables for health and environmental sustainability are discussed.
Keywords: Accessibility, healthy food, inequalities, mapping, Canada
Résumé
Objectif
Cette étude visait à évaluer les disparités dans l’accès à des aliments santé sur l’île de Montréal.
Méthode
En prenant comme indicateur la disponibilité de fruits et légumes frais, nous avons mesuré la surface de vente consacrée à ces aliments pour chacun des commerces montréalais et marchés publics offrant plus de 75 pieds carrés de fruits et légumes frais. Un indice d’accessibilité a été construit en tenant compte du taux de motorisation et de la surface totale de vente des fruits et légumes dans des zones–tampons de 500 m (distance de marche) et de 3 km (personnes motorisées). Ces mesures ont été géoréférencées à l’échelle des aires de diffusion (Recensement 2001).
Résultats
L’accès à des aliments santé apparaît relativement adéquat… à condition de disposer d’une automobile. En effet, 40% de la population n’a qu’un piètre accès aux fruits et légumes frais à distance de marche du domicile. On ne peut cependant établir de relation entre le revenu moyen dans les aires de diffusion et l’offre alimentaire.
Conclusion
De nombreux secteurs montréalais auraient besoin d’une amélioration de l’offre alimentaire de proximité. Les résultats soulèvent des préoccupations tant du point de vue de la santé que de l’environnement.
Motsclés: accès, aliments santé, inégalités, cartographie, Canada
Footnotes
Acknowledgements: Dr. Gilles Paradis, Institut national de santé publique du Québec, Michel Fournier, MA, Direction de santé publique de Montréal and Patrice Pitre, Centre Léa Roback, Montréal
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