Table 3. Adjusted odd ratios (95% CI)a for relationships between predictors related to the primary food shopping store or frequency of shopping at stores with high or low access to healthy foods and cardiometabolic outcomes.
High blood pressureb | High blood sugarc | High cholesterold | Low HDLe | Overweight/ obesityf | Poor/fair healthg | |
AOR (95%CI) | AOR (95%CI) | AOR (95%CI) | AOR (95%CI) | AOR (95%CI) | AOR (95%CI) | |
Primary food shopping store | ||||||
Discount grocery store vs full-service grocery (ref) | .60 (.32, 1.15) | 1.49 (.83, 2.68) | 1.54 (.87, 2.72) | 1.11 (.61, 2.02) | .51 (.26, .99)l | .67 (.36, 1.22) |
Supercenter/wholesale club vs full-service grocery (ref) | 1.07 (.51, 2.22) | .97 (.52, 1.84) | 1.21 (.66, 2.21) | 1.19 (.65, 2.21) | .67 (.31, 1.44) | 1.08 (.59, 1.97) |
Specialty storeh vs full-service grocery (ref) | .84 (.28, 2.56) | .51 (.16, 1.59) | 1.70 (.67, 4.35) | 1.23 (.46, 3.26) | 1.12 (.31, 4.09) | .52 (.16, 1.64) |
Times visited primary food store past month | 1.15 (.83, 1.61) | 1.22 (.92, 1.62) | 1.08 (.83, 1.41) | .74 (.55, .98)l | .97 (.69, 1.36) | .92 (.69, 1.22) |
Reason chose to do food shopping at primary store | ||||||
Price vs quality of food (ref) | .89 (.47, 1.68) | 1.22 (.70, 2.11) | 2.02 (1.19, 3.45)l | 1.04 (.60, 1.81) | .89 (.45, 1.76) | .96 (.55, 1.66) |
Convenient location vs quality of food (ref) | .96 (.51, 1.80) | .97 (.57, 1.64) | 1.14 (.69, 1.89) | 1.29 (.77, 2.17) | .74 (.40, 1.37) | .78 (.46, 1.30) |
Other attributesi vs quality of food (ref) | 1.08 (.53, 2.22) | .95 (.53, 1.72) | 1.11 (.63, 1.97) | 1.08 (.60, 1.95) | 1.00 (.48, 2.10) | .93 (.51, 1.68) |
Frequency shopping at stores with low access to healthy foodj | ||||||
Sometimes vs rarely (ref) | 1.48 (.87, 2.58) | .80 (.51, 1.27) | 1.12 (.72, 1.73) | .74 (.46, 1.17) | .95 (.55, 1.64) | 1.10 (.70, 1.71) |
Often vs rarely (ref) | .57 (.18, 1.81) | 1.23 (.35, 4.29) | 3.52 (1.09, 11.40)l | 1.62 (.52, 5.07) | .74 (.18, 3.02) | .59 (.17, 2.08) |
Frequency shopping at stores with high access to healthy foodk | ||||||
Sometimes vs rarely (ref) | 1.46 (.82, 2.58) | .86 (.53, 1.39) | 1.06 (.67, 1.69) | 1.02 (.62, 1.67) | .90 (.51, 1.59) | .58 (.36, .92)l |
Often vs rarely (ref) | .94 (.40, 2.23) | .90 (.39, 2.09) | .98 (.45, 2.16) | 1.51 (.68, 3.34) | .90 (.51, 1.59) | .36 (.15, .85)l |
a. Adjusted for age, sex, adjusted income, marital status, education, neighborhood, years lived in neighborhood. Each cell represents a single model with the single outcome variable, single independent variable, and all covariates
b. High blood pressure defined as SBP ≥140 mm Hg or DBP ≥ 90 mm Hg or taking blood pressure medication
c. High blood sugar defined as HbA1c ≥6.5% or on diabetes medication
d. High cholesterol defined as total cholesterol ≥ 200 mg/dL or on cholesterol medication
e. Low HDL defined as HDL≤40 mg/dL
f. Overweight defined as BMI ≥25.0 kg/m2
g. Self-rated Health Status 5-point Likert scale variable was collapsed: Poor (containing answer options fair and poor) and Good (containing answer options good, very good, and excellent)
h. Specialty store: Specialty grocery store, Meat or seafood market, and fruit and vegetable store
i. Other: choice of items, customer service, cleanliness, and fuel perks
j. Low access stores: convenience stores, drug stores, neighborhood stores, and dollar stores
k. High access stores: discount grocery stores, supercenters, wholesale clubs, grocery stores, full-service supermarkets, meat or seafood markets, and fruit and vegetable stores or farm stands
l. P≤.05