A Method for Estimating the Associations of Neighborhood Type with Availability of Sit-down Restaurants and Supermarkets

Although neighborhood-level access to food differs by sociodemographic factors, almost all research on neighborhoods and food access has used a single construct of neighborhood context, such as income or race. Neighborhoods possess many interrelated built environment and sociodemographic characteristics, a condition that obscures relationships between neighborhood factors and food access. Methods: To account for the effects of many interrelated aspects of neighborhoods in food access, we developed a generally applicable method that used multiple measures (e.g., population density, mix of land use, and sociodemographic factors) that are easy to obtain to dene six neighborhood types in 1993 in the Twin Cities Region, Minnesota. We then used mixed effects regression models to estimate differences in the relative availability of sit-down restaurants and supermarkets in 1993, 2001, and 2011 across the six neighborhood types. Results: We observed a higher relative availability of sit-down restaurants in inner city neighborhoods than in urban, aging suburbs, high-income suburbs, or suburban edge neighborhoods for 2011; we did not observe these same patterns for 1993 or 2001. Using nuanced classication of neighborhood type, we found a complex and increasingly varied distribution of restaurants and food stores. Conclusions: The temporal increase in sit-down restaurants in inner cities may be associated with a higher proportion of residents who eat-away-from-home, which is associated with higher calorie and fat intake.