Urban poor obesity; they are plagued by 'burdens of place'

Most of America's urban cores were designed for walking yet still offer little in the way of supermarkets, restaurants and other amenities for residents to walk to, according to a study led by a Michigan State University scholar. While activists insist more people in cities is better for the environment, poor residents living in declining urban neighborhoods disagree more people will help - they instead have to go long distances to find the healthy choices offered in the suburbs or in the country. Past research has generally assumed that poor people will shop at whatever store is closest.

Compared with the suburban and rural poor, the urban poor are more overweight - Igor Vojnovic, associate professor of geography and lead author of a new paper, contends that is because the urban poor must travel farther to find healthy food and access personal services.

Obviously this is in defiance of basic economics, which shows for 10,000 years when there is a demand, someone will create a supply - which includes food, 'healthy' or not.

"This research reveals that the lack of access to basic amenities in declining inner-city neighborhoods – what we call the 'burdens of place' – is an important variable in shaping travel and diet," Vojnovic said.

Vojnovic and colleagues studied the Lansing, Mich., area by surveying urban and suburban residents, collecting socioeconomic data and using digital mapping to plot average distances to stores, restaurants, doctors' offices, banks, skating rinks and other amenities.

A study by Michigan State University scholar Igor Vojnovic suggests the urban poor have little access to healthy food choices.

(Photo Credit: Michigan State University)

Their findings in Journal of Urban Design, found that poor urban residents were significantly overweight, with an average body mass index of 28.73, while wealthy suburbanites were only slightly overweight, with an average BMI of 25.05. (For adults, a BMI of 25 is considered overweight and 30 is obese.)

Other findings included:

  • Fast food restaurants were more plentiful in poor neighborhoods. In addition, residents there reported that 55 percent of all dining-out experiences were at fast food eateries, compared with only 13 percent for those in the suburbs.
  • Poor urban residents had to go nearly twice as far as suburbanites to shop at supermarkets.
  • The urban poor made about five trips per month to convenience stores (which aren't known for stocking healthy foods) compared with only one trip per month for suburbanites.

"Even though the inner cities were designed to improve access, homeowners in the wealthier suburbs were actually closer to the stores and restaurants that offer healthier foods," Vojnovic said. "In other words, opportunities depend on where you live."

Or it may be the people taking surveys are lying about wanting healthier food choices. No one is forcing people to eat at a McDonald's and if demand for more fresh fruit was there, stores would open. Yet it is the fault of someone else, the paper claims. During the past 30 years, urban planners and business investors have largely ignored poor communities, instead focusing policy, research and investment efforts on wealthier neighborhoods, Vojnovic said. As a result, little is known about resident behaviors in declining communities, even as the number of poor people increases in the United States.

The current paper contends that the fundamental principles in city planning and design that have been developed around wealthy communities do not necessarily hold in poor neighborhoods.

Social authoritarians are instead lobbying for an "obesity tax" on unhealthy foods to help pay for an health-care system overhaul or as a policy to curtail obesity. But Vojnovic recognizes that such a tax would disproportionately burden the urban poor and noted that this population has little power to influence the location decisions of healthy food suppliers - other than by showing they would buy healthier food.

Vojnovic said a better option might be for states to give subsidies to major supermarket chains, restaurants serving healthy food and other needed establishments that locate in poor neighborhoods.