Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License


Background: Food access is a key social determinant of health for older adults at high risk of chronic disease and physical disability.

Methods: This cross-sectional analysis examined correlates of food access and the relationship between food access and food consumption characteristics in a sample of 316 late midlife women from Southeast Michigan in 2015-2016.

Results: Lack of food access, defined as access to self-perceived adequate grocery shopping resources in one’s neighborhood, was reported by 20.9% of women. Women who reported lack of food access were less likely to report making meals at home (p=0.02) and had less frequent consumption of fresh fruits (p=0.04), fresh vegetables (p=0.001), and lean meats (p=0.048) as compared to those that did not report a lack of food access (p=0.04, p=0.001, p=0.048). Being African American (OR: 2.49; 95% CI: 1.20-5.17) and experiencing economic stress (OR: 2.86; 95% CI: 2.53-5.33) were major correlates of reporting lack of food access.

Conclusion: Interventions to improve food access for midlife women may help address differences in chronic disease risk associated with diet quality among racial/ethnic groups and across socioeconomic status.