The contribution of urban foodways to health disparities

Abstract

How do urban food environments produce health disparities? The literature currently emphasizes the etiologic relevance of urban food deserts and their nutritional shortcomings. This paper instead examines the health relevance of foodways-the social dynamics surrounding the production, purchase, and consumption of food. We report on data from 32 photo-elicitation interviews conducted with adult residents of Philadelphia, examining distinct foodways and health concerns that play out in the most commonly discussed retail establishments: corner stores, "Stop and Go's" (delis that also sell beer), and Chinese takeout restaurants. Corner store visits, described as a routinized element of children s school day, were implicated in early life patterning of unsound nutritional choices. Stop and Go s were described as a health threat because of their alcohol sales and tacit promotion ofpublic drunkenness, coupled with accessibility to youth. Stop and Go s and Chinese takeouts both were perceived as generators of violence in part because of on-site sales of alcohol, drug paraphernalia, and illicit drugs. Chinese takeouts also were described as symbolic reminders of African Americans economic exclusion and as places infused with race/ethnic tension and hostile merchant-customer interactions. Instead of viewing the food environment simply as a source ofcalories and nutrients, participants discussed the complex social dynamics that play out therein, raising a range of important considerations for (especially disadvan- taged) urban residents safety, physical well-being, and mental health. © 2010 The New York Academy of Medicine.