Measuring access to culturally appropriate food and associations with diabetes among Asian Americans and Native Hawaiians or Pacific Islanders.

ABSTRACT:

Objective

The Food Access Research Atlas (FARA) is a common measure of food access developed by the US Department of Agriculture. However, its sole focus on supermarkets lacks specificity for culturally appropriate food. This ecological study assesses the relationship of FARA and our novel Yelp-based Ethnic Store Measure with diabetes rates among Asian Americans and Native Hawaiians or Pacific Islanders (AAPI).

Design

This study leveraged crowd-sourced Yelp data to develop six culturally appropriate food access variables and compare them with FARA at the census tract (CT) level. Estimates of CT AAPI diabetes rates were calculated from hospital and emergency department discharge data. Spatial trends were examined visually and with Moran's I. Ordinary least squares (OLS

SUBMITTER: Xie R 

PROVIDER: S-EPMC12722082 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature