Tag Archives: obesity

Food deserts a mirage?

When a big public policy issue emerges, commentary tends toward solutions. Advocates for different solutions make all sorts of causal claims about why the problem has occurred and what could fix it. Often, though, it turns out there was never any problem to begin with.

Is “food deserts” one of these cases? A recent New York Times article suggests yes.

It has become an article of faith among some policy makers and advocates, including Michelle Obama, that poor urban neighborhoods are food deserts, bereft of fresh fruits and vegetables.

But two new studies have found something unexpected. Such neighborhoods not only have more fast food restaurants and convenience stores than more affluent ones, but more grocery stores, supermarkets and full-service restaurants, too. And there is no relationship between the type of food being sold in a neighborhood and obesity among its children and adolescents.

Within a couple of miles of almost any urban neighborhood, “you can get basically any type of food,” said Roland Sturm of the RAND Corporation, lead author of one of the studies. “Maybe we should call it a food swamp rather than a desert,” he said.

I have to admit I’m biased toward believing these studies, because the idea of contradicting an “article of faith” embraced by celebrities appeals to me. But was there ever any empirical evidence of food deserts to begin with?

It is unclear how the idea took hold that poor urban neighborhoods were food deserts but it had immediate appeal. There is even an Agriculture Department “food desert locator” and a “National Food Desert Awareness Month” supported by the National Center for Public Research, a charitable foundation.

But, Dr. Lee said, studies lending support to the idea tended to be limited by methodological difficulties.

For example, some researchers looked at neighborhood food outlets but did not have data on how fat residents were. Others examined small areas, like part of a single city and extrapolated to the entire nation. Others had a different problem. They looked at much bigger areas like ZIP codes, which include people of diverse incomes, making it hard to know what happened in pockets of poverty within those regions.

Some researchers counted only fast food restaurants and large supermarkets, missing small grocers who sold produce. Some tallied food outlets per 1,000 residents, which made densely populated urban areas appear to have fewer places per person to buy food. A more meaningful measure, Dr. Lee said, is the distance to the nearest stores.

Potpourri

  • “Top 0.1%, By Zip Code”
  • “Big Super PAC donors: Same old guns, just more money”
  • Causal effects of the Head Start program
  • New York Times mentions confidence intervals (in the context of value-added teacher ratings)
  • Social benefit of obesity: less crime?
  • “No Obesity Link to Junk Food in Schools”

    NY Times reports:

    Researchers at Pennsylvania State University tracked the body mass indexes of 19,450 students from fifth through eighth grade. In fifth grade, 59 percent of the children attended a school where candy, snacks or sugar-sweetened beverages were sold. By eighth grade, 86 percent did so.

    The researchers compared children’s weight in schools where junk food was sold and in schools where it was banned. The scientists also evaluated eighth graders who moved into schools that sold junk food with those who did not, and children who never attended a school that sold snacks with those who did. And they compared children who always attended schools with snacks with those who moved out of such schools.

    No matter how the researchers looked at the data, they could find no correlation at all between obesity and attending a school where sweets and salty snacks were available.

    Seems, madam?

    Weaving nutrition and exercise lessons into middle-school classrooms can reduce eating disorders among girls and ultimately save medical costs, a study by Boston researchers concludes.

    The researchers analyzed data from an earlier study at 10 Massachusetts middle schools, including five that adopted an obesity prevention program called Planet Health, and five that did not.

    Austin’s team estimated that if the obesity-prevention program they studied was expanded to 100 schools, there would be about $680,000 in health care savings.

    From the article “Nutrition lessons for girls seem to pay off” in the August 2 Boston Globe. Commenters note small sample size and that this seems like an ad for “Planet Health” instead of an unbiased article.

    Potpourri

    (With apologies to the Monkey Cage.)

  • The dark side of transparency laws?
  • Should parents of extremely obese children lose custody for not controlling their kids’ weight? (Who knew the Journal of the American Medical Association printed op/eds? [Some might say that's all they print. ;-) ])
  • Can Tax Credits Create Jobs? (Via Tax.com)
  • More fallout / back-and-forth in the wake of the Diane Ravitch op/ed piece I wrote about in this post. (Best line: “Saying you want a good teacher in every classroom and a well-rounded, rigorous curriculum is as trite as saying you’re for motherhood and apple pie. What would Ms. Ravitch say to John White and Cami Anderson, who just took over two of the toughest school systems in America, in New Orleans and Newark? What would be the top three to five things Ms. Ravitch would have them do in their first year?”)
  • Obesity and economic outcomes (ii)

    Two letters in the New York Times today respond to the subject of an earlier post of mine. One letter is by “the author of ‘Girltalk’ and the advice columnist at Girls’ Life,” and one is by “a professor at the Institute of Government and Public Affairs, University of Illinois.”

    We report, you infer!

    Anyway, here’s an excerpt from the second letter:

    While being overweight or obese may have adversely affected the educational attainment of women from the high school class of 1957 in Wisconsin, as reported by Profs. Christy M. Glass, Steven A. Haas and Eric N. Reither, research on more recent cohorts of children and teenagers by me and colleagues indicates that being overweight or obese is largely unrelated to achievement test scores, grade progression and the probability of dropping out of high school.

    Here is a direct link to that research, which is linked from the letter. Here is the abstract:

    In this paper, we investigate the association between weight and adolescent’s educational attainment, as measured by highest grade attended, highest grade completed, and drop out status. Data for the study came from the 1997 cohort of the National Longitudinal Survey of Youth (NLSY), which contains a large, national sample of teens between the ages of 14 and 18. We obtained estimates of the association between weight and educational attainment using several regression model specifications that controlled for a variety of observed characteristics. Our results suggest that, in general, teens that are overweight or obese have levels of attainment that are about the same as teens with average weight.

    Obesity and economic outcomes

    MUCH of the debate about the nation’s obesity epidemic has focused, not surprisingly, on food: labeling requirements, taxes on sugary beverages and snacks, junk food advertisements aimed at children and the nutritional quality of school lunches.

    But obesity affects not only health but also economic outcomes: overweight people have less success in the job market and make less money over the course of their careers than slimmer people. The problem is particularly acute for overweight women, because they are significantly less likely to complete college.

    From an opinion piece by Christy M. Glass, Eric N. Reither, and Steven A. Haas, sociology professors, in today’s New York Times. I don’t buy their argument. There are problems with it being a correlational study, and also with their claim about identifying a mechanism–that’s a really hard thing to do, as the most recent work on causal mechanisms has shown. But the bigger problem, I think, is that we don’t even really know that obesity leads to particular health outcomes. But assuming they did, how to peel apart the effect of obesity on health, the effect of health on economics, and the effect of obesity on economics?