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How Wealth and Education -- Not Access -- Drive Healthy Food Choices

June 18, 2015 / 12:01

This episode discusses food purchasing disparities among households in the US, focusing on socioeconomic status and education levels. It features research conducted with Coors, the USDA, and Princeton.

The research highlights significant differences in the healthfulness of food products purchased by high-income, educated households compared to low-income, less educated households. The study reveals that households in the top income bracket buy food products that are 40% closer to USDA recommendations than those in the bottom income bracket.

Interestingly, access to food stores plays a minimal role in these disparities. The research indicates that even when households of different incomes live in the same area, they still purchase different products, suggesting that factors beyond access influence purchasing behavior.

One surprising finding is that educational differences have a larger impact on food purchasing than income differences. Households with varying education levels living in the same location show significant disparities in their food choices.

The episode concludes by discussing the implications for policymakers, emphasizing the need for strategies beyond simply increasing access to grocery stores, such as subsidizing healthy food prices and improving product visibility in stores.

TL;DR

Research shows education level impacts food purchasing more than income, challenging assumptions about access to healthy food.

Episode

12:01
00:00:05
in this project that I've been working
00:00:07
on with
00:00:08
Coors from the USDA and Princeton we've
00:00:12
been looking at to what extent different
00:00:15
households across the US bu different
00:00:18
food products particularly focusing on
00:00:21
how healthy are the food products that
00:00:23
these different households are buying
00:00:24
what we're interested in here is how
00:00:27
different or how more or less healthy
00:00:29
the food product products that high
00:00:31
income more educated households are
00:00:33
buying relative to low income less
00:00:35
educated households and the goal of This
00:00:39
research is to not just document those
00:00:42
disparities but to try to think about
00:00:44
the role that access to Food Stores
00:00:48
plays in generating those disparities
00:00:51
we've seen a number of government
00:00:53
policies Government funding going
00:00:55
towards subsidizing the entry of
00:00:58
supermarkets into areas that are
00:01:01
underserved in this regard so these
00:01:03
areas have commonly known as food
00:01:05
deserts and uh our goal in the paper is
00:01:08
to think about to what extent will
00:01:11
eradicating food deserts actually have a
00:01:15
you know a positive impact in terms of
00:01:17
improving the healthfulness of the
00:01:19
products that your lowi income low
00:01:21
education households households are
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buying and and closing the gap between
00:01:26
High income High educated households and
00:01:28
low- income low educated ourselves in
00:01:30
terms of how healthy the food products
00:01:32
that they're eating um
00:01:38
are so the first takeaway is uh pretty
00:01:42
simple it's just that we see pretty
00:01:45
large disparities and differences in
00:01:48
terms of what households at the higher
00:01:50
end of the socioeconomic spectrum and
00:01:52
the lower end of the socio economic
00:01:54
spectrum are buying we uh use a lot of
00:01:58
data looking at what individual
00:02:00
households are
00:02:02
purchasing and uh we merge that data
00:02:05
with a data set that describes how
00:02:06
healthy each of these products are this
00:02:09
enables us to calculate an index that
00:02:12
represents how healthy are the food
00:02:16
products being purchased over the course
00:02:17
of a month by a household and what we
00:02:21
see is we see big differences in these
00:02:23
healthfulness indexes between High
00:02:26
socioeconomic status households and low
00:02:28
socioeconomic status households olds so
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we see in particular that
00:02:33
households with the um higher income so
00:02:36
in the top Ts for income relative to the
00:02:39
bottom tsal for income or the top toile
00:02:43
for Education versus the bottom tsal for
00:02:45
Education are actually purchasing food
00:02:47
products that are about 40% closer to
00:02:50
the USDA recommend
00:02:52
recommendations for what households are
00:02:54
recommended to spend on different food
00:02:57
categories um then households in um that
00:03:01
are lower in educational income so then
00:03:04
when we you know take a step back and we
00:03:07
think about well why do these
00:03:08
differences exist and we try to link it
00:03:11
to um looking at differences in access
00:03:14
to food
00:03:15
products there what we find is that we
00:03:18
find that access actually plays a very
00:03:20
small role in generating generating
00:03:22
these differences so what we do there is
00:03:26
we think about well we see this 40% gap
00:03:29
between High soci economic status and lo
00:03:31
economic status households when we're
00:03:34
looking at households that live uh you
00:03:36
know in different locations across the
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us but what if you look at different
00:03:41
households with different socioeconomic
00:03:43
characteristics that are living in the
00:03:44
same location because presumably these
00:03:47
households are going to have access to
00:03:50
the same retail environment so they'll
00:03:52
live down the road from the same
00:03:53
Supermarket for example and so when we
00:03:57
look at the disparities that exist
00:03:59
between households that are living in
00:04:01
the same location and presumably have
00:04:03
access to the same um retail environment
00:04:05
we see that most of the disparities
00:04:07
actually persist they're just as large
00:04:10
they're slightly smaller but they're
00:04:12
almost as large as the dispares that we
00:04:15
saw when we looked at the differences in
00:04:18
what's purchased by households that live
00:04:21
in different locations so what this
00:04:23
suggests is it s suggests that um that
00:04:27
access actually isn't playing a large
00:04:29
role in generating these disparities in
00:04:31
the first
00:04:35
place perhaps the most surprising uh
00:04:38
result that we found was uh to do with
00:04:41
the the fact that we look separately at
00:04:45
how high and low income households um
00:04:48
differ in their food purchases and how
00:04:50
more and less educated households differ
00:04:52
in their food purchases and what we
00:04:54
found is we found that the differences
00:04:57
along the education Dimension right much
00:05:00
larger than the differences that we
00:05:02
observe along the income Dimension and
00:05:05
particularly the differences along the
00:05:08
education Dimension are much more
00:05:11
persistent when you control for Access
00:05:13
and the differences across the income
00:05:16
Dimension so essentially what that means
00:05:18
is that it means that when you have two
00:05:21
households living in the same location
00:05:23
that are of different income types right
00:05:26
they're going to be purchasing more
00:05:28
similar products than house olds um with
00:05:31
the different income types that live in
00:05:32
different locations however when you
00:05:35
look at two households living in the
00:05:37
same location that are more and less
00:05:39
educated say you have a college educated
00:05:41
and a high school educated household um
00:05:44
those different households are going to
00:05:46
purchase just as different products as
00:05:49
they might if they lived in different
00:05:51
locations so what this goes to suggest
00:05:54
which I found quite surprising was uh
00:05:57
that perhaps when you think about
00:06:00
differences in the healthfulness of
00:06:02
products that people are buying you hear
00:06:04
a lot about income as being sort of the
00:06:07
big factor um that differentiates
00:06:10
households there but the disparities are
00:06:12
actually larger and more persistent when
00:06:15
you're looking at households with
00:06:16
different education
00:06:21
levels so one of the reasons that we
00:06:23
embarked on this research agenda was uh
00:06:26
the fact that we're observing state
00:06:29
local as well as the federal government
00:06:32
embarking on these policies to subsidize
00:06:34
the entry of of food stores into
00:06:36
different neighborhoods so you know to
00:06:40
the extent that these policies are being
00:06:42
aimed at reducing disparities in what
00:06:46
households are consuming by reducing the
00:06:49
disparities in what households have
00:06:51
access to our result suggests that the
00:06:54
policies won't necessarily be so
00:06:56
effective if they're only just targeting
00:06:59
entry of food stores so the key takeaway
00:07:03
for these policy makers is to think not
00:07:05
just about can we put a new grocery
00:07:08
store you know nearby you know all of
00:07:12
the different households in the US but
00:07:15
what's in that grocery store um what
00:07:19
prices are being offered and what's
00:07:21
driving different households to purchase
00:07:24
different products once they're in the
00:07:25
store so there are other policies that
00:07:27
potentially need to be paired with the
00:07:30
grocery store entries such as perhap
00:07:33
perhaps subsidizing at the prices of
00:07:35
healthful food products or putting them
00:07:38
displaying them more prominently in
00:07:40
stores to encourage households that
00:07:43
perhaps don't have a taste to buy those
00:07:45
products to try them out and uh um to
00:07:49
become more aware of
00:07:53
them so the research has been done to
00:07:56
date thinking about differences in
00:08:00
Access and the role that improving
00:08:02
access might play in improving the
00:08:06
healthfulness of food products that
00:08:08
households Buy has been on a much
00:08:10
smaller scale than our study so um the
00:08:14
research has been done has been thinking
00:08:16
about when one Supermarket for example
00:08:20
enters in a neighborhood of New York you
00:08:23
know the researchers will go and they'll
00:08:25
survey households that were shopping in
00:08:28
that neighborhood before the supermarket
00:08:31
entered and then after the supermarket
00:08:32
entered and comparing their their food
00:08:35
purchases what we're doing is on a much
00:08:38
larger scale we're thinking about how
00:08:41
these uh the entry of food stores
00:08:45
changes the consumption of households
00:08:47
all across the US so uh our results are
00:08:50
much more generalizable in terms of
00:08:53
thinking about how the average household
00:08:56
might respond to supermarket entry
00:08:58
rather than just thinking about how a
00:09:00
household in a particular neighborhood
00:09:02
might respond to supermarket
00:09:07
entry so this paper and our results here
00:09:11
have uh really
00:09:13
uh left open the question of what
00:09:17
actually does Drive most of the
00:09:20
disparities in terms of what households
00:09:21
are buying so if we have households that
00:09:24
are shopping in the exact same store
00:09:27
buying very different food products we
00:09:29
see systematic differences between High
00:09:31
socioeconomic status households and low
00:09:33
socioeconomic status households and what
00:09:36
they're buying in spite of them having
00:09:38
access to the same food products and the
00:09:41
same prices available to them the
00:09:44
question is then why they buying
00:09:46
different products so we have two main
00:09:49
hypotheses here both of which been have
00:09:52
been discussed in the media previously
00:09:54
one is that you have a low soci economic
00:09:57
status households not having the money
00:10:00
enough money to spend on healthful food
00:10:03
products perhaps healthful food products
00:10:06
cost more in the supermarket they take
00:10:08
more time to prepare and that means that
00:10:11
low-income households are potentially
00:10:13
priced out of purchasing these food
00:10:15
products another
00:10:16
hypothesis is that these different
00:10:19
households have different tastes perhaps
00:10:21
due to different social norms perhaps
00:10:23
they grew up buying different food
00:10:26
products eating different food products
00:10:28
so they're just they don't like healthy
00:10:30
foods and they prefer to eat unhealthy
00:10:32
Foods so the question is which of
00:10:36
these
00:10:38
explanations explains more of the
00:10:41
differences in what we observe and the
00:10:43
reason this is important is because if
00:10:45
we actually want to come up with a
00:10:46
policy that's going to you know shorten
00:10:49
or reduce the gap between what these
00:10:52
different households are purchasing is
00:10:54
going to that policy is going to look
00:10:57
very different if
00:10:59
the differences are driven by
00:11:01
differences in tastes versus differences
00:11:03
in
00:11:04
affordability and so if it's differences
00:11:07
in affordability you might want to think
00:11:09
about taxing unhealthy Foods or
00:11:11
subsidizing healthy foods whereas if
00:11:13
it's differences in tastes then perhaps
00:11:16
some of these policies such as um um
00:11:19
improving uh the uh um the access within
00:11:23
stores of healthful food products making
00:11:25
them more prominently displayed or
00:11:28
education campaigns to perhaps try to
00:11:31
shift social norms um amongst lower
00:11:33
socioeconomic households towards buying
00:11:36
healthier foods
00:11:40
[Music]

Episode Highlights

  • Disparities in Food Purchases
    Research shows significant differences in food purchases between high and low socioeconomic households.
    “We see pretty large disparities and differences in terms of what households are buying.”
    @ 01m 42s
    June 18, 2015
  • Impact of Education on Food Choices
    Education level plays a larger role in food purchasing habits than income level.
    “The differences along the education dimension are much larger than those along the income dimension.”
    @ 05m 00s
    June 18, 2015
  • Rethinking Food Access Policies
    Simply increasing access to grocery stores may not close the health gap in food purchases.
    “The key takeaway for policymakers is to think not just about grocery store entry.”
    @ 07m 03s
    June 18, 2015

Episode Quotes

  • Access actually isn’t playing a large role in generating these disparities.
    How Wealth and Education -- Not Access -- Drive Healthy Food Choices
  • Disparities are larger and more persistent when looking at different education levels.
    How Wealth and Education -- Not Access -- Drive Healthy Food Choices
  • Policies won’t necessarily be effective if they only target entry of food stores.
    How Wealth and Education -- Not Access -- Drive Healthy Food Choices

Key Moments

  • Food Disparities01:42
  • Education vs Income05:00
  • Policy Implications07:03

Words per Minute Over Time

Vibes Breakdown

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