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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 from Coors, USDA, and Princeton.

The conversation highlights how higher-income and more educated households buy healthier food products compared to their lower-income and less educated counterparts. The research indicates that these disparities exist even when households have access to the same food stores.

Key findings reveal that access to food stores plays a minimal role in these disparities. The study shows that differences in food purchases persist among households of varying education levels living in the same location.

Listeners learn that government policies aimed at reducing food disparities may not be effective if they only focus on increasing access to grocery stores. The discussion emphasizes the need for additional strategies, such as subsidizing healthy food prices.

The episode concludes by questioning the underlying reasons for these purchasing differences, suggesting that either affordability or taste could be significant factors influencing food choices.

TLDR

Household food purchasing disparities are influenced more by education than access to stores, challenging existing policy approaches.

Episode

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

Episode Highlights

  • Impact of Food Deserts
    The study explores whether eradicating food deserts improves healthfulness of food products.
    “To what extent will eradicating food deserts actually have a positive impact?”
    @ 01m 11s
    June 18, 2015
  • Disparities in Food Purchases
    Research reveals 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
  • Education vs. Income Disparities
    Surprisingly, education level impacts food choices more than income level.
    “Differences along the education dimension are much larger than those along the income dimension.”
    @ 05m 00s
    June 18, 2015

Episode Quotes

  • Access actually plays a very small role in generating these differences.
    How Wealth and Education -- Not Access -- Drive Healthy Food Choices
  • The disparities are actually larger and more persistent when looking at education levels.
    How Wealth and Education -- Not Access -- Drive Healthy Food Choices
  • What actually does drive most of the disparities in terms of what households are buying?
    How Wealth and Education -- Not Access -- Drive Healthy Food Choices

Key Moments

  • Food Deserts01:11
  • Food Disparities01:42
  • Education Impact05:00
  • Policy Implications07:03
  • Tastes vs. Affordability10:45

Tension Over Time

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Vibes Breakdown