Evidence map›Paper›PMID 41992737›Full record

ArticleObesity (Silver Spring, Md.)2026

Structural Drivers of Neighborhood Food Access: Implications for Policy Change.

Rebekah J Walker, Obinna Ekwunife, Jennifer A Campbell, Sebastian Linde, Leonard E Egede

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rebekah J WalkerDivision of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.ORCID https://orcid.org/0000-0002-7773-557X
Obinna EkwunifeDivision of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Jennifer A CampbellDivision of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Sebastian LindeDepartment of Health Policy and Management, School of Public Health at Texas A&M University, College Station, Texas, USA.ORCID https://orcid.org/0000-0002-7209-0143
Leonard E EgedeDivision of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.ORCID https://orcid.org/0000-0003-1546-1515

Funding

HOME DM-BAT: Home-based Diabetes-Modified Behavioral Activation Treatment for Low Income Seniors with T2DM Diversity SupplementR01DK118038 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.5M
Financial Incentives And Nurse Coaching to Enhance Diabetes Outcomes (FINANCE-DM) - Diversity SupplementR01DK120861 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.4M
Lowering the Impact of Food insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM) - Diversity SupplementR01MD013826 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E., WALKER, REBEKAH J · 2019 to 2023
$3.4M
Structural Racism and Disparities in Social Risk, Human Capital, Health Care Resources, and Health Outcomes: A Multi-level Analysis of Pathways and Policy Levers for ChangeR01MD017574 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.5M
Impact of structural racism on hospital/clinic closures, community assets, and health outcomes in urban communitiesR01MD018012 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.4M
Cardiovascular Risk Reduction for Adults with Food Insecurity Using Structured Incentives (CVD-FIT)R01MD018721 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Rebekah J Walker · 2024 to 2026
$2.0M
Conditional Cash Transfer Intervention to Improve Health Outcomes among Inner-City African Americans with T2DMK01DK131319 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Jennifer Annette Campbell · 2022 to 2026
$682k
NIDDK NIH HHS K01 DK131319NIDDK NIH HHS K01DK131319NIDDK NIH HHS R01 DK118038NIDDK NIH HHS R01DK118038NIDDK NIH HHS R01 DK120861NIDDK NIH HHS R01DK120861NIMHD NIH HHS R01 MD013826NIMHD NIH HHS R01MD013826NIMHD NIH HHS R01 MD017574NIMHD NIH HHS R01MD017574NIMHD NIH HHS R01 MD018012NIMHD NIH HHS R01MD018012NIMHD NIH HHS R01 MD018721NIMHD NIH HHS R01MD018721
6 · The paper itself

Abstract

objectiveThis study investigated structural drivers of neighborhood food access to identify possible pathways at a census tract level.

methodsData from 9597 census tracts across 201 counties, within 38 states, tested potential pathways including the built environment, criminal justice, education, housing, social cohesion, transportation, wealth, and income/poverty. Historic residential redlining was defined using Home Owners' Loan Corporation residential security maps. Food access was defined using the modified retail food environment index. Direct and indirect relationships were investigated using structural equation modeling (SEM) run in Stata v18, controlling for the population of each census tract. Standardized estimates were used with p < 0.05 considered statistically significant.

resultsRedlining was directly associated with higher disadvantage across all tested pathways. Higher disadvantage in the built environment (-0.06, p < 0.001), criminal justice (-0.11, p < 0.001), housing (-0.04, p < 0.01), and social cohesion (-0.18, p < 0.001) was associated with lower food access, while higher disadvantage in education was associated with higher food access (0.07, p < 0.001), and transportation, wealth, and income were not significant pathways.

conclusionsThe strongest neighborhood-level drivers were social cohesion, criminal justice, and education. Policies that focus on a holistic approach to the neighborhood environment may be needed to improve access to healthy food options at the neighborhood level.

Indexed as

Food SupplyNeighborhood CharacteristicsResidential SegregationSocioeconomic Disparities in HealthBuilt EnvironmentCensus TractHousingHumansIncomePovertySocioeconomic FactorsTransportationUnited Statesfood accessneighborhoodpolicy changestructural drivers

Identifiers

PMID41992737
PMCPMC13367523

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.