Access to Healthy Food

Access to Healthy Food measures the percentage of residents who live in census tracts in the St. Louis region with low access to healthy food. Low access is defined as being far from a supermarket, supercenter, or large grocery store. A census tract is considered to have low access if a significant number (at least 500 people) or share (at least 33%) of the population in the tract is more than one mile from a supermarket in urban areas and more than 10 miles from a supermarket in rural areas. There are over 1,036,000 residents in census tracts with low access to healthy food, representing 53% of the region’s population.

Healthy Food Indicator Scores

City of
St. Louis

45

St. Louis
County

100

St. Charles
County

100

St. Clair
County

100

Data Source: USDA, Food Access Research Atlas, 2015; American Community Survey 5-year estimates, 2012-2016

What does this score mean?

A score of 100 represents racial equity, meaning there are no racial disparities in the outcomes between black and white populations. The lower the Equity Score, the greater the disparity.

For Access to Healthy Food, a score of 100 – a score reflecting racial equity – would mean black and white residents have equal access to healthy food. It is important to note that for this indicator, equity is not our only goal; we also want to improve outcomes for all.

WHAT DOES THIS ANALYSIS MEAN?

White residents are slightly more likely than black residents to live in census tracts with low access to healthy food, according to the USDA metric used here. Only in the City of St. Louis are black residents more likely to live in census tracts with low access to supermarkets, with about 11.9%% of black residents living in low access census tracts and only 6.3%% of white residents in such census tracts. If access to healthy food were more equitable in the City of St. Louis, approximately 8,440 more black residents would live within one mile of a grocery store.

Proximity to grocery stores is only one factor in determining access to healthy food; another is the income used to buy healthy food. The USDA Food Access Research Atlas also includes information on low-income census tracts. When examining census tracts that are both low-income and have low access to grocery stores, the racial disparities in the region become much more apparent. Census tracts that meet both these criteria make up over 173,000 area residents, about 9%% of the population.

In the City of St. Louis, the share of black residents living in a low-income, low-access census tract (11.6%) is almost eight times as high as the share of white residents in similar census tracts (1.5%; an equity score of 9). In St. Louis County, the share of black residents in low-income, low-access tracts (27.2%) is over five times the size of the share of white residents in these tracts (5.1%; an equity score of 19). In St. Clair County, the share of black residents in low-income, low-access tracts (32.8%) is over three times as high as the share of white residents (10.1%; an equity score of 31). In St. Charles County, there are no census tracts that meet both low-income and low-access to grocery store criteria; however, the share of black residents living in low-income census tracts is over twice as high as the share of white residents living in low-income census tracts (13.9% relative to 6.4%).

Why Does Access to Healthy Food Matter?

According to the USDA, “limited access to supermarkets, supercenters, grocery stores, or other sources of healthy and affordable food may make it harder for some Americans to eat a healthy diet.” Residents who do not have a healthy diet are more likely to struggle with food-related health issues, including obesity. Without convenient access to grocery stores, it is difficult for residents to eat healthy food. The Ferguson Commission is particularly concerned with hunger among children: “Insufficient nutritional intake in a child’s first two years of life can lead to increased susceptibility to short-term and long-term illness, as well as slowed mental development and physical growth (Hoddinott et al, 2008).”

Which Calls to Action from the Ferguson Commission’s report are linked with this indicator?

The Ferguson Commission calls to action related to access to healthy food include:

Questions for Further Investigation:

  • Why is there a racial disparity in Access to Healthy Food?
  • What can St. Louis do to reduce racial disparities in Access to Healthy Food?
  • What initiatives are currently underway to reduce racial disparities in Access to Healthy Food?

How can I learn more about this issue?

The Missouri Coalition for the Environment has produced an Interactive Local Foodshed Map in addition to the 2014 St. Louis Food Study. Following the publication of the study, they formed the St. Louis Food Policy Coalition, which, in partnership with East-West Gateway, has set a goal of reducing by half the number of census tracts where 70% of residents are considered low-income and low food access by 2027.

Access to Healthy Food Data

Residents who live in census tracts with low access to healthy foods

 AllBlackWhiteDisparity RatioEquity Score
Population of Census Tracts with Low Access to Healthy Food
28,49117,9508,547
Population
316,030150,948135,068
Percent of Population with Low Access to Healthy Food
9.00%11.90%6.30%1.879 to 145

Data Source: USDA, Food Access Research Atlas, 2015. American Community Survey 5-year estimates, 2012-2016

Residents who live in census tracts with low access to healthy foods

 AllBlackWhiteDisparity RatioEquity Score
Population of Census Tracts with Low Access to Healthy Food
565,367110,379412,849
Population
1,000,560235,920692,735
Percent of Population with Low Access to Healthy Food
56.50%46.79%59.60%0.785 to 1100

Data Source: USDA, Food Access Research Atlas, 2015. American Community Survey 5-year estimates, 2012-2016

Residents who live in census tracts with low access to healthy foods

 AllBlackWhiteDisparity RatioEquity Score
Population of Census Tracts with Low Access to Healthy Food
277,29411,389251,353
Population
379,85616,761343,464
Percent of Population with Low Access to Healthy Food
73.00%67.95%73.18%0.929 to 1100

Data Source: USDA, Food Access Research Atlas, 2015. American Community Survey 5-year estimates, 2012-2016

Residents who live in census tracts with low access to healthy foods

 AllBlackWhiteDisparity RatioEquity Score
Population of Census Tracts with Low Access to Healthy Food
165,49143,247110,737
Population
265,56979,402172,396
Percent of Population with Low Access to Healthy Food
62.32%54.47%64.23%0.848 to 1100

Data Source: USDA, Food Access Research Atlas, 2015. American Community Survey 5-year estimates, 2012-2016