The Impact of Proximity to Wet Markets and Supermarkets on Household Dietary Diversity in Nanjing City, China.

This study investigated the influence of the proximity to wet markets and supermarkets on urban household dietary diversity in Nanjing. Based on the data collected through a citywide survey in 2015 and the map data of wet markets and supermarkets, the Poisson regression model was deployed to examine the correlations between geographical proximity to supermarkets and wet markets and household dietary diversity. The result shows that the coefficients for the distance to the nearest wet market are not statistically significant. Although the coefficients for the distance to nearest supermarket are statistically significant, they were too minor to reach a practical importance. We argue, however, that the insignificant correlations reflect exactly the high physical accessibility to food outlets and the extensive spatially dense food supply network constituted by wet markets, supermarkets and small food stores in Nanjing, due in part to the food infrastructure development planning in Nanjing that has ensured relatively equal and convenient access to wet markets or supermarkets for all households. Our findings are verified by the survey data that more than 90% of households purchased fresh food items within their neighborhoods or in walking distance. In addition to the densely distributed food outlets, various other factors contributed to the non-significant influence of the distance to the nearest wet market and supermarket, in particular, the numerous small food stores within or close to residential communities, the prevalence of three-generation extended household structure and the high household income. [ABSTRACT FROM AUTHOR]