Obesity and Diabetes, the Built Environment, and the ‘Local’ Food Economy

Obesity and diabetes are increasingly attributed to environmental factors, however, little attention has been paid to influence of the 'local' food economy. This paper examines the association of measures relating to the built environment and the ‘local’ food economy with county-level prevalence of obesity and diabetes. Key indicators of the ‘local’ food economy include the density of farmers’ markets, volume of direct farm sales, and presence of farm-to-school programs. This paper employs a robust regression estimator to account for non-normality of the data and to accommodate outliers. Overall, the built environment is strongly associated with prevalence of obesity and diabetes and a strong 'local' food economy may play an important role in prevention. Results imply considerable scope for community-level interventions.