Comparison of food intake status based on food accessibility among regions

  • Received : 2019.04.08
  • Accepted : 2019.07.23
  • Published : 2019.09.01


As the economy of Korea has developed, dietary patterns have also changed in many ways. Rural areas, in particular, demonstrate relatively lower food accessibility than in urban areas. The aim of this study was to examine whether or not there were differences in food accessibility between urban and rural areas using data of the Census on Basic Characteristics of Establishments, Consumer Behavior Survey for Food, of the Korean National Health and Nutrition Examination Survey. Also investigated was how such differences would affect the frequency of food purchase, dietary intake, and nutrition intake by district. The results showed that districts with the lowest 10% in food accessibility had lower frequency of food purchase than did the highest 10% districts. In terms of nutrition intake, the daily average nutrition intake was not significantly different among districts. Yet, analysis of the amount of weekly dietary intake indicated that food oasis districts had from 1.3 to 3 times greater dietary intake than did food desert districts. These findings mean that the difference in food accessibility causes unbalanced food intake. Thus, the government must take a comprehensive approach to ensure that rural residents get greater food accessibility.


  1. Beaumont J, Lang T, Leather S, Mucklow C. 1995. Report from the policy sub-group to the Nutrition Task Force Low Income Project Team of the Department of Health. Institute of Grocery, Distribution, UK.
  2. Furey S, Farley H, Strugnell C. 2002. An investigation into the availability and economic accessibility of food items in rural and urban areas of Northern Ireland. International Journal of Consumer Studies 26:313-321.
  3. Gim ES, Baek KM. 2017. An analysis of the effects of Japan's nuclear power plant accident on Korean consumers' response to imported food consumption. Korean Journal of Agricultural Science 44:636-641. [in Korean]
  4. Jang MJ, Shin S, Kim SA, Chung S, Paik HY, Choe JS, Hong EJ, Joung H. 2014, Developing and testing the reliability of a measurement tool for an urban area food environment in Korea - focusing on food stores. Journal of nutrition and health 47:351-363. [in Korean]
  5. Ju MJ. 2008. Study on diet evaluation and menu development for the elderly in busy farming season of rural area. M.S. thesis, Yongin Univ., Yongin, Korea. [in Korean]
  6. Kim D. 2014. An East Asian perspective on healthy and affordable food accessibility: Food desert or food jungle? Korean association for public administration. Proceedings of KAPA 2014 Winter Conference:1667-1679.
  7. Kim K, Kim MK, Shin YJ. 2008. The concept and measurement of food security. Journal of prevention medicine and public health 41:387-396. [in Korean]
  8. Kim M, Ki M, Bang K, Kim K, Choi B, Kwon Y, Lee S, Kim C, Kang Y. 1998. The effect of parental socioeconomic status on the nutrient Intake of urban and rural adolescents. Korean Journal of Community Nutrition 3:542-555. [in Korean]
  9. Kim SA, Choe JS, Joung H, Jang MJ, Kim Y, Lee SE. 2014. Comparison of the distribution and accessibility of restaurants in urban area and rural area. Journal of nutrition and health 47:475-483. [in Korean]
  10. Kim SY, Lee KI. 2002. An analysis of inequality in farm household consumption expenditure. Journal of rural development 25:1-14. [in Korean]
  11. KREI (Korea Rural Economic Institute). 2012. A study on the actual condition of food life for rural residents. Weekly Report of Agriculture and Rural Economy 44. [in Korean]
  12. Lee CH, Lee SE, Jang MJ, Choe JS, Park YH, Kim Y. 2014. An analysis of food purchase accessibility and availability for rural households: The cases of Bibong-myeon and Maesong-myeon, Hwaseong-si-. Korean Journal of Community Living Science 25:581-600. [in Korean]
  13. Lee KI, Kim SH, Huh SY. 2017. In-depth analysis of food consumption in Korea. Korea Rural Economic Institute, Naju, Korea. [in Korean]
  14. Lee SH. 2018. An analysis on determinants of farm household income in Gyeongbuk province. Korean Journal of Agricultural Science 45:137-142. [in Korean]
  15. Park JK. 2010. Development and validation of Korean food security measures. Korea Centers for Disease Control and Prevention, Cheongju, Korea. [in Korean]
  16. Roos JA, Ruthven GA, Lombard MJ, Mclachlan MH. 2013. Food availability and accessibility in the local food distribution system of a low-income, urban community in Worcester, in the Western Cape province. South African Journal of Clinical Nutrion 26:194-200.
  17. Seok MJ. 2009. A comparison of dietary attitudes, nutrition knowledge, perception of nutrition labeling system and dietary intake among urban areas, rural and island areas. M.S. thesis, Kosin Univ., Busan, Korea. [in Korean]
  18. Yeager CD, Gatrell JD. 2014. Rural food accessibility: An analysis of travel impedance and the risk of potential grocery closures. Applied Geography 53:1-10.
  19. Yoon JS. 1981. A multidisciplinary case study of food and nutrition intakes of different rural socioeconomic classes; the current status and its problem. Korean Journal of Nutrition 14:87-96. [in Korean]