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Priority Areas for Child Diaper Access

Low-Income Neighborhoods with Limited Retail Access to the Basic Need of Diapers

Bibliographic Data

ID19578151
AuthorsKelley E C Massengale (0000-0003-2868-2472, Bank of America, corresponding author), Melissa A Jones (0000-0002-7919-5247, University of North Carolina at Greensboro), Juncheng Liao (Duke University), Christine Park (0000-0002-5261-9820, Duke University), Michelle Old (Bank of America)
Year2022
Volume6
Issue1
Pages767-776
Publication date2022-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Equity (JOURNAL)
Journal identifiersISSN: 2473-1242 • E-ISSN: 2473-1242
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1089/heq.2021.0192
PMID36225666
OpenAlexW4297496107
LanguageEN
Citations received1
References cited22

Introduction: Although a requirement for the health and hygiene of young children, millions of US families with low-incomes have unmet needs for diapers. The present study explored retail options in Durham County, NC for purchasing diapers in low-income neighborhoods in effort to increase our understanding of the overall context of diaper need. Methods: During June 2018, we visited 63 retailers selling 2460 child diaper products in 29 census tracts with a median household income ≤200% of the federal poverty guideline. Corner stores were the only retailers to sell products without original packaging, including one corner store selling loose diapers for $1.49 each. Next, we calculated bus routes to determine accessibility of the retailer with the lowest prices and greatest selection. One-way bus travel from all other census tracts to a big-box store required taking two buses combined with an average of 11 min walking for an average travel time of 43 min. We deemed census tracts as "priority areas for diaper access" when they were characterized as: (1) low income and (2) low access with no retailer selling all of the 10 most common child diaper sizes. Results: =13) of the census tracts in our sample met our criteria for priority areas. We compared neighborhood characteristics of priority areas with all other county census tracts. Families living in priority areas were statistically significantly more likely to: identify as Black or African American, face challenges affording housing costs, have homes or automobiles in need of repair, experience neighborhood violence, and have less educational attainment

Business · Census · Economic growth · Economics · Environmental health · Geography · Population · Poverty · Purchasing · Socioeconomics · Breastfeeding Practices and Influences · Infant Development and Preterm Care · Medicine · Neonatal skin health care · Marketing

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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