The four unhealthiest counties were Menominee County, Wisconsin; Turner County, Georgia; McNairy County, Tennessee; and Musselshell County, Montana. All four are rural. The three healthiest three counties were New York County, N.Y. (Manhattan); Pitkin County, Colorado (Aspen); and Iroquois County in east-central Illinois (Watseka, pop. 5,000).Pitkin County has one of the highest median incomes and highest life expectancies in the country.
|Washington Post map; click on it for a larger version.|
They found that such changes had a limited impact on the foods those households bought, so it may have been more about demand than access. However, the researchers stress that there were factors the study didn't consider, including the time to plan and cook meals, exposure to food marketing, and stress levels. Lead researcher Hunt Allcott, an economist at New York University, "hypothesizes that a region’s dominant cuisine, be that barbecue or avocado toast, informs the meals that people eat as children. That, in turn, has a large effect on their lifelong food preferences," Dewey reports.