View attachment 820443
Since it’s hard to read, this is a map showing food insecurity which is a combination of poverty rates and accessibility to nutritious food (food deserts)
Pretty obvious why the south tends to be the unhealthiest part of the country.
Access to good sources to food and income absolutely play a part in this. And I totally get that people make poor choices, hell I do it all the time.
For access to food, I mean, it's a tiny, tiny part. So tiny it's silly to talk about in the context of trying to reduce obesity. If you mandated that every convenience store in the middle of BFE carry dried beans and lintels and canned vegetables, those items would mostly sit on the shelf. Microwavable burritos and chips and sodas would still sell.
Income is a little different. Lots of causation going both ways there. Lots of traits likely to make you obese will also make it more likely you have a lower income. Being obese by itself will cause lower income. Low income may not cause obesity in the sense of not being able to afford healthy food (again, you probably won't find many poor obese peopel that don't regularly have soda and chips, both expensive items that provide basically zero nutritional value), but generally being lower income while working a full time job tends to come with lower bandwidth in general, or whatever you want to call it.
It takes mental energy and time to plan for food at home. It's easy to pick up terrible **** from fast food or the grocery store. Same with exercise. I don't have trouble exercising when I come home from work because of being physically tired. It's being mentally drained that makes it hard. Lower income people don't literally need more money to eat healthier and exercise. But more income would likely come with more bandwidth that would make it easier.
I think that's why you see a good number of white collar workers get healthier and in shape in their 40's. Certainly part of that is just getting older and getting scared, but I think it's also getting past the point of working long hours with little flexibility. I didn't work out when the only feasible way for me to do it was to wake up at 4:30am so I could do a good workout and still be at work by 7:00 or to gut it out after an exhausting work day that ended at 6:30 or maybe 7:30 or maybe 9:30. But when you consistently get off work before 6:00pm, it's a lot more manageable, whether you want to do it when you get off work or whether you want to do it in the morning, because you don't have those late nights that make it hard to wake up in the morning.