Over the past several decades there has been a global dietary shift, occurring at different rates across time and space. These changes are reflective of the nutrition transition—a series of potentially adverse changes in diet, health and physical activity. These dietary shifts have been associated with significant health consequences, as seen by the global rise in nutrition-related non-communicable diseases (NR-NCDs) such as diabetes, hypertension, cancer, coronary heart disease as well as obesity. Clinical studies have confirmed that overweight and obese individuals are at increased risk for diabetes and hypertension, among other cardiovascular diseases. However, these linkages between the nutrition transition and health are not spatially random. They vary according to personal characteristics ("who you are") and the neighborhood environment in which you live ("where you are"). Leveraging existing demographic and health resources, in this project I aim to investigate the relationship between the food retail environment and health outcomes among a representative sample of urban Ghanaian women ages 18 and older, normally resident in the Accra Metropolitan Area (AMA), using a mixed methods spatial approach. Data for this study are drawn primarily from the 2008-09 Women's Health Study of Accra (WHSA II) which was funded by the U.S. National Institute of Child Health and Human Development (NICHD) (John R. Weeks, Project Director/Principal Investigator). It was conducted as a joint collaboration between the Institute of Statistical, Social and Economic Research (ISSER) at the University of Ghana, the Harvard School of Public Health and San Diego State University. Results from this study highlights the importance of addressing the high prevalence of hypertension among adult women in Accra and should be of concern to both stakeholders and the public. Older populations, overweight and obese individuals, those with partners living at home, limited number of food retailers in one's neighborhood and living in close proximity to a modern food retailer all increase the risk of hypertension among women sampled in WHSA-II.