Appalachian Store Owners’ and Managers’ Perspectives on the Role of Their Store in the Community and in Providing Healthier Food to the Community

Steeves, Elizabeth Anderson; McElrone, Marissa; Grier-Welch, Adeline; Zimmer, Meghan; Daves, Phillip R.

doi:10.1080/03670244.2019.1661839

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…This study was an extension of another study, Shop Smart Tennessee (SSTN) [ 35 ]. SSTN was a multi-level intervention implemented in six low-income, rural, Appalachian communities that aimed to increase both access to and demand for healthier items in convenience stores through store-based intervention strategies such as storeowner training, increased stocking of healthier foods, in-store marketing (signage and shelf-labels), and promotions (taste tests, recipes, giveaways).…”

Section: Methodsmentioning

confidence: 99%

Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities

et al. 2021

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The Appalachian region of the U.S. is disproportionately impacted by poverty, obesity, and nutrition-related chronic diseases. Evidence suggests that caregiver feeding practices may promote healthful eating behaviors among children; however, this has not been examined in low-income, rural, Appalachian populations. This study examines caregiver feeding practices as predictors for child diet in low-income Appalachian families, using a cross-sectional analysis of 178 caregivers of young children (ages 2–10 years old), that were recruited from low-income, rural communities in East Tennessee, from November 2017 to June 2018. Caregivers self-reported measures of demographics, feeding practices, and child dietary intake. Multiple linear regression analyses were run, and found that higher use of caregiver modeling positively predicted child vegetable consumption (Beta = 1.02; p = 0.04). Higher caregiver intake of fruits and vegetables positively predicted child fruit consumption (Beta = 0.29; p = 0.02) and vegetable consumption (Beta = 1.56; p < 0.001), respectively. Higher home availability of healthier foods positively predicted child fruit consumption (Beta = 0.06; p = 0.002) and vegetable consumption (Beta = 0.09; p = 0.05). Higher home availability of less healthy foods positively predicted child consumption of high-sugar/high-fat snack foods (Beta = 0.59; p = 0.003). The findings of this study indicate that caregiver modeling, healthy caregiver dietary intake, and healthful home food availability are associated with healthier child dietary intake among young children in low-income, rural, Appalachian areas. Promoting these practices among caregivers may be an important strategy to enhancing dietary intake of children in this hard-to-reach, underserved population.

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Section: Methodsmentioning

confidence: 99%

Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities

et al. 2021

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“…There is a dearth of literature that examines this critical perspective when examining federal nutrition programs and food access initiatives. Further, most studies that report vendor perspectives are limited to small, independent retailers that do not represent the larger regional and national corporations that provide a significant proportion of food to communities [ 31 , [47] , [48] , [49] , [50] ]. This study includes a diverse group of vendors based on size and geographic location, including some of the largest vendors in the United States that reach millions of families nationwide.…”

Section: Discussionmentioning

confidence: 99%

Vendors’ Perceptions and Experiences with WIC Online Shopping Implementation

Crespo-Bellido,

Steeves,

Hill

et al. 2024

Current Developments in Nutrition

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“…The distressed designation of Athens presents an interesting case relative to the larger Ohio area; recent estimates suggest that 27% of the county's population lives in poverty and 19% are experiencing food insecurity [44,45], relative to 14% in poverty and 13% experiencing food insecurity state-wide [44,46]. A related concern in Appalachia is the high rate of obesity and obesity-related chronic illnesses [1,47,48].…”

Section: Study Areamentioning

confidence: 99%

Local Value Chain Models of Healthy Food Access: A Qualitative Study of Two Approaches

et al. 2021

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Food value chains are increasingly recognized as more equitable alternatives to traditional supply chains and may represent a novel mechanism to achieve health equity at the local level. Country Fresh Stops (CFS) and Donation Station (DS) are two complementary programs that are part of a more robust value chain designed to support local agriculture in Appalachia Ohio. As the first study of these programs in the peer-reviewed literature, the objectives were to identify factors that facilitate or hinder the implementation of these two local value chain models of healthy food access and to identify the perceived impacts from the perspective of the sites implementing them. In-depth, semi-structured interviews were conducted with CFS (n = 7) and DS (n = 10) site representatives in January 2020. Template analysis was used to identify themes through a priori and inductive codes. Participants identified two primary facilitators: support from partner organizations and on-site program stewardship. Produce (and program) seasonality and mitigating food waste were the most cited challenges. Despite challenges, both CFS and DS sites perceive the models to be successful efforts for supporting the local economy, achieving organizational missions, and providing consumers with greater access to locally grown produce. These innovative programs demonstrate good feasibility, but long-term sustainability and impacts on other key stakeholders merit further investigation.

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Appalachian Store Owners’ and Managers’ Perspectives on the Role of Their Store in the Community and in Providing Healthier Food to the Community

Cited by 3 publications

References 22 publications

Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities

Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities

Vendors’ Perceptions and Experiences with WIC Online Shopping Implementation

Local Value Chain Models of Healthy Food Access: A Qualitative Study of Two Approaches

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