Characteristics of Prepared Food Sources in Low-Income Neighborhoods of Baltimore City

Lee, Seung Hee; Rowan, Megan; Powell, Lisa M.; Newman, Sheldon M.; Klassen, Ann C.; Frick, Kevin D.; Anderson, Jennifer M.; Gittelsohn, Joel

doi:10.1080/03670244.2010.524102

Cited by 32 publications

(54 citation statements)

References 59 publications

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“…An example of a problem for which it is difficult to identify the root cause is the lack of nutritious food options in low-income urban areas. 11,12 A shortage of apples on a farm, for instance, may decrease the apple supply and increase the cost for storeowners to stock apples. As a result, perhaps only larger supermarkets can afford the added cost of stocking the apples, as opposed to smaller grocers in marginalized communities.…”

Section: What Is a System?mentioning

confidence: 99%

A systems approach to obesity

Lee¹,

Bartsch²,

Mui³

et al. 2017

Nutr Rev

Self Cite

137

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Obesity has become a truly global epidemic, affecting all age groups, all populations, and countries of all income levels. To date, existing policies and interventions have not reversed these trends, suggesting that innovative approaches are needed to transform obesity prevention and control. There are a number of indications that the obesity epidemic is a systems problem, as opposed to a simple problem with a linear cause-and-effect relationship. What may be needed to successfully address obesity is an approach that considers the entire system when making any important decision, observation, or change. A systems approach to obesity prevention and control has many benefits, including the potential to further understand indirect effects or to test policies virtually before implementing them in the real world. Discussed here are 5 key efforts to implement a systems approach for obesity prevention: 1) utilize more global approaches; 2) bring new experts from disciplines that do not traditionally work with obesity to share experiences and ideas with obesity experts; 3) utilize systems methods, such as systems mapping and modeling; 4) modify and combine traditional approaches to achieve a stronger systems orientation; and 5) bridge existing gaps between research, education, policy, and action. This article also provides an example of how a systems approach has been used to convene a multidisciplinary team and conduct systems mapping and modeling as part of an obesity prevention program in Baltimore, Maryland.

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Section: What Is a System?mentioning

confidence: 99%

A systems approach to obesity

Lee¹,

Bartsch²,

Mui³

et al. 2017

Nutr Rev

Self Cite

137

View full text Add to dashboard Cite

show abstract

“…Powell et al [39] found significantly fewer restaurants available in predominantly Hispanic neighborhoods, which had 60.9 % the number of available full-service restaurants and 55.8 % the number of fast-food restaurants compared to non-Hispanic neighborhoods. However, information about the availability and cost of healthy options in restaurants in predominately Hispanic/Latino neighborhoods is limited [55].…”

Section: Retail Food Environments In African American Neighborhoodsmentioning

confidence: 99%

Obesity and the Food Environment Among Minority Groups

et al. 2012

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The prevalence of obesity is higher in racial/ethnic minority populations compared to non-Hispanic whites. Recently, a substantial body of literature has focused on understanding the role of the retail food environment in shaping racial, ethnic, and socioeconomic disparities in obesity risk. Compared to predominately white neighborhoods, retail food environments in minority neighborhoods have been found to be more "obesigenic" and offer fewer opportunities for healthy eating. Studies generally show that predominately African American and Native American neighborhoods have fewer chain supermarkets; more liquor/convenience stores; lower availability of healthy food options and lower-quality fresh produce than predominately white neighborhoods. However, results from studies examining food environments in Hispanic/ Latino neighborhoods have been mixed. While several studies report an association between retail food environments, dietary intake, and obesity risk in children and adults, findings vary depending on the aspect of the food environment being studied, measures being used, target population considered, and geographic area where the study was conducted.

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“…Text messaging, Facebook, and Instagram posts advertised store sessions and encouraged the purchase of promoted products. BHCK worked with owners of carryouts, here, defined as an independently owned limited-service prepared food source with few or no seating area, where patron orders and pays before eating (Lee et al, 2010), to design and hang new menus, to advertise healthier sides, drinks, and entrees with a “fresh” logo. Process findings for these components will be reported elsewhere, but are part of the context of intervention implementation reported in this article.…”

Section: Methodsmentioning

confidence: 99%

Development and Implementation: B’More Healthy Communities for Kid’s Store and Wholesaler Intervention

Schwendler

Shipley

Budd

et al. 2017

Health Promotion Practice

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Higher rates of obesity and obesity-related chronic disease are prevalent in communities where there is limited access to affordable, healthy food. The B’More Healthy Communities for Kids (BHCK) trial worked at multiple levels of the food environment including food wholesalers and corner stores to improve the surrounding community’s access to healthy food. The objective of this article is to describe the development and implementation of BHCK’s corner store and wholesaler interventions through formal process evaluation. Researchers evaluated each level of the intervention to assess reach, dose delivered, and fidelity. Corner store and wholesaler reach, dose delivered, and fidelity were measured by number of interactions, promotional materials distributed, and maintenance of study materials, respectively. Overall, the corner store implementation showed moderate reach, dose delivered, and high fidelity. The wholesaler intervention was implemented with high reach, dose, and fidelity. The program held 355 corner store interactive sessions and had 9,347 community member interactions, 21% of which were with children between the ages of 10 and 14 years. There was a 15% increase in corner store promoted food stocking during Wave 1 and a 17% increase during Wave 2. These findings demonstrate a successfully implemented food retailer intervention in a low-income urban setting.

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Characteristics of Prepared Food Sources in Low-Income Neighborhoods of Baltimore City

Cited by 32 publications

References 59 publications

A systems approach to obesity

A systems approach to obesity

Obesity and the Food Environment Among Minority Groups

Development and Implementation: B’More Healthy Communities for Kid’s Store and Wholesaler Intervention

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