“You Have to Hunt for the Fruits, the Vegetables”: Environmental Barriers and Adaptive Strategies to Acquire Food in a Low-Income African American Neighborhood

Zenk, Shannon N.; Odoms-Young, Angela; Dallas, Constance M.; Hardy, Elaine; Watkins, April; Hoskins-Wroten, Jacqueline; Holland, Loys

doi:10.1177/1090198110372877

Cited by 138 publications

(160 citation statements)

References 49 publications

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“…In every aisle of this 26,000-square-foot store, at least two or three staff members were stationed to serve customers with smiling faces and friendly demeanors, and I saw many customers talking with them. This kind of store atmosphere highlighted another contrast to the food retailers across the city, where residents commonly noted poor customer service or treatment (see also Zenk et al 2011 on social-interactional barriers to food access in lower-income neighborhoods in the United States). I overheard WFM staff members repeatedly calling attention to the little tags attached to the shelves that showed a picture and brief description of each food item.…”

Section: Case 2: Whole Foods Food Deserts and ''Alternative'' Foodsmentioning

confidence: 92%

(Re)establishing the Normal

Jung

2014

Gastronomica

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JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org.. University of California Press is collaborating with JSTOR to digitize, preserve and extend access to Gastronomica: The Journal of Critical Food Studies.

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Section: Case 2: Whole Foods Food Deserts and ''Alternative'' Foodsmentioning

confidence: 92%

(Re)establishing the Normal

Jung

2014

Gastronomica

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“…Another is illustrated by the accounts of those who avoid outdoor activities they feel would open them up to public shame. Although many studies, qualitative [48][49][50][51][52] and quantitative, [53][54][55][56] have investigated facilitators and barriers for health behaviors, the Capability Approach addresses persistent challenges in the field. 57 Two large bodies of health behavior research-one focusing on individuals' choices and another on environmental contexts-have been largely unconnected.…”

Section: Discussionmentioning

confidence: 99%

Measuring Capability for Healthy Diet and Physical Activity

Ferrer

Cruz

Burge

et al. 2014

The Annals of Family Medicine

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PURPOSE Patterns of diet and physical activity, major drivers of morbidity and mortality, are contingent on people's feasible opportunities to pursue healthy behaviors. Our objective for this mixed methods study was to develop measures of feasible opportunities for diet and activity. METHODSThe Capability Approach framework for evaluating people's real freedoms to pursue their values guided the research. A community-based participatory model was applied to conduct focus groups of adults with obesity or diabetes mellitus from an economically disadvantaged Latino community. Focus group themes were developed into survey items that assess how individual circumstances and neighborhood contexts influence opportunities for diet and activity. The prevalence of different influences was explored in a sample of 300 patients from a primary care safety net clinic. Scales measuring different aspects of opportunity were created through principal components analysis.RESULTS Availability, convenience, safety, cost of food, and activity resources interact with individual circumstances, such as illness, depression, family and nonfamily supports, and scope of personal agency, to shape practical opportunities. Multiple vulnerabilities in availability of resources and moderators of resource use commonly occur together, intensifying challenges and creating difficult trade-offs. Only one-half of participants reported that physicians understood their difficulties pursuing activity, and just one-third for diet. CONCLUSIONSOur results suggest that practical opportunities for healthy behavior can be measured as a primary target for clinical and public health assessment and intervention. The Capability Approach holds promise as a framework for developing interventions responsive to both personal and environmental determinants. INTRODUCTIONU nhealthy diet and sedentary living cause substantial morbidity and mortality in developed societies, 1,2 taking their greatest toll on disadvantaged populations. [3][4][5][6][7][8][9] These behaviors have proved difficult to manage in both clinical 10 and public health 11 contexts because they have complex roots at the interface between individual choices and social and physical environments. [12][13][14] Given primary care's high contact rate with disadvantaged populations 15 and the importance of health behaviors in managing chronic diseases, 16 addressing behaviors is an essential function. 17,18 But its performance in this role has been mixed: a large, complex literature reports only modest success in improving diet and physical activity. 10,[19][20][21][22] Primarily, interventions have focused on increasing individuals' knowledge, motivation, and self-efficacy. 23 Much evidence shows, however, that success will be limited if social and environmental contexts are not accounted for. [24][25][26][27][28][29][30][31] Even so, the clinician's task involves more than acknowledging context; the challenge is to understand how to help a specific patient succeed in a specific environment. 47task a...

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“…Lack of nutritious foods as a choice for students in school settings and the community (Larson et al 2009, Zenk et al 2011, limited opportunities for physical activity among school-aged children in urban schools (Joens-Matre et al 2008), the proximity of tobacco retailers near urban schools (McCarthy et al 2009) and recent concerns regarding the obesity crisis among US youth (Zapata et al 2008) signal the importance of health education (HE) in US schools. However, educators charged with teaching health content face a host of challenges, most notably limited training and resources, especially culturally competent materials to use with students.…”

Section: Introductionmentioning

confidence: 98%

US urban teachers’ perspectives of culturally competent professional development

Flory

McCaughtry

Martin

et al. 2013

Professional Development in Education

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Health disparities related to food choices, nutrition behaviours and smoking habits in urban communities in the United States signal the importance of health education (HE) in schools, yet educators in urban communities face unique cultural challenges often unaddressed in professional development (PD). The purpose of this study was to use a cultural competence framework to examine urban HE teachers' perspectives of culturally competent PD. Ethnographic fieldwork was conducted at PD planning and training sessions, and 23 HE teachers were observed teaching and interviewed over two school years as they experienced PD and implemented revised curriculum with their middle-school students. Four themes regarding issues of cultural competence in PD interventions emerged during the study. These included: the need for diverse and credible PD staff; culturally competent curricula; flexible implementation expectations; and follow-up support beyond PD workshops. The findings of this study highlight the teachers' perceptions of PD efforts that would align best with the complex teaching situations of urban schools, demonstrating a rich understanding of and participation in urban school communities.

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“You Have to Hunt for the Fruits, the Vegetables”: Environmental Barriers and Adaptive Strategies to Acquire Food in a Low-Income African American Neighborhood

Cited by 138 publications

References 49 publications

(Re)establishing the Normal

(Re)establishing the Normal

Measuring Capability for Healthy Diet and Physical Activity

US urban teachers’ perspectives of culturally competent professional development

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