Small Improvements in an Urban Food Environment Resulted in No Changes in Diet Among Residents.

Living in a low-income neighborhood with low access to healthy food retailers is associated with increased risk for chronic disease. The U.S. Healthy Food Financing Initiative (HFFI) provides resources to support the development of infrastructure to improve neighborhood food environments. This natur...

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Publicado en:Journal of Community Health Vol. 46; no. 1; pp. 1 - 13
Autores principales: Freedman, Darcy A., Bell, Bethany A., Clark, Jill, Ngendahimana, David, Borawski, Elaine, Trapl, Erika, Pike, Stephanie, Sehgal, Ashwini R.
Formato: Artículo
Publicado: Springer Nature 2021
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Small Improvements in an Urban Food Environment Resulted in No Changes in Diet Among Residents.
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          Freedman, Darcy A.
          Bell, Bethany A.
          Clark, Jill
          Ngendahimana, David
          Borawski, Elaine
          Trapl, Erika
          Pike, Stephanie
          Sehgal, Ashwini R.
        affil:
          School of Medicine, Case Western Reserve University, 44122, Cleveland, OH, USA
          College of Social Work, University of South Carolina, 29208, Columbia, SC, USA
          John Glenn College of Public Affairs, Ohio State University, 43210, Columbus, OH, USA
          Mary Ann Swetland Center for Environmental Health, Case Western Reserve University, 44122, Cleveland, OH, USA
      su:
        Ohio
        Food habits
        Food supply
        Metropolitan areas
        Public health
        Socioeconomic factors
        Social context
        Diet
        Ingestion
        Longitudinal method
        Research methodology
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        subj:
          Food habits
          Food supply
          Metropolitan areas
          Public health
          Socioeconomic factors
          Social context
          Ohio
          Health and Welfare Funds
          Diet
          Ingestion
          Longitudinal method
          Research methodology
      keyword:
        Food desert
        Food environment
        Natural experiment
        Food desert
        Food environment
        Natural experiment
      ab: Living in a low-income neighborhood with low access to healthy food retailers is associated with increased risk for chronic disease. The U.S. Healthy Food Financing Initiative (HFFI) provides resources to support the development of infrastructure to improve neighborhood food environments. This natural experiment examined a HFFI funded food hub that was designed to be implemented by a community development corporation in an urban neighborhood in Cleveland, Ohio. It was intended to increase access to affordable, local, and healthy foods; establish programs to increase social connections and support for healthy eating; and create job opportunities for residents. We used a quasi-experimental, longitudinal design to externally evaluate food hub implementation and its impact on changes to the built and social environment and dietary patterns among residents living in the intervention neighborhood (n = 179) versus those in a comparison (n = 150) neighborhood. Overall, many of the food hub components were not implemented fully, and dose and reach of the executed food hub components was low. There were statistically significant improvements in observed availability of healthy foods in the intervention neighborhood versus the comparison neighborhood. There were no changes over time in diet quality scores, total caloric intake, or fruit and vegetable intake in the intervention neighborhood. In conclusion, low dose implementation of a food hub led to small improvements in availability of healthy foods but not in dietary patterns. Findings highlight challenges to implementing a food hub in neighborhoods with low access to healthy food retailers.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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