An Urban Food Store Intervention Positively Affects Food-Related Psychosocial Variables and Food Behaviors
An Urban Food Store Intervention Positively Affects Food-Related Psychosocial Variables and Food Behaviors
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DOI：
10.1177/1090198109343886
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发表时间：
2010-06-01
影响因子：
4.2
通讯作者：
Anliker, Jean A.
中科院分区：
文献类型：
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作者：
Gittelsohn, Joel;Song, Hee-Jung;Anliker, Jean A.
肥胖和其他与饮食相关的慢性疾病在低收入城市地区更为普遍，这些地区获得健康食品的机会通常有限。作者在巴尔的摩市以非裔美国人为主的低收入地区的九家食品店（包括两家超市和七家街角商店）进行了一项干预试验，并在该市另一个低收入地区的八家商店进行了对照组。干预措施（巴尔的摩健康商店；BHS）包括增加更有营养食品库存的环境因素，并提供购买点促销活动，包括健康选择标牌和互动营养教育课程。作者通过事前评估和事后评估，评估了该计划对从干预和比较区域抽取的 84 名受访者的影响。在干预领域，干预材料的接触程度较低，总体健康食品购买分数、食品知识和自我效能并未显示出与干预状态相关的显着改善。然而，根据调整后的多元回归结果，BHS 计划对食品制备方法的健康性产生了积极影响，并显示出选择健康食品的意愿有所改善的趋势。由于 BHS 货架标签的存在，干预区域的受访者更有可能购买促销食品。这是低收入城市社区中第一个食品店干预试验，显示出对消费者层面的积极影响。
Obesity and other diet-related chronic diseases are more prevalent in low-income urban areas, which commonly have limited access to healthy foods. The authors implemented an intervention trial in nine food stores, including two supermarkets and seven corner stores, in a low-income, predominantly African American area of Baltimore City, with a comparison group of eight stores in another low-income area of the city. The intervention (Baltimore Healthy Stores; BHS) included an environmental component to increase stocks of more nutritious foods and provided point-of-purchase promotions including signage for healthy choices and interactive nutrition education sessions. Using pre- and postassessments, the authors evaluated the impact of the program on 84 respondents sampled from the intervention and comparison areas. Exposure to intervention materials was modest in the intervention area, and overall healthy food purchasing scores, food knowledge, and self-efficacy did not show significant improvements associated with intervention status. However, based on adjusted multivariate regression results, the BHS program had a positive impact on healthfulness of food preparation methods and showed a trend toward improved intentions to make healthy food choices. Respondents in the intervention areas were significantly more likely to report purchasing promoted foods because of the presence of a BHS shelf label. This is the first food store intervention trial in low-income urban communities to show positive impacts at the consumer level.