Evaluation of Healthy2Go: A country store transformation project to improve the food environment and consumer choices in Appalachian Kentucky.
Evaluation of Healthy2Go: A country store transformation project to improve the food environment and consumer choices in Appalachian Kentucky.
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DOI：
10.1016/j.pmedr.2017.06.009
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发表时间：
2017-09-01
影响因子：
2.8
通讯作者：
Kubo, Hitomi
中科院分区：
文献类型：
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作者：
Rushakoff, Joshua A;Zoughbie, Daniel E;Kubo, Hitomi
肯塔基州的坎伯兰山谷地区的肥胖症和2型糖尿病的发病率是美国最高的，获得健康食品的机会有限是导致这些流行病的原因。“健康2Go”（H2 G）是由"传播健康阿巴拉契亚“（STHA）发起的一个乡村商店改造项目，其目的是提高乡村小商店对健康选择的认识和可获得性。10个国家的商店参加了H2 G，并接受了培训和技术援助，以增加健康食品的供应和认识。商店进行了库存变更;安装了购买点教育和店内营销材料，引导购物者选择更健康的食品;提供营养教育，如健康食谱;改变健康食品的陈列和位置。为了衡量商店内的变化以及对居民饮食和购买习惯的潜在影响，STHA使用了四种工具：修改后的营养环境测量调查-基线和随访时的街角商店，每两个月一次的商店库存评估，最终的店主调查，以及基线（n=287）和随访（n=281）时的社区营养调查。H2 G计划中的商店（n=10）的新鲜农产品库存增加了40%，农产品品种增加了20%，并且有增加健康库存的趋势。在同一时期，接受调查的居民报告说，健康食品消费的频率在统计上显著增加。小商店改造计划可以改善农村地区健康食品的供应和获得，并影响当地的购买模式。
Rates of obesity and type 2 diabetes in Kentucky's Cumberland Valley region are among the highest in the United States and limited access to healthy food contributes to these epidemics. The aim of Healthy2Go (H2G), a country store transformation project launched by Spread the Health Appalachia (STHA), was to improve awareness and availability of healthy options in small, rural stores. Ten country stores participated in H2G and received training and technical assistance to increase availability and awareness of healthy foods. Stores made inventory changes; installed point-of-purchase educational and in-store marketing materials directing shoppers to healthier options; provided nutrition education such as healthy recipes; and altered the display and location of healthy items. To measure changes within stores and the potential impact on resident eating and purchasing habits, STHA used four instruments: a modified version of the Nutrition Environs Measures Survey - Corner Stores at baseline and follow-up, a bimonthly store inventory assessment, a final store owner survey, and a Community Nutrition Survey at baseline (n=287) and follow-up (n=281). The stores in the H2G program (n=10) had a 40% increase in stocking fresh produce, a 20% increase in produce variety, and trends towards increasing healthy inventory. During the same period, surveyed residents reported a statistically significant increase in the frequency of healthy food consumption. Small store transformation programs can improve availability of and access to healthy food in rural settings and influence local purchasing patterns.