Healthy store programs and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), but not the Supplemental Nutrition Assistance Program (SNAP), are associated with corner store healthfulness.
Healthy store programs and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), but not the Supplemental Nutrition Assistance Program (SNAP), are associated with corner store healthfulness.
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DOI：
10.1016/j.pmedr.2016.06.018
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发表时间：
2016-12-01
影响因子：
2.8
通讯作者：
Ohri-Vachaspati, Punam
中科院分区：
文献类型：
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作者：
DeWeese, Robin S;Todd, Michael;Ohri-Vachaspati, Punam
为了应对缺乏获得健康食品的机会，许多低收入社区正在制定当地的健康街角商店计划。一些商店还参加了美国农业部的妇女、婴儿和儿童特别补充营养计划（WIC）和补充营养援助计划（SNAP）。这项研究使用了两种评估工具来比较参与当地健康商店计划（升级商店），WIC和/或SNAP的商店与类似的非参与商店的产品的健康性。基于2014年在315家新泽西街角商店进行的商店审计，我们使用街角商店营养环境措施调查（NEMS-CS-Availability）和简短的街角商店审计工具（SCAT）的子部分计算了健康食品的可用性得分。我们使用多变量回归来研究项目参与和两种工具的得分之间的关联。调整商店和街区组的特点，参加当地健康商店计划的商店有显着较高的SCAT分数比非参与商店（升级：M=3.18，95% CI 2.65-3.71;未升级：M=2.52，95% CI 2.32-2.73）; NEMS-CS评分-可用性无差异（升级：M=12.8，95% CI 11.6-14.1;未升级：M=12.5，95% CI 12.0-13.0）。WIC参与商店的得分显着高于非参与商店的两个工具。与非SNAP商店相比，仅参与SNAP的商店（而不是WIC）在两种工具上的得分都显着较低。WIC参与和非SNAP街角商店在这两种评估工具上的健康得分更高。升级后的商店在SCAT上的健康评分高于未升级的商店。
In response to lack of access to healthy foods, many low-income communities are instituting local healthy corner store programs. Some stores also participate in the United States Department of Agriculture's Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and the Supplemental Nutrition Assistance Program (SNAP). This study used two assessment tools to compare the healthfulness of offerings at stores participating in local healthy store programs (upgraded stores), WIC, and/or SNAP to that of similar non-participating stores. Based on store audits conducted in 315 New Jersey corner stores in 2014, we calculated healthy food availability scores using subsections of the Nutrition Environment Measures Survey for Corner Stores (NEMS-CS-Availability) and a short-form corner store audit tool (SCAT). We used multivariable regression to examine associations between program participation and scores on both instruments. Adjusting for store and block group characteristics, stores participating in a local healthy store program had significantly higher SCAT scores than did non-participating stores (upgraded: M=3.18, 95% CI 2.65-3.71; non-upgraded: M=2.52, 95% CI 2.32-2.73); scores on the NEMS-CS-Availability did not differ (upgraded: M=12.8, 95% CI 11.6-14.1; non-upgraded: M=12.5, 95% CI 12.0-13.0). WIC-participating stores had significantly higher scores compared to non-participating stores on both tools. Stores participating in SNAP only (and not in WIC) scored significantly lower on both instruments compared to non-SNAP stores. WIC-participating and non-SNAP corner stores had higher healthfulness scores on both assessment tools. Upgraded stores had higher healthfulness scores compared to non-upgraded stores on the SCAT.