The Rationale behind Small Food Store Interventions in Low-Income Urban Neighborhoods: Insights from New Orleans

The Rationale behind Small Food Store Interventions in Low-Income Urban Neighborhoods: Insights from New Orleans
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DOI:
10.3945/jn.109.113266
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发表时间:
2010-06-01
影响因子:
4.2
通讯作者:
Rose, Donald
Rose, Donald
中科院分区:
医学2区
文献类型:
--
作者:
Bodor, J. Nicholas;Ulmer, Vanessa M.;Rose, Donald

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由于越来越多的证据表明,环境变化是肥胖症流行的根源,美国解决肥胖问题的环境方法得到了青睐。低收入城市社区肥胖率高得不成比例,通常没有超市,但有高密度的小食品店。这可能会增加社区居民不健康饮食和肥胖的风险,因为小商店出售的大多是高能量食品,很少有水果和蔬菜。本文汇集了在新奥尔良进行的各种研究和试点工作,以探索小商店干预背后的理论基础。新奥尔良的许多低收入居民住在离小食品店不远的地方,经常在那里购物。市场研究已经证明,店内货架空间和特定食品陈列的变化会影响这些食品的销售。新奥尔良和其他地方的举措在改善小商店健康食品供应方面取得了一些成功,一项对小商店顾客的拦截调查表明,如果有的话,顾客会购买更多的水果和蔬菜。鼓励小商店经营者提供更健康的食品组合的努力,最终可能取决于这些变化的盈利能力。新奥尔良一家典型的小商店的证据表明,与水果和蔬菜相比,来自休闲食品和饮料的毛利润比例更大。需要更多的研究来更好地了解小型食品店的财务运营情况,以及改变食品组合在经济上是否可行。J.Nutr.140:1185-1188,2010年。
Environmental approaches to the obesity problem in the US have garnered favor due to growing evidence that changes to the environment are at the root of the epidemic. Low-income urban neighborhoods, where obesity rates are disproportionately high, typically lack supermarkets yet have a high density of small food stores. This may increase the risk for unhealthy diets and obesity for neighborhood residents, because small stores carry mostly energy-dense foods and few fruits and vegetables. This paper pulls together various studies and pilot work conducted in New Orleans to explore the rationale behind small store interventions. Many low-income residents in New Orleans live within walking distance of small food stores and shop at them frequently. Marketing research has documented that changes to in-store shelf space and displays of specific foods affect the sales of these foods. Initiatives in New Orleans and elsewhere have demonstrated some success with improving healthy food availability in small stores, and an intercept survey of customers at small stores suggests that customers would purchase more fruits and vegetables if available. Efforts to encourage small store operators to offer a healthier mix of foods may, in the end, depend on the profitability of such changes. Evidence from a typical small store in New Orleans indicates that a greater percentage of gross profits come from snack foods and beverages than from fruits and vegetables. More research is needed to better understand the financial operations of small food stores and whether altering the mix of foods is economically feasible. J. Nutr. 140: 1185S-1188S, 2010.