Corner Store Makeovers in East Los Angeles: Improving Healthy Food Access

洛杉矶东部的街角商店改造：改善健康食品的获取

• 批准号: 8604733
• 负责人: Alexander N Ortega
• 金额: $ 52.63万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8604733
• 关键词: Address; Adoption; Advocacy; Alcohols; Area; Attitude; Behavior; Businesses; California; Calories; Candy; Case Study; Characteristics; Chronic Disease; Communication; Communities; Community Health; Community Health Education; Consumption; County; Crime; Cross-Sectional Studies; Diabetes Mellitus; Diet; Dietary Practices; Eating; Eating Behavior; Education; Education and Outreach; Educational Intervention; Effectiveness; Environment; Epidemiologist; Equilibrium; Evaluation; Evaluation Research; Family; Fatty acid glycerol esters; Feasibility Studies; Food; Food Access; Health Food; Health Services; Health behavior; Health education; Healthcare; Household; Hypertension; Immigrant; Intervention; Intervention Studies; Knowledge; Latino; Lead; Learning; Life; Los Angeles; Low income; Maintenance; Marketing; Measures; Mexican; Modeling; Monitor; Neighborhoods; Nutrient; Nutritionist; Obesity; Outcome; Pattern; Population; Poverty; Preparation; Preventive; Probability Samples; Process; Public Health; Random Allocation; Relative (related person); Research; Research Design; Research Personnel; Resources; Sales; Schools; Scientist; Self Efficacy; Sodium Chloride; Source; Stroke; Surveys; Testing; Tobacco; Work; Youth; base; comparison group; density; design; fast food; follow-up; food consumption; food preparation; food quality; gang; health disparity; health knowledge; heart disease risk; high school; improved; member; nutrition; programs

East Los Angeles, California has been characterized as a "food desert," where residents have poor access to comprehensive grocery stores and foods recommended for a healthful and balanced diet. Poor dietary practice contributes to significant chronic disease disparities. East L.A. has over 96% Latino residents, of whom, most live in poverty. To address food access disparities, we will convert corner stores, a common venue for food purchasing in this community. We will test whether corner store conversions are feasible in East L.A. and also whether store conversions contribute to healthier communities. Using an ecological and community-based participatory approach, we will work with four corner store owners to enhance marketing practices, store food quality and sales, and community involvement. For these stores, local high school youth will create and distribute outreach and education materials for community members about healthy food purchasing, preparation and eating. Four unconverted corner stares and their neighborhoods will serve as comparison groups. The project's framework conceptualizes the corner store as a neighborhood asset that can support healthy food purchasing, preparation and eating behaviors among residents. The following four aims guide the research: 1) what factors are necessary to persuade and enable corner store owners to convert their stores; 2) what are the best practices to market and promote corner stores in resource poor communities; 3) what factors are related to the maintenance and sustainability of corner store conversions; and 4) what impact do corner store conversions have on the health behaviors of community residents. Formative research and evaluation will be used to assess project feasibility. Program monitoring will be used to assess study implementation. A multiple case study approach will be used to assess corner store adoption and maintenance. Outcome evaluation will use a quasi-experimental, comparison groups design with repeated cross-sectional surveys stratified by neighborhoods containing converted and control corner stores. We will survey 1,000 community residents, in two different waves, to assess outcomes. Studying how corner store conversions work and the impact they have on communities is an understudied facet of current public health disparities and intervention research.

加州的东洛杉矶被描述为“食物沙漠”，那里的居民很难获得食物。 综合杂货店和食品推荐的健康和均衡的饮食。不良饮食习惯 导致了慢性病的显著差异。东洛杉矶超过96%的拉丁裔居民，其中大多数 生活在贫困中。为了解决食品获取的不平等问题，我们将改造街角商店， 在这个社区购买。我们将测试在洛杉矶东部是否可以将街角商店改建为商店。并且还 商店转型是否有助于更健康的社区。利用生态和社区为基础的 参与式的方法，我们将与四个角落的商店业主，以加强营销做法，储存食品， 质量和销售，以及社区参与。对于这些商店，当地的高中青年将创造和 向社区成员分发关于购买健康食品的宣传和教育材料， 准备和吃。四个未转换的角落凝视和他们的社区将作为比较 组该项目的框架将街角商店概念化为社区资产， 居民健康食品购买、准备和饮食行为。以下四个目标指导 研究：1）说服和使街角商店业主转换其商店所需的因素; 2） 在资源贫乏的社区推广街角商店的最佳做法是什么; 3）什么因素 与街角商店转换的维持和可持续性有关;以及4）街角商店转换的影响 商店转换对社区居民健康行为的影响。形成性研究和评价将 用于评估项目的可行性。项目监测将用于评估研究实施情况。多 将采用个案研究方法评估街角商店的采用和维护情况。成果评价将使用 一项准实验、对照组设计，重复横断面调查，按 包含改建和控制街角商店的社区。我们将调查1,000名社区居民， 两种不同的波来评估结果研究街角商店转换的工作原理及其影响 对社区的影响是当前公共卫生差异和干预研究的一个未充分研究的方面。