干旱区生态环境知识资源中心(Arid): A four-year observational study to examine the dietary impact of the North Carolina Healthy Food Small Retailer Program, 2017-2020

Arid

DOI	10.1186/s12966-021-01109-8
	A four-year observational study to examine the dietary impact of the North Carolina Healthy Food Small Retailer Program, 2017-2020
	Jilcott Pitts, Stephanie B.; Wu, Qiang; Truesdale, Kimberly P.; Rafferty, Ann P.; Haynes-Maslow, Lindsey; Boys, Kathryn A.; McGuirt, Jared T.; Fleischhacker, Sheila; Johnson, Nevin; Kaur, Archana P.; Bell, Ronny A.; Ammerman, Alice S.; Laska, Melissa N.
通讯作者	Pitts, SJB (corresponding author), East Carolina Univ, Brody Sch Med, Dept Publ Hlth, Greenville, NC 27834 USA.
来源期刊	INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
EISSN	1479-5868
出版年	2021
卷号	18 期号:1
英文摘要	Background The North Carolina (NC) Healthy Food Small Retailer Program (HFSRP) was passed into law with a $250,000 appropriation (2016-2018) providing up to $25,000 in funding to small food stores for equipment to stock healthier foods and beverages. This paper describes an observational natural experiment documenting the impact of the HFSRP on store food environments, customers' purchases and diets. Methods Using store observations and intercept surveys from cross-sectional, convenience customer samples (1261 customers in 22 stores, 2017-2020; 499 customers in 7 HFSRP stores, and 762 customers in 15 Comparison stores), we examined differences between HFSRP and comparison stores regarding: (1) change in store-level availability, quality, and price of healthy foods/beverages; (2) change in healthfulness of observed food and beverage purchases (bag checks); and, (3) change in self-reported and objectively-measured (Veggie Meter (R)-assessed skin carotenoids) customer dietary behaviors. Differences (HFSRP vs. comparison stores) in store-level Healthy Food Supply (HFS) and Healthy Eating Index-2010 scores were assessed using repeated measure ANOVA. Intervention effects on diet were assessed using difference-in-difference models including propensity scores. Results There were improvements in store-level supply of healthier foods/beverages within 1 year of program implementation (0 vs. 1-12 month HFS scores; p = 0.055) among HFSRP stores only. Comparing 2019 to 2017 (baseline), HFSRP stores' HFS increased, but decreased in comparison stores (p = 0.031). Findings indicated a borderline significant effect of the intervention on self-reported fruit and vegetable intake (servings/day), though in the opposite direction expected, such that fruit and vegetable intake increased more among comparison store than HFSRP store customers (p = 0.05). There was no significant change in Veggie Meter (R)-assessed fruit and vegetable intake by customers shopping at the intervention versus comparison stores. Conclusions Despite improvement in healthy food availability, there was a lack of apparent impact on dietary behaviors related to the HFSRP, which could be due to intervention dose or inadequate statistical power due to the serial cross-sectional study design. It may also be that individuals buy most of their food at larger stores; thus, small store interventions may have limited impact on overall eating patterns. Future healthy retail policies should consider how to increase intervention dose to include more product marketing, consumer messaging, and technical assistance for store owners.
英文关键词	Healthy corner stores Food environment Health policy Food desert Rural Fruits and vegetables
类型	Article
语种	英语
开放获取类型	Green Published, gold
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000632382100001
WOS类目	Nutrition & Dietetics ; Physiology
WOS研究方向	Nutrition & Dietetics ; Physiology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/350570
作者单位	[Jilcott Pitts, Stephanie B.; Rafferty, Ann P.; Johnson, Nevin; Kaur, Archana P.] East Carolina Univ, Brody Sch Med, Dept Publ Hlth, Greenville, NC 27834 USA; [Wu, Qiang] East Carolina Univ, Dept Biostat, Greenville, NC 27834 USA; [Truesdale, Kimberly P.; Ammerman, Alice S.] Univ N Carolina, Dept Nutr, Chapel Hill, NC 27599 USA; [Haynes-Maslow, Lindsey] North Carolina State Univ, Dept Agr & Human Sci, Raleigh, NC 27695 USA; [Boys, Kathryn A.] North Carolina State Univ, Dept Agr & Resource Econ, Raleigh, NC 27695 USA; [McGuirt, Jared T.] Univ N Carolina, Dept Nutr, Greensboro, NC 27412 USA; [Fleischhacker, Sheila] Georgetown Univ, Law Ctr, Washington, DC 20001 USA; [Bell, Ronny A.] Wake Forest Sch Med, Div Publ Hlth Sci, Dept Social Sci & Hlth Policy, Winston Salem, NC 27157 USA; [Bell, Ronny A.] Wake Forest Baptist Comprehens Canc Ctr, Winston Salem, NC 27157 USA; [Ammerman, Alice S.] Univ N Carolina, Ctr Hlth Promot & Dis Prevent, Chapel Hill, NC 27599 USA; [Laska, Melissa N.] Univ Minnesota, Sch Publ Hl...
推荐引用方式 GB/T 7714	Jilcott Pitts, Stephanie B.,Wu, Qiang,Truesdale, Kimberly P.,et al. A four-year observational study to examine the dietary impact of the North Carolina Healthy Food Small Retailer Program, 2017-2020[J],2021,18(1).
APA	Jilcott Pitts, Stephanie B..,Wu, Qiang.,Truesdale, Kimberly P..,Rafferty, Ann P..,Haynes-Maslow, Lindsey.,...&Laska, Melissa N..(2021).A four-year observational study to examine the dietary impact of the North Carolina Healthy Food Small Retailer Program, 2017-2020.INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY,18(1).
MLA	Jilcott Pitts, Stephanie B.,et al."A four-year observational study to examine the dietary impact of the North Carolina Healthy Food Small Retailer Program, 2017-2020".INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY 18.1(2021).