Academic

Putting Business to Work for Health: Incentive Policies for the Private Sector

June 20, 2012 in Reports, Resources

Change Lab Solutions (formerly Public Health Law & Policy), 2012.

“Every day, business owners and real estate developers make decisions that have tremendous impact on our health – where homes are built, where businesses are located, and what kinds of products and services are available. Local government incentives can motivate them to make choices that promote public health.

Developed by ChangeLab Solutions, formerly Public Health Law & Policy (PHLP), this guide looks at how local government incentives can help improve community health. It explains a variety of different types of incentives that promote access to healthy food and physical activity space, and outlines the steps involved in developing and carrying out these policies and programs.”

The report includes a section titled “Expanding Access to Healthy Food Through Incentives,” likely to be useful for those working on healthy corner store projects. Incentives described include tax relief, grants, zoning incentives, waivers, density bonuses, and more.

Download the pdf here.

Will Philadelphia’s experiment in eradicating ‘food deserts’ work?

June 8, 2012 in News, News & Events

The Washington Post, June 8, 2012.

Philadelphia has invested $900,000 into more than 600 corner stores, in an effort to help people make healthier eating choices. Philadelphia has the highest obesity rate and the most poor people of any big American city, and the city sees healthy corner store initiatives as one way to improve the food environment. In many ways, Philadelphia is seen as an epicenter of the efforts to improve public health by creating better access to healthy foods.

Although healthy food access projects seem to be gaining traction, research done to date on such food desert interventions has not clearly shown that access to healthy foods causes significant improvements in eating behavior or obesity rates. Government officials are carefully watching for new research to see if this strategy is a worthwhile investment. A new study being conducted in Philadelphia will have significant sway in these decisions.

Philadelphia is “conducting the largest study to date of what happens when nutritious options are introduced into neighborhoods that have traditionally gone without. It’s measuring what people bought before, what they’re eating now and whether that improves…. Temple University’s Center for Obesity Research is working with the city to study how shopping habits do, or don’t, change when healthy options are introduced. Last year, before stores added nutritious options, researchers stopped 7,000 shoppers on their way out of the store to look at their purchases. With the new foods now available, researchers are doing another 7,000 stops.”

The results of this study will be published in about a year.

Editorial Response to New York Times Article on Food Deserts & Obesity

April 19, 2012 in News, News & Events

 

On April 18, 2012, The New York Times published an article raising questions about the link between food deserts and obesity. Citing two new studies (more info. here and here), the article questions the effectiveness of fighting obesity by improving access to healthy foods and challenges the idea that poor neighborhoods are often food deserts. See the full article here: Studies Question the Pairing of Food Deserts and Obesity.

Mari Gallagher’s Research and Consulting Group, which has been researching healthy food access issues for years and helped popularize the term “food desert,” issued a response to the article the same day. Gallagher argues the NYT article was misleading in many ways, including that it “fails to note the large number of studies that have identified food deserts and the subsequent large number of studies that have found a link between living in underserved areas and poor health outcomes. The article fails to note the shortcomings of the two studies it touts, even though the authors of those studies themselves go to great lengths to describe those deficiencies.”

Gallagher argues the article also misrepresents the work of healthy food advocates by giving the impression that improving access to healthy foods is the only solution being pursued: “To my knowledge, no one of any credibility has ever suggested that access was the entire solution or that anything involving the complicated relationship between diet and health is simple.”

Gallagher continues: “Our issue is not with the two new studies; we thank the authors for their valuable contributions. Our issue is the reporter’’s sloppy job of getting the facts straight. Some of this could have been settled by some simple Google searches. She muddied the water at best, misled at worst, and left the inaccurate impression that food access and the concept of food deserts does not matter.”

Read the full response here:  Response to New York Times Article on Food Deserts & Obesity.

Read another response to the NYT article, this one by Mike Curtin, CEO of D.C. Central Kitchen. “No Simple Answers for a Complex Problem,” Huffington Post, April 23, 2012. Curtin discusses his experience working to improve food access for people living in underserved neighborhoods in Washington D.C. One of D.C. Central Kitchen’s strategies is to “distribute fresh fruits and vegetables to corner stores that would not otherwise sell them for reasons of cost and capacity.”

After discussing research from D.C. about food deserts, poor people, and obesity, he goes on: “Food access is a complicated issue. It involves distribution, storage, education, employment, economics, cultural norms, and policies designed and implemented at local, state, and federal levels. While this web is as vexing as it is complex, it will not become less troublesome, tragic, or costly if we do nothing. “

Food for thought

April 2, 2012 in News

MBA students work and study with City Harvest to create healthy eating options for all

New York Post, April 2, 2012.

Business school students in New York are working on the nonprofit City Harvest’s Healthy Neighborhood Initiative. The project’s goal is to provide access to healthy foods in underserved neighborhoods. The students have been doing field research to determine the buying patterns of neighborhood residents, especially middle school kids who tend to buy snacks from bodegas:

“If we can show area store operators that it makes business sense to add healthier products (like fruit cups, whole wheat bagels or frozen yogurt), or replace products that are collecting dust on their shelves with such selections, they might be more likely to do it,” says Carr. “We can inquire about which incentives (such as funding to change store layout) might be favorable.”

When the students are done collecting data, they will analyze it and draft a final report,  ”which will include market and customer analysis, recommended snack types and price points.”

Corner Stores Stock Healthier Foods After Aid Program Changes

March 20, 2012 in News

U.S. News & World Report, Health Day. March 20, 2012.

Changes to the WIC program (Special Supplemental Nutrition Program for Women, Infants and Children) have prompted corner stores to stock healthier foods, at least in the two low-income Philadelphia neighborhoods included in this study. Program participants are now given vouchers to pay for healthy foods like fruits and vegetables, whole-grain foods, tofu, and reduced-fat milk. 

“According to the study, the change prompted the corner and convenience stores in the neighborhoods to carry vegetables, fruits, whole-grain products, reduced-fat milk and other healthyfood products.

The researchers also found that the changes to the program increased the availability of nutritious foods without increased cost to families or the government.”

“Even stores that did not participate in WIC began to stock healthier food items, the study found.”

 

UConn Study On Fresh Produce: Stock It And They’ll Buy It

March 16, 2012 in News

Researcher Looked At Customers’ Shopping Habits At Small Hartford Grocery Stores. The Hartford Courant, March 16, 2012.

A study of shopping habits at small grocery stores in Hartford, Connecticut, shows that if store owners stock fresh produce, people will buy it: “…for each additional type of fruit that was stocked in a store, customers were 12 percent more likely to buy fruit, and they were 15 percent more likely to buy vegetables for each additional type of vegetable stocked.” Customers were also concerned with the quality of produce and the way it is displayed in the store.

Store owners often worry that if they stock produce customers won’t buy it. This study shows this isn’t necessarily true.

” ‘We brought [the produce section] to the front; we used to have it in the back,’ he [the storeowner] said. Now, Tejeda often sees customers pick up some fruit or vegetables as they walk by, even though they came in for something else. Even kids will come in and pick up an orange or an apple.”


Within walking distance of dietary trouble

March 10, 2012 in News, News & Events

MySA: San Antonio’s Home Page. March 10, 2012.

A professor at the University of Texas in San Antonio interviewed more than 800 7th and 8th graders in London, Ontario, about their eating habits. He found “children who lived within a kilometer — six-tenths of a mile — of a fast food restaurant or convenience store had poorer eating habits than those who did not. So did children whose schools had three or more junk food sources within the same distance.” This was true even after adjusting for differences in income, how many years of education parents had, and other factors. Kids use their money to buy snacks parents might not allow at home. This study demonstrates the importance of bringing healthier options into convenience stores.

Healthy foods missing from stores in low-income black neighborhoods, study finds

February 23, 2012 in News, News & Events

MedicalXpress.com. February 23, 2012.

Recent studies of Florida communities by the University of Georgia “found access to healthy food is most problematic in low-income, predominantly black neighborhoods.”  The first study addressed access to stores for people using food stamps, and the second study looked at what types of healthy foods were available at a variety of types of stores including convenience stores. The study found that most convenience stores did not stock produce, and oftentimes these were the only stores in neighborhoods. One of the researchers who took part in the study commented: ”For dietetic professionals such as myself, these studies were eye-opening,”…. “We often think there is a lack of nutrition education or nutrition knowledge when in fact there may be other barriers that individuals face that inhibit their ability to follow a healthy diet, such as the nutrition environment that they live in and around.”

Study Shows That In-Store Signage Reduces Consumption of Sugary Beverages

December 19, 2011 in Featured Articles, News, Reports

A new study from the American Journal of Public Health documents that signage can prevent teens from buying soda in four Baltimore corner stores. Interestingly, it is not the calorie count that was the most persuasive information–it was the amount of time it would take to burn off the soda by jogging that stopped the teens from purchasing the sugary beverages.
Read more on the NPR blog or Medical News Today.

If you stock it, will they buy it? Healthy food availability and customer purchasing behaviour within corner stores in Hartford, CT, USA

November 17, 2011 in Reports

By Katie S Martin, et al. Public Health Nutrition. November 17, 2011.

This article reports the findings of a study in Hartford, Connecticut, that involved interviewing over 300 low-income customers at 19 corner stores. At each corner store, the study authors identified the amount and variety of produce available. Then, they interviewed customers to see if they had purchased any produce. The study found that the more varieties of fruit and vegetables available at a store, the more likely it is that low-income customers will purchase fruit and vegetables. The writers suggest that increasing the variety of produce sold at corner stores might increase the amount of produce eaten by low-income consumers.