251267 Point-of-Decision Guidance in Small Stores in Rural and Colonia Areas

Monday, October 31, 2011: 9:42 AM

Joseph R. Sharkey, PhD MPH RD , Program for Research in Nutrition and Health Disparities, School of Rural Public Health, College Station, TX
Cassandra Johnson, MSPH , Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC
Wesley Dean, PhD , Program for Research in Nutrition and Health Disparities, School of Rural Public Health, College Station, TX
Background: Limited-resource families of Mexican-origin in the growing colonias along the Texas-Mexico border reside in marginalized areas with high rates of childhood overweight and obesity, poverty, food insecurity, and limited access to large food stores. Working with community partners and team promotoras (indigenous community health workers), the main purpose of this study is to provide preliminary data on behavioral and contextual influences on the development of a meaningful food store guidance policy from the perspective of colonia families and small-store owners.

Methods: An observational food-store checklist was developed and completed in all small-stores in the study area by team promotoras. Team promotoras and community partners identified colonia residents for six focus groups and small-store owners for in-depth interviews. Content and narrative analyses were conducted on transcribed and translated focus group and interview data.

Results: Survey and food store checklist results identify areas of food guidance that are important and feasible to both colonia families and small-store owners. Focus group and interview identified aspects of food store guidance that will facilitate implementation by small stores and acceptance and utilization by colonia families.

Conclusions/Discussion: The results provide information on the development and acceptance of food guidance policy in traditional and nontraditional food stores that serve low-income families colonia areas of Texas. Although at high risk for obesity, low-income populations in colonias have been largely overlooked in evaluation of food guidance policy. Further, small food stores have not been targeted as a venue for guiding food choice.

Learning Areas:
Assessment of individual and community needs for health education
Public health or related education
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Discuss in-store guidance for healthy food choices in small stores that serve low-income populations in underserved and persistently poor areas. 2. Identify the importance of understanding behavioral and contextual influence on policy development and acceptance from the perspective of small-store owners and low-income families.

Keywords: Food and Nutrition, Behavioral Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Director of Program and PhD in Nutrition
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.