266275 Comida Casera's strategies for enhancing availability, affordability, accessibility, and preference for fresh and healthy food options in a low income, food desert community

Wednesday, October 31, 2012 : 10:30 AM - 10:50 AM

Kathleen M. Roe, DrPH, MPH , Health Science Department, San Jose State University, San Jose, CA
Aldo Chazaro, BS , Health Science Department, San Jose State University, San Jose, CA
Silvia Montano , Salud Familiar en McKinley, McKinley Elementary School, San Jose, CA
Julia Barba, BS , Comida Casera, McKinley Elementary School, San José, CA
Mojgan Mohammadi, BS , Comida Casera, McKinley Elementary School, San José, CA
Osvaldo Maldonado , Family Harvest, Second Harvest Food Bank, San Jose, CA
Angelica Rojas, BS(c) , Comida Casera, McKinley Elementary School, San José, CA
Erika Borja , Salud Familiar en McKinley, McKinley Elementary School, San Jose, CA
Analilia Garcia, DrPH, MPH , School of Public Health, UC Berkeley, Berkeley, CA
Maricela Garcia , Salud Familiar en McKinley, McKinley Elementary School, San Jose, CA
Yadeel Lopez , Salud Familiar en McKinley, McKinley Elementary School, San Jose, CA
Maziel Giron, MPH(c) , Health Science Department, San José State University, San José, CA
Comida Casera (Homemade Food) is a community-based, participatory initiative designed to influence the informal food environment of a low income, immigrant school community. Insight from our mothers group revealed a previously obscured contradiction: While professional cross-sector collaborations had improved the quality of the formal food environment – school meals, family food support – economic realities, customs, and new neighborhood networks were reinforcing an inadvertently obesogenic and widely influential informal food system. In this community, like many others, hidden access challenges, competing policy goals (i.e., immigration control vs food security objectives), and top-down assumptions about family capacity significantly limited otherwise well-developed and broadly accepted systems approaches to family health across the lifespan. Comida Casera uses four strategies to influence the informal environment in support of broader systems changes for family food security, nutrition, and obesity prevention: 1) Engaging women and girls in transforming informal food systems of the school community, 2) Influencing social norms and expectations to decrease unhealthy food options and increase healthy food consumption, 3) Implementing environmental and organizational changes that ensure access and use of healthy food options, and 4) Developing a replicable model for engaging community and university partners in effective collaboration for food security and health equity. Through practical skills training, social reconnaissance, and planned environmental change, Comida Casera participants changed the food landscape in their community. This strategy has proven to be a powerful addition to contemporary “upstream” approaches to addressing food deserts and disparities in underserved populations.

Learning Areas:
Advocacy for health and health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
List four strategies used by Comida Casera to influence the informal food system of a low income, food desert community.

Keywords: Food Security, Community-Based Partnership

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Principal Investigator of the grant that funded the project discussed in the abstract and Co-Director of the larger project Salud Familiar en McKinley.
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.