267484 Nashville's CPPW Corner Store Initiative: Methods and Measurement

Wednesday, October 31, 2012 : 11:05 AM - 11:20 AM

Celia Larson, PhD , Metro Public Health Department, Nashville, TN
Alisa R. Haushalter, DNP, RN , Nemours Health and Prevention Services, Nemours Health System, Newark, DE
Introduction: There is a growing interest in examining the role of the local food environment on individuals' access to affordable, nutritious food. Urban areas deprived of healthful food resources, known as ”food deserts,” are associated with inequalities in health. Nashville's CPPW initiative focused strategies to increase availability of fresh fruits, vegetables, whole grains and low fat dairy in corner/convenience stores located in food deserts. Methods: Food deserts were defined using Geographic Information Systems mapping of data sources including census, transit, and retail parcels. Stores were selected based on multiple criteria that assured greatest reach. Multiple assessments were implemented including: a) store audits and consumer purchases, using NEMS-CS, to assess availability and uptake, and b) proprietor surveys and consumer listening sessions to assess strengths and barriers. Store intervention strategies were tailored to baseline results and characteristics of each neighborhood. Results: Four food deserts were identified consisting of majority African Americans and persons living in poverty. Among five participating stores, few to none offered the targeted foods/beverages at baseline. Barriers included crime and food familiarity; strengths included high foot traffic and neighborhood pride. Post assessments and evaluation results will be presented at the conference. Discussion: The corner store as a means to improve access to healthful foods/beverages shows promise in low-income neighborhoods. Strategies that focus on changing the food environment should take into consideration the complexities of the context including socio-cultural attitudes towards food, crime, partnerships and other resources that can support and sustain healthy food/beverage offerings in neighborhood corner stores.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related public policy
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Define “food desert.” 2. Describe importance of using standardized tools and methodologies for assessing the corner store food environment. 3. Name 3 barriers and 3 strengths of the corner store as a resource for healthful foods.

Keywords: Nutrition, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I have lead public health initiatives in the area of healthy eating and active living for the past 20 years and have given multiple presentations on a national and state level.
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.