142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Evaluation of the California FreshWorks Fund Initiative: Are stores providing healthier food?

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 10:50 AM - 11:10 AM

Sallie Yoshida, DrPH, RD , The Sarah Samuels Center for Public Health Research & Evaluaion, Oakland, CA
Allison Karpyn, PhD , The Food Trust, Philadelphia, PA
Karen Glanz, PhD, MPH , Perelman School of Medicine and School of Nursing, University of Pennsylvania, Philadelphia, PA
Mariah Lafleur, MPH , The Sarah Samuels Center for Public Health Research & Evaluation, Oakland, CA
Morgan Jones, MPH , The Sarah Samuels Center for Public Health Research & Evaluation, Oakland, CA
Soledad Drago-Ferguson, MPH , The Sarah Samuels Center for Public Health Research & Evaluation, Oakland, CA
The disparity in neighborhood food retail environments that exists in low-income communities throughout California is alarming since those who live near full-service grocery stores are more likely to eat recommended amounts of fruits and vegetables and are less likely to become obese. The California Endowment’s California FreshWorks Fund Initiative (CFWF) is a $260 million public-private partnership loan fund that provides financing of fresh food retail and distribution in underserved communities in California. The evaluation aims to understand the influence of CFWF on increasing access to healthy food and changing food purchase and consumption patterns in underserved communities.


This paper focuses on the results of the store observational assessments using Nutrition Environment Measures Survey in Stores and the Grocery Marketing Environment Assessment in the two CFWF-funded stores and 6-8 surrounding comparison stores.


Descriptive analysis will describe the differences in the neighborhood food environment to document the presence, placement, quality, promotion, and price of healthy foods such as fruits and vegetables and low-fat dairy options. Findings will describe access to healthy food and specific less-healthy items, including availability of fruits and vegetables, low-fat dairy and whole grains as well as sugary beverages and bakery items.


Findings will contribute to understanding the influence of CFWF on increasing access to healthy affordable food in underserved communities. The research will also help determine whether the CFWF-funded stores filled an unmet need for grocery services, thereby addressing the need for healthy retail in low-resource communities with residents at high risk for obesity.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
Describe the top 3 healthy foods that are available in the CFWF stores. List 3 ways in which healthy food is being promoted in the CFWF stores. Explain the importance of healthy retail in low-resource communities.

Keyword(s): Built Environment, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator of this research and have been involved in every aspect of this research.
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.