scholarly journals Local Value Chain Models of Healthy Food Access: A Qualitative Study of Two Approaches

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4145
Author(s):  
Kathleen Krzyzanowski Guerra ◽  
Andrew S. Hanks ◽  
Zoë T. Plakias ◽  
Susie Huser ◽  
Tom Redfern ◽  
...  
Keyword(s):  
Value Chain ◽  
Food Access ◽  
Local Level ◽  
A Priori ◽  
Healthy Food ◽  
Local Economy ◽  
Structured Interviews ◽  
Local Agriculture ◽  
Healthy Food Access ◽  
Local Value

Food value chains are increasingly recognized as more equitable alternatives to traditional supply chains and may represent a novel mechanism to achieve health equity at the local level. Country Fresh Stops (CFS) and Donation Station (DS) are two complementary programs that are part of a more robust value chain designed to support local agriculture in Appalachia Ohio. As the first study of these programs in the peer-reviewed literature, the objectives were to identify factors that facilitate or hinder the implementation of these two local value chain models of healthy food access and to identify the perceived impacts from the perspective of the sites implementing them. In-depth, semi-structured interviews were conducted with CFS (n = 7) and DS (n = 10) site representatives in January 2020. Template analysis was used to identify themes through a priori and inductive codes. Participants identified two primary facilitators: support from partner organizations and on-site program stewardship. Produce (and program) seasonality and mitigating food waste were the most cited challenges. Despite challenges, both CFS and DS sites perceive the models to be successful efforts for supporting the local economy, achieving organizational missions, and providing consumers with greater access to locally grown produce. These innovative programs demonstrate good feasibility, but long-term sustainability and impacts on other key stakeholders merit further investigation.

scholarly journals A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0216985 ◽  
Author(s):  
Yeeli Mui ◽  
Ellis Ballard ◽  
Eli Lopatin ◽  
Rachel L. J. Thornton ◽  
Keshia M. Pollack Porter ◽  
...  
Keyword(s):  
System Dynamics ◽  
Urban Environment ◽  
Low Income ◽  
Food Access ◽  
Healthy Food ◽  
Community Based ◽  
Healthy Food Access

Evaluating Community Measures of Healthy Food Access

2017 ◽  
Vol 42 (5) ◽  
pp. 991-997 ◽  
Author(s):  
Melissa L. Santorelli ◽  
Janice O. Okeke
Keyword(s):  
Food Access ◽  
Healthy Food ◽  
Healthy Food Access

scholarly journals Associations between Food Policy Councils and Policies That Support Healthy Food Access: A National Survey of Community Policy Supports

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 683
Author(s):  
Samantha J. Lange ◽  
Larissa Calancie ◽  
Stephen J. Onufrak ◽  
Katherine T. Reddy ◽  
Anne Palmer ◽  
...  
Keyword(s):  
National Survey ◽  
Food Access ◽  
Food Systems ◽  
Food Policy ◽  
Healthy Food ◽  
Farmers Markets ◽  
Cross Sectional ◽  
Food Policy Councils ◽  
Nationally Representative ◽  
Healthy Food Access

Food policy councils (FPCs) are one form of community coalition that aims to address challenges to local food systems and enhance availability, accessibility, and affordability of healthy foods for local residents. We used data from the 2014 National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living, a nationally representative survey of US municipalities (n = 2029), to examine the prevalence of FPCs and cross-sectional associations between FPCs and four types of supports for healthy food access (approaches to help food stores, practices to support farmers markets, transportation-related supports, and community planning documents). Overall, 7.7% of municipalities reported having a local or regional FPC. FPCs were more commonly reported among larger municipalities with ≥50,000 people (29.2%, 95% Confidence Interval (CI): 21.6, 36.8) and western region municipalities (13.2%, 95% CI: 9.6, 16.8). After multivariable adjustment, municipalities with FPCs had significantly higher odds of having all four types of supports, compared to those without FPCs (adjusted odds ratio (aOR) range: 2.4–3.4). Among municipalities with FPCs (n = 156), 41% reported having a local government employee or elected official as a member, and 46% had a designated health or public health representative. Although FPCs were uncommon, municipalities that reported having a local or regional FPC were more likely to report having supports for healthy food access for their residents.

scholarly journals A Food Hub to Address Healthy Food Access Gaps: Residents' Preferences

2019 ◽  
pp. 1-10 ◽  
Author(s):  
Jill Clark ◽  
Chaturia Rouse ◽  
Ashwini Sehgal ◽  
Mary Bailey ◽  
Bethany Bell ◽  
...  
Keyword(s):  
Food Access ◽  
Healthy Food ◽  
Food Hub ◽  
Healthy Food Access

Urban foodscape trends: Disparities in healthy food access in Chicago, 2007–2014

2018 ◽  
Vol 52 ◽  
pp. 231-239 ◽  
Author(s):  
Marynia Kolak ◽  
Michelle Bradley ◽  
Daniel R. Block ◽  
Lindsay Pool ◽  
Gaurang Garg ◽  
...  
Keyword(s):  
Food Access ◽  
Healthy Food ◽  
Healthy Food Access

Community Income, Healthy Food Access, and Repeat Surgery for Kidney Stones

Urology ◽  
2021 ◽  
Author(s):  
David Bayne ◽  
Sudarshan Srirangapatanam ◽  
Cameron R. Hicks ◽  
Manuel Armas-Phan ◽  
Amy Showen ◽  
...  
Keyword(s):  
Kidney Stones ◽  
Food Access ◽  
Healthy Food ◽  
Repeat Surgery ◽  
Healthy Food Access

scholarly journals Linking the Flint Food Store Survey: Is Objective or Perceived Access to Healthy Foods Associated with Glycemic Control in Patients with Type 2 Diabetes?

2021 ◽  
Vol 18 (19) ◽  
pp. 10080
Author(s):  
Richard Casey Sadler ◽  
Amanda Y. Kong ◽  
Zachary Buchalski ◽  
Erika Renee Chanderraj ◽  
Laura A. Carravallah
Keyword(s):  
Glycemic Control ◽  
Food Environment ◽  
Food Access ◽  
Diabetes Management ◽  
Healthy Food ◽  
Food Store ◽  
Healthy Foods ◽  
Objectively Measured ◽  
Healthy Food Access

Type 2 diabetes mellitus (DM-2) remains a significant public health concern, particularly in low-income neighborhoods where healthy foods may be scarcer. Despite the well-known relationship between diet and diabetes, little evidence exists on the connections among the objectively measured community and consumer food environment, perception of food access, and diabetes management or outcomes. This cross-sectional, ecological study represents the first example of combining a GIS-based, objectively measured food store audit considering quality, variety, and price of foods in stores with a clinical survey of patients with DM-2 (n = 126). In this way, we offer evidence on the relationship between healthy food access—measured more robustly than proximity to or density of certain store types—and diabetes management knowledge, medication adherence, and glycemic control. Better glycemic control was not correlated with better overall food store score, meaning that people in neighborhoods with better access to healthy foods are not necessarily more likely to manage their diabetes. While perceived healthy food access was not correlated with glycemic control, it was strongly correlated with objective healthy food access at shorter distances from home. These results have great importance both for clinical understanding of the persistence of poor diabetes management outcomes and for the understanding of the influence of the food environment on health behaviors.

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