Implementation of a collaborative approach to addressing the food retail environment

Transcription

1 Implementation of a collaborative approach to addressing the food retail environment

2 Background: Latinos in Wyandotte County, KS 31.6% of the Hispanic/Latino population lives below the poverty level; compared to just 11.8% of the White population. Only 46% of Latinos 25 years or older earned a high school diploma or higher compared to 88% of the White population age 25 or older (US Census Bureau, 2014). Based on a large-scale, randomly selected, door-to-door survey conducted in 2009 (n=659), found that: 38.7% of Latinos in Kansas City, Kansas reported being in fair or poor health compared to 12.3% of all Kansans. About 44% reported meeting recommendations for either moderate or vigorous activity Fewer than 20% reported consuming five or more servings of fruits and vegetables 13.7% reported been told by a doctor that they have diabetes 23.6% reported been told by a doctor, nurse, or other health professional that they have high blood pressure Hispanics are almost twice as likely as non-hispanic whites to be diagnosed with diabetes by a physician. They have higher rates of end-stage renal disease, caused by diabetes, and they are 40% more likely to die from diabetes as non-hispanic whites.

3 Background Latino Health for All Coalition initiated in 2008 Focused on healthy eating, active living, and access to health services as a means of addressing health disparities experienced by Latinos Coalition aimed to be a multi-sector partnership

4 Implementation of Healthy Spaces, Healthy Places Increase access to healthy foods through: Healthy Corner stores Healthy Restaurants Healthy Vending Increase access to physical activity through: Enhanced park design Increase access to health services through: Increasing opportunities to link to coverage Enhancing the cultural competence

5 Healthy Spaces, Healthy Places: A healthy food retail environment Goal: Increase the number of corner stores and restaurants in Wyandotte County that offer and promote affordable healthy items. Intervention: Placement: Healthy items near checkout, and/or at eye level, healthy end cap Healthy options: offer healthier meal options (not fried, low-fat dairy, whole-grain), display calorie counts, add healthy kids menu, offer healthy side items, desserts, and substitutions Pricing: Healthy items priced same or lower than alternative, healthy promotions and discounts Promotion: Decals, door signs, prices, posters to promote healthy items, healthy menu section, board menu, labeling of healthy options available, and social media

6 Healthy Spaces, Healthy Places: A healthy food retail environment 14 Restaurants-HRI Recruited: 2 in in 2016 (1 moved location and next year closed) 5 in 2017 (1 closed in early 2018) 6 in corner stores/ convenience stores 1 closed in 2017

7 Healthy Spaces, Healthy Places : Preliminary findings NEMS-R scores improved in the areas of Healthy Food Availability and Facilitators for Healthy Eating for intervention but not comparison restaurants, which remained stable on all scores. Intervention restaurants saw significant increases in ordering healthy menu items after the intervention compared with restaurants that did not receive the intervention. The types of beverages ordered remained stable from pre to post intervention for both the intervention and the comparison groups.

8 Healthy Spaces, Healthy Places: Lessons Learned Restaurant selection and approach Recruitment process (mobilizer and restaurant owner toolkit) Menu analysis (NEMS) Promotion Moving forward LESSONS LEARNED

9 NEXT STEPS Expanded work at the community and organizational levels Building foundation for working with additional populations experiencing disparities

10 For more information: Monica Mendez