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Food retailer practices, attitudes and beliefs about the supply of healthy foods

  • Tatiana Andreyeva (a1), Ann E Middleton (a1), Michael W Long (a1), Joerg Luedicke (a1) and Marlene B Schwartz (a1)...
Abstract
AbstractObjective

Non-supermarket food retailers can be a promising channel for increasing the availability of healthy foods in underserved communities. The present paper reports on retailer practices, attitudes and beliefs about the supply of healthy foods before and after the introduction of new subsidies for healthy foods by the US Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in October 2009.

Design

We designed and conducted in-person standardized interviews with store owners and managers to assess perceptions of demand and profits for different foods, supply networks, barriers to stocking healthy foods and their changes following implementation of the new WIC packages.

Setting

Non-supermarket retailers in five towns of Connecticut, USA (n 68 in 2009 and n 58 in 2010).

Subjects

Owners and managers of WIC-authorized and non-WIC convenience stores and non-chain grocery stores.

Results

Retailers identified customer demand as the primary factor in stocking decisions. They reported observing a significantly weaker demand for healthy foods compared with unhealthy foods, although it improved for certain foods with the new WIC subsidies. Less healthy foods were also perceived as more profitable. Supplier networks varied by product from convenient manufacturer delivery for salty snacks to self-supply for produce. WIC retailers were able to quickly adapt and supply healthy foods required under the new WIC programme guidelines.

Conclusions

Retailers other than supermarkets currently perceive little demand for healthy foods, but new WIC subsidies have the power to change these perceptions. Supply barriers seem secondary in the limited offerings of healthy foods by stores and could be overcome when policy changes generate new demand for healthy foods.

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Copyright
Corresponding author
*Corresponding author: Email tatiana.andreyeva@yale.edu
References
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1. Booth SL, Sallis JF, Ritenbaugh C et al. (2001) Environmental and societal factors affect food choice and physical activity: rationale, influences, and leverage points. Nutr Rev 59, Suppl. 3, S21S65.
2. Lovasi GS, Hutson MA, Guerra M et al. (2009) Built environments and obesity in disadvantaged populations. Epidemiol Rev 31, 720.
3. Larson NI, Story MT & Nelson MC (2009) Neighborhood environments: disparities in access to healthy foods in the US. Am J Prev Med 36, 7481.
4. Robert SA & Reither EN (2004) A multilevel analysis of race, community disadvantage, and body mass index among adults in the US. Soc Sci Med 59, 24212434.
5. Diez Roux AV (2003) Residential environments and cardiovascular risk. J Urban Health 80, 569589.
6. Diez Roux AV, Merkin SS, Arnett D et al. (2001) Neighborhood of residence and incidence of coronary heart disease. N Engl J Med 345, 99106.
7. Powell LM, Slater S, Mirtcheva D et al. (2007) Food store availability and neighborhood characteristics in the United States. Prev Med 44, 189195.
8. Small ML & McDermott M (2006) The presence of organizational resources in poor urban neighborhoods: an analysis of average and contextual effects. Soc Forces 84, 16971724.
9. Beaulac J, Kristjansson E & Cummins S (2009) A systematic review of food deserts, 1966–2007. Prev Chronic Dis 6, A105.
10. Laska MN, Hearst MO, Forsyth A et al. (2010) Neighbourhood food environments: are they associated with adolescent dietary intake, food purchases and weight status? Public Health Nutr 13, 17571763.
11. Ford PB & Dzewaltowski DA (2010) Limited supermarket availability is not associated with obesity risk among participants in the Kansas WIC Program. Obesity 18, 19441951.
12. Pearson T, Russell J, Campbell MJ et al. (2005) Do ‘food deserts’ influence fruit and vegetable consumption? – a cross-sectional study. Appetite 45, 195197.
13. Winkler E, Turrell G & Patterson C (2006) Does living in a disadvantaged area entail limited opportunities to purchase fresh fruit and vegetables in terms of price, availability, and variety? Findings from the Brisbane Food Study. Health Place 12, 741748.
14. Giskes K, van Lenthe FJ, Kamphuis CBM et al. (2009) Household and food shopping environments: do they play a role in socioeconomic inequalities in fruit and vegetable consumption? A multilevel study among Dutch adults. J Epidemiol Community Health 63, 113120.
15. Rose D & Richards R (2004) Food store access and household fruit and vegetable use among participants in the US Food Stamp Program. Public Health Nutr 7, 10811088.
16. Zenk SN, Schulz AJ & Odoms-Young AM (2009) How neighborhood environments contribute to obesity. Am J Nurs 109, 6164.
17. Timperio A, Ball K, Roberts R et al. (2008) Children's fruit and vegetable intake: associations with the neighbourhood food environment. Prev Med 46, 331335.
18. Morland K, Diez Roux AV & Wing S (2006) Supermarkets, other food stores, and obesity: the Atherosclerosis Risk in Communities Study. Am J Prev Med 30, 333339.
19. Jago R, Baranowski T & Baranowski JC (2007) Fruit and vegetable availability: a micro environmental mediating variable? Public Health Nutr 10, 681689.
20. Zenk SN, Lachance LL, Schulz AJ et al. (2009) Neighborhood retail food environment and fruit and vegetable intake in a multiethnic urban population. Am J Health Promot 23, 255264.
21. Zenk SN, Schulz AJ, Hollis-Neely T et al. (2005) Fruit and vegetable intake in African Americans income and store characteristics. Am J Prev Med 29, 19.
22. Andreyeva T, Blumenthal DM, Schwartz MB et al. (2008) Availability and prices of foods across stores and neighborhoods: the case of New Haven, Connecticut. Health Aff (Millwood) 27, 13811388.
23. Block D & Kouba J (2006) A comparison of the availability and affordability of a market basket in two communities in the Chicago area. Public Health Nutr 9, 837845.
24. Cummins S, Smith DM, Aitken Z et al. (2010) Neighbourhood deprivation and the price and availability of fruit and vegetables in Scotland. J Hum Nutr Diet 23, 494501.
25. Cummins S, Smith DM, Taylor M et al. (2009) Variations in fresh fruit and vegetable quality by store type, urban–rural setting and neighbourhood deprivation in Scotland. Public Health Nutr 12, 20442050.
26. Hamelin A, Beaudry M & Habicht J (2002) Characterization of household food insecurity in Quebec: food and feelings. Soc Sci Med 54, 119132.
27. Jetter K & Cassady D (2006) The availability and cost of healthier food alternatives. Am J Prev Med 30, 3844.
28. Waterlander W, de Mul A, Schuit A et al. (2010) Perceptions on the use of pricing strategies to stimulate healthy eating among residents of deprived neighbourhoods: a focus group study. Int J Behav Nutr Phys Act 7, 44.
29. Gittelsohn J, Dyckman W, Tan ML et al. (2006) Development and implementation of a food store-based intervention to improve diet in the Republic of the Marshall Islands. Health Promot Pract 7, 396405.
30. Pavlovich W (2004) Community-based participatory research and Baltimore Healthy Stores: goals, progress and future steps. Dissertation, Johns Hopkins Bloomberg School of Public Health.
31. de Bem Lignani J, Sichieri R, Burlandy L et al. (2010) Changes in food consumption among the Programa Bolsa Família participant families in Brazil. Public Health Nutr (Epublication ahead of print version).
32. Oliveira V & Frazao E (2009) The WIC Program: Background, Trends, and Economic Issues. Economic Research Report no. 73. Washington, DC: USDA/ERS; available at http://www.ers.usda.gov/Publications/ERR73/ERR73Fm.pdf
33. US Department of Agriculture (2010) WIC program data: national level participation by category and costs. http://www.fns.usda.gov/pd/37WIC_Monthly.htm
34. Glanz K, Sallis JF, Saelens BE et al. (2007) Nutrition Environment Measures Survey in stores (NEMS-S): development and evaluation. Am J Prev Med 32, 282289.
35. InfoUSA, Inc. (2008) Database of US Businesses, vol. 2008. Omaha, NE: InfoUSA, Inc.
36. Environmental Systems Research Institute, Inc. (2000) US Census 2000 TIGER/Line Shapefile Data. Redlands, CA: ESRI, Inc.; available at http://arcdata.esri.com/data/tiger2000/tiger_download.cfm
37. Woodruff SI, Erickson AD, Wildey MB et al. (1993) Changing retailer knowledge, attitudes, and behaviors related to cigarette sales to minors. J Community Psychol 21, 234245.
38. Gittelsohn J, Franceschini MCT, Rasooly IR et al. (2008) Understanding the food environment in a low-income urban setting: implications for food store interventions. J Hunger Environ Nutr 2, 3350.
39. New York State Health Department (2008) Vendor survey. In New York State WIC Program 2006 Vegetable and Fruit Demonstration Project. http://www.nyhealth.gov/prevention/nutrition/wic/docs/vegetable_fruit_demo_project.pdf (accessed January 2009)
40. Piernas C & Popkin BM (2009) Snacking increased among United States adults between 1977 and 2006. J Nutr 140, 325332.
41. Piernas C & Popkin BM (2010) Trends in snacking among US children. Health Aff (Millwood) 29, 398404.
42. Popkin BM (2009) Global changes in diet and activity patterns as drivers of the nutrition transition. In Emerging Societies – Coexistence of Childhood Malnutrition and Obesity. Nestlé Nutrition Workshop Series. Pediatric Programme, vol. 63, 114 [SC Kalhan, AM Prentice and CS Yajnik, editors]. Vevey: S. Karger AG.
43. Wang MC, Cubbin C, Ahn D et al. (2008) Changes in neighbourhood food store environment, food behaviour and body mass index, 1981–1990. Public Health Nutr 11, 963970.
44. French SA, Story M & Jeffery RW (2001) Environmental influences on eating and physical activity. Annu Rev Public Health 22, 309335.
45. Poverty Income Guidelines: Annual Update (2000) Federal Register 65 (February 15, 2000): 7555–7557.
46. Richman WL Kiesler S Weisband S et al. (1999) A meta-analytic study of social desirability distortion in computer-administered questionnaires, traditional questionnaires, and interviews. J Appl Psychol 84, 754775.
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