evaluating healthy food retail in low-income urban neighbourhoods l.m. minaker, c. l. mah, b.e. cook...

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Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

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Page 2: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Background• Food environments

are (probably) important for health

• Healthy food retail interventions may hold promise for improving diet

http://www.hc-sc.gc.ca/fn-an/nutrition/pol/som-ex-sum-environ-eng.php

Page 3: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014
Page 4: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Over 500 measures exist!

Page 5: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014
Page 6: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Intervention

Page 7: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Study design

O X OO O

O OO

Page 8: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014
Page 9: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Individual-level Assessment

ASA24Food

Insecurity

Food Purchasing

Food environment perceptions

Socio-demographic

Food preferences

& skills

Page 10: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Store-level Assessment

Page 11: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Neighbourhood-level Assessment

Promotoras

Page 12: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Additional Observations

• Qualitative Observations– Focus groups– Interviews with

stakeholders

Page 13: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Conclusions

• Population health intervention research is fairly new

• Interdisciplinary approaches are crucial for understanding the unanticipated outcomes and diverse impacts

• It’s time to move beyond assessment in public health

Page 14: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

Acknowledgements

• Dr. Catherine Mah• Dr. Brian Cook

Page 15: Evaluating Healthy Food Retail in Low-Income Urban Neighbourhoods L.M. Minaker, C. L. Mah, B.E. Cook May 29, 2014 CPHA 2014

The Propel Centre for Population Health Impact was founded by the Canadian Cancer Society and the

University of Waterloo.