NGOs and cities throughout the US have launched programs to
help the owners of bodegas, convenience stores, liquor stores and other small food
establishments sell healthier food. A concise
article published by the Centers for Disease Control summarizes the evaluations
of these programs to determine whether they have an impact on food
availability, diet, and other factors that influence diet-related diseases.*
Among the findings:
Overall, the foods that were being promoted by these pilot programs
were more available in the stores as a result of the pilots. Where sales data were collected they showed
that the programs resulted in significant increases in the sales of the
promoted foods. Produce sales, in
particular, increased 25% to 50%.
Seven programs resulted in increased food and health-related
knowledge among consumers, while 9 programs found significantly increased
purchasing frequency of at least one promoted food.
Of 4 trial programs that assessed impacts on body mass
index, no significant changes were observed from pre- to post-pilot.
Price reductions in the form of discounts, coupons,
vouchers, and loans were (not surprisingly) found to increase consumer demand
for and consumption of healthier foods.
The data suggests that these programs can make healthier
food available in communities with limited full-service grocers and encourage
the purchase of healthier food. Unfortunately, however, the evaluations have
been insufficient to answer whether and to what extent they work, or whether
certain interventions are more effective than others. The evaluative methods
varied significantly, limiting the ability to compare the program impacts
across the different pilots, and did not involve randomized controlled trials
that would provide greater reliability.
More systematic evaluative data would help policymakers and
philanthropic organizations decide how cost effective corner store programs are
and the extent to which this is a viable strategy for increasing food access
and improving public health.
*Gittelsohn J, Rowan M, Gadhoke P. Interventions in small
food stores to change the food environment, improve diet, and reduce risk of
chronic disease. Prev Chronic Dis 2012;9:110015. DOI:
http://dx.doi.org/10.5888/pcd9.110015 .
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