Food Procurement Identifying Leverage Points for Disseminating - - PowerPoint PPT Presentation
Mapping the Social Context of Food Procurement Identifying Leverage Points for Disseminating Healthy Eating Messages Among Low-income Populations Co-Authors Madalena Monteban, PhD Darcy Freedman, PhD, MPH Kimberly Bess, PhD Colleen Walsh,
Identifying Leverage Points for Disseminating Healthy Eating Messages Among Low-income Populations
Madalena Monteban, PhD Darcy Freedman, PhD, MPH Kimberly Bess, PhD Colleen Walsh, PhD, Kristen Matlack, MPH Susan Flocke, PhD, Heather Baily, MA
Healthy Neighborhoods (PRCHN) at Case Western Reserve University, supported by Cooperative Agreement Number 1U48DP005030 awarded by CDC. FreshLink is the Core Research of the PRCHN.
do not necessarily represent the official position of the CDC.
Research background Describe research design and methods Review findings Discuss D&I implications
Spatial- Temporal
Economic Social
Nutritious Food Access
Service Delivery Personal
Freedman et al., 2013
Work with community partners to employ a rapid-response system for evaluating and improving the reach, adoption, and impact of farmer's markets among SNAP recipients living in low-income neighborhoods in Greater Cleveland, Ohio.
SNAP = Supplemental Nutrition Assistance Program, formerly Food Stamps
Summer 2015: Survey research with 320 people receiving SNAP
use of farmers’ markets and other places to access healthy foods? Winter 2015-16: Interview research with 30 people enrolled in survey
What are people's main food access points? Do people have connections at these core food procurement places? What is the nature of people's relationships at food procurement places? Can people’s relationships at food procurement places be leveraged to disseminate healthy eating messages?
N = 30 parents/caregivers receiving SNAP in Cleveland, Ohio Purposive sampling:
network mapping Focused on people and places related to participant’s food habits (getting, making, and eating).
places
software focused on three types of social connections:
N=30 N (%) Female 29 (97%) Black/African American 24 (80%) Not currently employed for wages 22 (73%) Annual household income less than $10,000/year 15 (50%) Completed High School 21(70%) Mean (range) Number of children in household 3 (1-8) Age 36 (25-59)
N= 30 people 21 know someone at procurement place (70%) N= 10 place types People know someone at 9 place types (90%) Shape: Procurement Place People Color: Connection No Connection Size: larger = more connections LEGEND
Unique Place Types N Food Pantry 35 Discount Store 22 Convenience Store 18 Supermarket 16 Dollar Store 15 Farmer’s Market 15 Specialty Store 10 Supercenter 5 Warehouse Store 7 Small Grocer 3 Total 145
Food Pantry N = 21 people go connected at Food Pantry 10 (48%) Supermarket (e.g. Safeway, QFC) N = 29 people go connected at Supermarket 9 (31%) Discount Store (e.g. Save-a-Lot, Aldi) N = 29 people go connected at Discount Store 3 (13%) Farmers’ Market (e.g. Public Market, Farm Stand) N = 22 people go connected at Farmers’ Market 2 (10%)
Shape: Procurement Place People Color: Connection No Connection Size: larger = more connections LEGEND
“I grew up with and I went to school and we used to work together”
“Boy I know them real well especially since I’ve been there eight, nine years now.”
“she’s like “we have sales on ground beef”… I’m like okay”
“Oh yeah, they try to get you to eat squash at the [Food Pantry]. (Laughter) ...They tell you how to cook it and how to eat it.”
“[my cousin says] ‘you should come here 'cause we got a sale on this and we got a sale on that…and you can come get a case of chicken wings from here because it's cheaper over here than over there’”
[Farm owner] “gives cuts of meat…like if he slaughters a cow um… he’ll give… cuts that he really don’t care too much for.”
“…the [Food Pantry]…they know that I um…like I’ll share with the
Pantry volunteer] give me like a crate of each um…vegetable or whatever that they have [to share with others]…”
disseminate healthy eating messages.
social capital within food procurement spaces.
Thank you to the parents/caregivers who participated in this study sharing their time and experiences. Our appreciation also goes to members of the FreshLink research team Elaine Borawski, Erika Trapl, and Emily Jennings.