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The Impact of a Multi-Level Multi-Component Childhood Obesity Prevention Intervention on Healthy Food Availability, Sales, and Purchasing in a Low-Income Urban Area

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  • Joel Gittelsohn

    (Global Obesity Prevention Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA)

  • Angela C. Trude

    (Global Obesity Prevention Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA)

  • Lisa Poirier

    (Global Obesity Prevention Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA)

  • Alexandra Ross

    (Global Obesity Prevention Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA)

  • Cara Ruggiero

    (Center for Childhood Obesity Research, Department of Nutritional Sciences, Pennsylvania State University, University Park, PA 16802, USA)

  • Teresa Schwendler

    (Global Obesity Prevention Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA)

  • Elizabeth Anderson Steeves

    (Department of Nutrition, University of Tennessee, 1215 W. Cumberland Ave., Knoxville, TN 37996, USA)

Abstract

The multifactorial causes of obesity require multilevel and multicomponent solutions, but such combined strategies have not been tested to improve the community food environment. We evaluated the impact of a multilevel (operating at different levels of the food environment) multicomponent (interventions occurring at the same level) community intervention. The B’more Healthy Communities for Kids (BHCK) intervention worked at the wholesaler ( n = 3), corner store ( n = 50), carryout ( n = 30), recreation center ( n = 28), household ( n = 365) levels to improve availability, purchasing, and consumption of healthier foods and beverages (low-sugar, low-fat) in low-income food desert predominantly African American zones in the city of Baltimore (MD, USA), ultimately intending to lead to decreased weight gain in children (not reported in this manuscript). For this paper, we focus on more proximal impacts on the food environment, and measure change in stocking, sales and purchase of promoted foods at the different levels of the food system in 14 intervention neighborhoods, as compared to 14 comparison neighborhoods. Sales of promoted products increased in wholesalers. Stocking of these products improved in corner stores, but not in carryouts, and we did not find any change in total sales. Children more exposed to the intervention increased their frequency of purchase of promoted products, although improvement was not seen for adult caregivers. A multilevel food environment intervention in a low-income urban setting improved aspects of the food system, leading to increased healthy food purchasing behavior in children.

Suggested Citation

  • Joel Gittelsohn & Angela C. Trude & Lisa Poirier & Alexandra Ross & Cara Ruggiero & Teresa Schwendler & Elizabeth Anderson Steeves, 2017. "The Impact of a Multi-Level Multi-Component Childhood Obesity Prevention Intervention on Healthy Food Availability, Sales, and Purchasing in a Low-Income Urban Area," IJERPH, MDPI, vol. 14(11), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:11:p:1371-:d:118353
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    References listed on IDEAS

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    1. Dannefer, R. & Williams, D.A. & Baronberg, S. & Silver, L., 2012. "Healthy bodegas: Increasing and promoting healthy foods at corner stores in New York City," American Journal of Public Health, American Public Health Association, vol. 102(10), pages 27-31.
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    Cited by:

    1. Sara John & Megan R. Winkler & Ravneet Kaur & Julia DeAngelo & Alex B. Hill & Samantha M. Sundermeir & Uriyoan Colon-Ramos & Lucia A. Leone & Rachael D. Dombrowski & Emma C. Lewis & Joel Gittelsohn, 2022. "Balancing Mission and Margins: What Makes Healthy Community Food Stores Successful," IJERPH, MDPI, vol. 19(14), pages 1-20, July.
    2. Datis Khajeheian & Amir Mohammad Colabi & Nordiana Binti Ahmad Kharman Shah & Che Wan Jasimah Bt Wan Mohamed Radzi & Hashem Salarzadeh Jenatabadi, 2018. "Effect of Social Media on Child Obesity: Application of Structural Equation Modeling with the Taguchi Method," IJERPH, MDPI, vol. 15(7), pages 1-22, June.
    3. Zahra Mojtahedi & Shirin Farjadian, 2022. "Awareness of Obesity-Related Cancers: A Complex Issue," IJERPH, MDPI, vol. 19(11), pages 1-3, May.
    4. Henry Wolgast & McKenna M. Halverson & Nicole Kennedy & Isabel Gallard & Allison Karpyn, 2022. "Encouraging Healthier Food and Beverage Purchasing and Consumption: A Review of Interventions within Grocery Retail Settings," IJERPH, MDPI, vol. 19(23), pages 1-17, December.
    5. Allison Karpyn & Kathleen McCallops & Henry Wolgast & Karen Glanz, 2020. "Improving Consumption and Purchases of Healthier Foods in Retail Environments: A Systematic Review," IJERPH, MDPI, vol. 17(20), pages 1-28, October.
    6. Jennifer Sanchez-Flack & Barbara Baquero & Shih-Fan Lin & George Belch & Julie L. Pickrel & Cheryl A. M. Anderson & Elva Arredondo & Maria Elena Martinez & Joni Mayer & Ming Ji & John P. Elder & Guada, 2019. "Evaluation of Store Environment Changes of an In-Store Intervention to Promote Fruits and Vegetables in Latino/Hispanic-Focused Food Stores," IJERPH, MDPI, vol. 17(1), pages 1-16, December.
    7. Joel Gittelsohn & Emma C. Lewis & Nina M. Martin & Siyao Zhu & Lisa Poirier & Ellen J. I. Van Dongen & Alexandra Ross & Samantha M. Sundermeir & Alain B. Labrique & Melissa M. Reznar & Takeru Igusa & , 2022. "The Baltimore Urban Food Distribution (BUD) App: Study Protocol to Assess the Feasibility of a Food Systems Intervention," IJERPH, MDPI, vol. 19(15), pages 1-17, July.
    8. Joel Gittelsohn & Rachel Novotny & Angela Cristina Bizzotto Trude & Jean Butel & Bent Egberg Mikkelsen, 2018. "Challenges and Lessons Learned from Multi-Level Multi-Component Interventions to Prevent and Reduce Childhood Obesity," IJERPH, MDPI, vol. 16(1), pages 1-14, December.

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