Improving the nutritional resource environment for healthy living through community-based participatory research
- Dr. David C. Sloane PhD,
- Allison L. Diamant MD, MSHS,
- LaVonna B. Lewis PhD,
- Antronette K. Yancey MD, MPH,
- Gwendolyn Flynn,
- Lori Miller Nascimento MPH,
- William J. McCarthy PhD,
- Joyce Jones Guinyard DC,
- Michael R. Cousineau DrPH,
- the REACH Coalition of the African American Building a Legacy of Health Project
- … show all 10 hide
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OBJECTIVES: To build health promotion capacity among community residents through a community-based participatory model, and to apply this model to study the nutritional environment of an urban area to better understand the role of such resources in residents’ efforts to live a healthy life.
DESIGN: A multiphase collaborative study that inventoried selected markets in targeted areas of high African-American concentration in comparison with markets in a contrasting wealthier area with fewer African Americans.
SETTING: A community study set in the Los Angeles metropolitan area.
PARTICIPANTS: African-American community organizations and community residents in the target areas.
INTERVENTIONS: Two surveys of market inventories were conducted. The first was a single-sheet form profiling store conditions and the availability of a small selection of healthy foods. The second provided detailed information on whether the store offered fruit, vegetables, low-fat dairy products, dried goods and other items necessary for residents to consume a nutritious diet.
RESULTS: The targeted areas were significantly less likely to have important items for living a healthier life. The variety and quality of fresh fruit and vegetable produce was significantly lower in the target areas. Such products as 1% milk, skim milk, low-fat and nonfat cheese, soy milk, tofu, whole grain pasta and breads, and low-fat meat and poultry items were significantly less available.
CONCLUSIONS: Healthy food products were significantly less available in the target areas. The authors conclude from these results that the health disparities experienced by African-American communities have origins that extend beyond the health delivery system and individual behaviors inasmuch as adherence to the healthy lifestyle associated with low chronic disease risk is more difficult in resource-poor neighborhoods than in resource-rich ones.
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- Improving the nutritional resource environment for healthy living through community-based participatory research
Journal of General Internal Medicine
Volume 18, Issue 7 , pp 568-575
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- community nutritional resources
- community-based participatory research
- African American
- Industry Sectors
- Dr. David C. Sloane PhD (1)
- Allison L. Diamant MD, MSHS (2)
- LaVonna B. Lewis PhD (1)
- Antronette K. Yancey MD, MPH (3) (4) (5)
- Gwendolyn Flynn (6)
- Lori Miller Nascimento MPH (7)
- William J. McCarthy PhD (3) (4)
- Joyce Jones Guinyard DC (6)
- Michael R. Cousineau DrPH (7)
- the REACH Coalition of the African American Building a Legacy of Health Project
- Author Affiliations
- 1. School of Policy, Planning, and Development, University of Southern California, 313 Lewis Hall, 90089-0626, Los Angeles, CA
- 2. Division of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, USA
- 3. Division of Cancer Prevention and Control Research, UCLA Jonsson Comprehensive Cancer Center, USA
- 4. Department of Health Services, UCLA School of Public Health, USA
- 5. Los Angeles County Department of Health Services, Los Angeles, Calif
- 6. Community Health Councils, Inc., Los Angeles, Calif
- 7. Division of Community Health, Department of Family Medicine, University of Southern California, USA