D'Angelo Heather, Ammerman Alice, Gordon-Larsen Penny, Linnan Laura, Lytle Leslie, Ribisl Kurt M
Gillings School of Global Public Health, Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
, Westat, 1700 Research Boulevard, RB4224, Rockville, MD, 20850, USA.
J Community Health. 2017 Feb;42(1):109-115. doi: 10.1007/s10900-016-0236-0.
Access to supermarkets is lacking in many rural areas. Small food stores are often available, but typically lack healthy food items such as fresh produce. We assessed small food store retailer willingness to implement 11 healthy store strategies to increase the availability, display, and promotion of healthy foods and decrease the availability, display, and promotion of tobacco products. Interviews were conducted with 55 small food store retailers in three rural North Carolina counties concurrently with store observations assessing current practices related to the strategies. All stores sold low-calorie beverages, sugar-sweetened beverages, candy and cigarettes. Nearly all sold smokeless tobacco and cigars/cigarillos, and 72 % sold e-cigarettes. Fresh fruits were sold at 30.2 % of stores; only 9.4 % sold fresh vegetables. Retailers reported being most willing to stock skim/low-fat milk, display healthy snacks near the register, and stock whole wheat bread. About 50 % were willing to stock at least three fresh fruits and three fresh vegetables, however only 2 % of stores currently stocked these foods. Nearly all retailers expressed unwillingness to reduce the availability of tobacco products or marketing. Our results show promise for working with retailers in rural settings to increase healthy food availability in small food stores. However, restrictions on retail tobacco sales and marketing may be more feasible through local tobacco control ordinances, or could be included with healthy foods ordinances that require stores to stock a minimum amount of healthy foods.
许多农村地区没有超市。小型食品店随处可见，但通常缺乏新鲜农产品等健康食品。我们评估了小型食品店零售商实施11项健康商店策略的意愿，以增加健康食品的供应、展示和推广，并减少烟草制品的供应、展示和推广。我们对北卡罗来纳州三个农村县的55家小型食品店零售商进行了访谈，同时对商店进行观察，评估与这些策略相关的当前做法。所有商店都销售低热量饮料、含糖饮料、糖果和香烟。几乎所有商店都销售无烟烟草和雪茄/小雪茄，72%的商店销售电子烟。30.2%的商店销售新鲜水果；只有9.4%的商店销售新鲜蔬菜。零售商报告称，他们最愿意储备脱脂/低脂牛奶，在收银台附近展示健康零食，并储备全麦面包。约50%的零售商愿意储备至少三种新鲜水果和三种新鲜蔬菜，然而目前只有2%的商店储备了这些食品。几乎所有零售商都表示不愿意减少烟草制品的供应或营销。我们的研究结果表明，与农村地区的零售商合作以增加小型食品店中健康食品的供应具有前景。然而，通过当地烟草控制条例限制零售烟草销售和营销可能更可行，或者可以将其纳入要求商店储备最低数量健康食品的健康食品条例中。
