Community Health Sciences, School of Public Health, University of California, Berkeley, 50 University Hall #7360, Berkeley, CA, 94720-7360, USA.
San Francisco Department of Public Health, Community Health Equity & Promotion Branch, 25 Van Ness Avenue, Suite 500, San Francisco, CA, 94102, USA.
J Urban Health. 2018 Dec;95(6):850-858. doi: 10.1007/s11524-018-0234-x.
In urban "food swamps" like San Francisco's Tenderloin, the absence of full-service grocery stores and plethora of corner stores saturated with tobacco, alcohol, and processed food contribute to high rates of chronic disease. We explore the genesis of the Tenderloin Healthy Corner Store Coalition, its relationship with health department and academic partners, and its contributions to the passage and implementation of a healthy retail ordinance through community-based participatory research (CBPR), capacity building, and advocacy. The healthy retail ordinance incentivizes small stores to increase space for healthy foods and decrease tobacco and alcohol availability. Through Yin's multi-method case study analysis, we examined the partnership's processes and contributions to the ordinance within the framework of Kingdon's three-stage policymaking model. We also assessed preliminary outcomes of the ordinance, including a 35% increase in produce sales and moderate declines in tobacco sales in the first four stores participating in the Tenderloin, as well as a "ripple effect," through which non-participating stores also improved their retail environments. Despite challenges, CBPR partnerships led by a strong community coalition concerned with bedrock issues like food justice and neighborhood inequities in tobacco exposure may represent an important avenue for health equity-focused research and its translation into practice.
在旧金山的田德隆这样的城市“食品沙漠”中，缺乏提供全方位服务的杂货店，而街角商店却充斥着烟草、酒精和加工食品，这导致了慢性病的高发率。我们探讨了田德隆健康街角商店联盟的起源，它与卫生部门和学术合作伙伴的关系，以及通过社区参与式研究 (CBPR)、能力建设和宣传，为通过健康零售条例做出的贡献。该健康零售条例鼓励小商店增加健康食品的空间，并减少烟草和酒精的供应。通过 Yin 的多方法案例研究分析，我们在 Kingdon 的三阶段决策制定模型框架内，研究了该伙伴关系对该条例的过程和贡献。我们还评估了该条例的初步结果，包括参与田德隆计划的前四家商店的农产品销售额增加了 35%，烟草销售额适度下降，以及非参与商店也改善了其零售环境的“连锁反应”。尽管面临挑战，但由关注食品正义和烟草暴露等基本问题的强大社区联盟领导的 CBPR 伙伴关系，可能代表了一个关注健康公平的研究及其转化为实践的重要途径。
