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小商店和非传统商店食品环境的差异与种族隔离和公司地位有关。

Variation in the food environment of small and non-traditional stores across racial segregation and corporate status.

机构信息

1Division of Epidemiology and Community Health,School of Public Health,University of Minnesota,1300 South 2nd Street,Minneapolis,MN 55454,USA.

2Department of Family Medicine and Community Health,Program in Health Disparities Research,University of Minnesota Medical School,Minneapolis, MN,USA.

出版信息

Public Health Nutr. 2019 Jun;22(9):1624-1634. doi: 10.1017/S1368980019000132. Epub 2019 Mar 8.

Abstract

OBJECTIVE

We examined differences in consumer-level characteristics and structural resources and capabilities of small and non-traditional food retailers (i.e. corner stores, gas-marts, pharmacies, dollar stores) by racial segregation of store neighbourhood and corporate status (corporate/franchise- v. independently owned).

DESIGN

Observational store assessments and manager surveys were used to examine availability-, affordability- and marketing-related characteristics experienced by consumers as well as store resources (e.g. access to distributors) and perceived capabilities for healthful changes (e.g. reduce pricing on healthy foods). Cross-sectional regression analyses of store and manager data based on neighbourhood segregation and store corporate status were conducted.

SETTING

Small and non-traditional food stores in Minneapolis and St. Paul, MN, USA.ParticipantsOne hundred and thirty-nine stores; seventy-eight managers.

RESULTS

Several consumer- and structural-level differences occurred by corporate status, independent of residential segregation. Compared with independently owned stores, corporate/franchise-owned stores were more likely to: not offer fresh produce; when offered, receive produce via direct delivery and charge higher prices; promote unhealthier consumer purchases; and have managers that perceived greater difficulty in making healthful changes (P≤0·05). Only two significant differences were identified by residential racial segregation. Stores in predominantly people of colour communities (<30 % non-Hispanic White) had less availability of fresh fruit and less promotion of unhealthy impulse buys relative to stores in predominantly White communities (P≤0·05).

CONCLUSIONS

Corporate status appears to be a relevant determinant of the consumer-level food environment of small and non-traditional stores. Policies and interventions aimed at making these settings healthier may need to consider multiple social determinants to enable successful implementation.

摘要

目的

我们通过商店所在社区的种族隔离和企业地位(公司/特许经营与独立拥有)来研究小型和非传统食品零售商(即街角商店、加油站、药店、一元店)的消费者层面特征和结构资源与能力的差异。

设计

观察性商店评估和经理调查用于检查消费者体验的可用性、负担能力和营销相关特征,以及商店资源(例如,获得分销商)和对健康变化的感知能力(例如,降低健康食品的价格)。根据社区隔离和商店企业地位,对基于商店和经理数据的横断面回归分析进行了。

地点

美国明尼阿波利斯和圣保罗的小型和非传统食品商店。

参与者

139 家商店;78 名经理。

结果

与独立拥有的商店相比,公司/特许经营拥有的商店在消费者和结构层面上存在一些差异,这与居住隔离无关。与独立拥有的商店相比,公司/特许经营拥有的商店更有可能:不提供新鲜农产品;当提供新鲜农产品时,通过直接配送接收并收取更高的价格;促销不健康的消费者购买;并且经理认为做出健康改变更困难(P≤0·05)。仅通过居住种族隔离确定了两个显著差异。与主要是白人社区(<30%非西班牙裔白人)的商店相比,主要是有色人种社区(<30%非西班牙裔白人)的商店新鲜水果的供应较少,不健康的冲动购买的促销活动较少(P≤0·05)。

结论

企业地位似乎是小型和非传统商店消费者层面食品环境的一个相关决定因素。旨在使这些环境更健康的政策和干预措施可能需要考虑多个社会决定因素,以实现成功实施。

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