Tufts University, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, 150 Harrison Avenue, Boston, MA02111, USA.
Community Outreach and Patient Empowerment, Gallup, NM, USA.
Public Health Nutr. 2020 Jun;23(9):1638-1646. doi: 10.1017/S1368980019003720. Epub 2020 Feb 5.
Navajo Nation residents experience extreme rates of poverty, food insecurity and diet-related diseases. While many residents travel far to shop at grocery stores, there are small stores closer to home that could provide more healthy options, like fruits and vegetables (F&V). Little is known from the perspective of store owners and managers regarding the barriers and facilitators to offering F&V; the present study contributes to filling that gap.
Data were collected through structured interviews from a sampling frame of all store owners or managers in the setting (n 29).
Small stores in Navajo Nation, New Mexico, USA. Navajo Nation is predominantly rural and the largest federally recognized Native American tribe in the USA.
Sixteen managers and six owners at twenty-two stores.
When asked about the types of foods that were most commonly purchased at their stores, most participants reported snacks and drinks (82 and 68 %, respectively). Many participants reported they would like to offer more fresh F&V. However, barriers included varying perceived customer demand, limited F&V choices from distributors and (for some managers) limited authority over product selection.
Findings contribute to the discussion on engaging store owners and managers in providing quality, healthy foods close to home in low-income, rural regions.
纳瓦霍族居民经历着极高的贫困率、粮食不安全和与饮食相关的疾病。尽管许多居民长途跋涉前往杂货店购物，但离家更近的小型商店本可以提供更多健康的选择，如水果和蔬菜（F&V）。关于店主和经理在提供 F&V 方面面临的障碍和促进因素，从他们的角度来看，知之甚少；本研究有助于填补这一空白。
通过对该环境中所有店主或经理的抽样框架进行结构化访谈收集数据（n 29）。
美国新墨西哥州纳瓦霍族的小型商店。纳瓦霍族主要是农村地区，是美国最大的联邦认可的美洲原住民部落。
22 家商店中有 16 名经理和 6 名店主。
当被问及他们商店最常购买的食品类型时，大多数参与者报告说最常购买的是零食和饮料（分别为 82%和 68%）。许多参与者表示他们希望提供更多新鲜的 F&V。然而，障碍包括顾客需求的变化、分销商提供的 F&V 选择有限以及（对一些经理而言）对产品选择的有限权力。
研究结果有助于讨论让店主和经理参与在家附近提供优质、健康食品的问题，这些食品针对的是低收入、农村地区的人群。
