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Baltimore Healthy Stores Project


To promote these foods at the point of purchase, and work in ... Cherry Hill (2502.07) Differences between tracts in healthy food options $2.67. 1(9 ... – PowerPoint PPT presentation

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Title: Baltimore Healthy Stores Project

Baltimore Healthy Stores Project
  • To develop programs to improve the availability
    of healthy food options to all residents of
    Baltimore City.
  • To promote these foods at the point of purchase,
    and work in collaboration with community
    agencies, the city of Baltimore, and local food

Guiding Principles and Goals
  • To work with local merchants to offer more
    healthy choices
  • To increase sales and consumption of healthy
  • To teach healthy food preparation methods
  • To form partnerships with local food stores and
  • To form partnerships with community organizations

Formative Phase February 2002-September 2003
  • Objectives
  • To inform design of appropriate food-store
    centered health education interventions
  • To identify needs and options for improved supply
    of healthy foods
  • To plan an effective and sustainable program in
    Baltimore City
  • Methods
  • Food source surveys (12 census tracts)
  • Consumer surveys (n 50)
  • In-depth interviews with store managers (n 17)
  • In-depth interviews with community leaders (n
  • 24-hour diet recall surveys (n75)

Consumer Survey of Food Shopping and Preparation
Patterns (n50)
  • 76 African American
  • 54 female
  • 22 reported receiving government food assistance
    (Food Stamps, WIC, Commodity Foods, Free/Reduced
    Price School Lunch)
  • 16 were food insecure without hunger (USDA food
    security scale)
  • 8 were food insecure with hunger

Food Sources Used In the Last Six Months

Respondents were permitted to check all food
sources they used
Reported Reasons for Using a Food Source
Respondents were asked to provide three reasons
for each of their top three choices, yielding a
total of 369 responses. There were a total of 46
other responses. If only one response was given
for a food source, that reason was counted three
times. All responses were considered for the
calculation of the last two columns.
Type of Milk Gotten, (Respondents 50)
Respondents may select more than one type
Low fat milk is better for your health than
whole milk
Low-fat milk contains the same nutrients as
whole milk except for the fat content
What would help the community?
Respondents were permitted to select three
options for a total of 138 responses
24-hour Dietary Recall Surveys, n71
  • 96 African-American
  • 85 Female
  • 51 reported receiving government food
    assistance (Food Stamps and/or WIC)
  • 23 18-30 years age group
  • 56 31-50 years age group
  • 21 51 years age group

Foods Mentioned One or More Times,
Vegetable/Fruit and Other Healthy Foods
Consumed One or More Times,
Qualitative Research with Local Stores Owners
  • How do store owners/managers decide what foods to
    stock and how to promote them?
  • Order and stock on demand
  • corner store dont have much saying to serve,
    for example, particular low sodium, low fat food.
    See, we serve food already existing, already
    produced, we sell what consumer like and consumer
    like it.
  • we dont buy what consumers never buy, only buy
    popular product otherwise sits there, gets bad,
    we dont want product to sit there, if not sell,
    try to avoid stock doesnt move.
  • Environment of the store generates demand
  • People looking, people buying same stuff.
    Sometimes they ask for stuff. This store blocked
    by glass keeping customers in the front
    anteroom, they cant come in. So people buy
    same stuff.

Qualitative Research with Local Stores Owners
  • What do customers buy?
  • Storeowners reported most sold items are
  • soda, chips, candies
  • Elderly reported to buy groceries and juices
  • Korean-American Grocers Association (KAGRO)
    reported most sold items are
  • bread, milk, eggs, soft drink, cigarettes
  • Direct observations at stores
  • Most common purchases chips, Pepsi, donuts

Qualitative Research with Local Stores Owners
  • Relationships with customers in the community
  • Problem with customers
  • Stealing, cursing, drug people, crime,
    teenagers particularly problematic
  • Relationships with good customers
  • Carrying food to the elderly and sick
  • Purchasing special goods for certain clients
  • Letting them into the store to browse items
  • Concern for the good customers, kids and elderly
  • Reciprocal relationships
  • Customers watch the store at night
  • Watch out for their cars during the day
  • Proud of providing services to the community
  • Customers ask for things and I buy it for them.
    They ask, I go to Mars and find it and put it
    here on the shelf. They see it and they are

Food Source Survey
  • Census tracts randomly selected
  • East Baltimore (803.01)
  • West Baltimore (1503)
  • Park Heights (1513)
  • Federal Hills (2403)
  • Cherry Hill (2502.07)

Differences between tracts in healthy food options
Qualitative Research with Community Leaders
  • Community leaders identified the following
    problems with local food stores include
  • Store Conditions
  • Quality - Just open the door to the supermarket
    and you can smell it. If they sell fish, it
    smells like fish. Fish, chicken blood, I dont
    know if everyone can smell it, but can. If you go
    to Giant, you dont get that
  • Access
  • Prices - I know budget affects food of choice
    because when people think in terms of going to
    the grocery store and they want to get.they want
    to stretch dollars as much as they can. So, often
    times, they buy the cheaper things.
  • Transportation - No, not any major supermarkets
    around, but also a lot of people in the community
    dont have transportation, major transportation
    like cars to get to the other supermarkets
    that are in other areas.
  • Safety - When I suggest to people that they
    walk, then theyll say, The streets are
    dangerous, you cant walk on the streets.

Qualitative Research with Community Leaders
  • Community leaders identified the following
    barriers to solving the nutritional situation in
    East Baltimore
  • Community in Crisis - The community has changed
    over the years. I would definitely like to say
    not for the better because there are a lot of
    vacant homes in the community which brings a lot
    of crime. There is a lot of drug activity in the
    community and it doesnt make for a pretty place
    to want to live.
  • Change in Community Membership - I think
    unfortunately when this change started coming
    about, I think some of the people in this
    community leftthey moved out to the county and
    because they werent getting the help that they
    might have needed from the government or from
    other partners in the community until it got to
    this status and so they left to save their

Qualitative Research with Community Leaders,
  • Community leaders identified the following
    barriers to solving the nutritional situation in
    East Baltimore
  • Change in Societal Values - You got other
    parents, they are really thoughtful parents, but
    they are working or theyre working two jobs, or
    their working and going to school, but they got
    the busy schedules. Theres very few people that
    quote spend very little quality time doing
    things for their family.
  • Lack of Community Cohesion - I think that if the
    people that work here and live here and brought
    their relationship closer together then a lot of
    those things health hazards rats, trash,
    crime, discrimination would disappear.

Possible Interventions Promoting Healthy Food
  • Character Motif
  • Logo
  • Flyers
  • Cooking Demonstrations (In-store)
  • Taste Tests
  • Specialized Food Displays (In-store)
  • Prepackaged healthy meals (In-store)
  • Recipe Cards (In-store)
  • Shopping Lists (In-store)
  • Posters (Mass media)

Community Collaborative Partners
  • Center for a Livable Future
  • BCHD Child and Adult Care Food Program
  • HABC, Division of Family Support Services Human
    Services Offices (Districts 2,4,5)
  • The Mens Center
  • Middle East Community Development Corporation
  • Historic East Baltimore Community Action
  • Baltimores Safe and Sound Campaign
  • St. Francis Academy
  • Super A Farms
  • Baltimore Public Markets Corporation
  • Stop, Shop, and Save Food Markets

Future Work
  • Need to continue to establish strong community
  • Develop and refine intervention strategies in
    collaboration with project partners
  • Implement intervention to determine feasibility

Community Organizations/Baltimore Healthy Stores
  • Community Organizations
  • Support Baltimore Healthy Stores through
    awareness of goals and strategies
  • Review and provide feedback on intervention
  • Serve as venue for community outreach
  • Baltimore Healthy Stores
  • Implement and evaluate program
  • Report findings to merchants
  • Make public intervention materials