DNPAO August Teleconference/Webinar August 11, 2011.
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Transcript of DNPAO August Teleconference/Webinar August 11, 2011.
Interactive Calendar includes:•DNPAO-coordinated calls and webinars•CPPW Communities Webinar Series•Other Organizations’ Obesity-Related Webinars
Search the Calendar•Find events using key words you enter
Archived Webinars•Selected organizations’ links to their archived training webinars
Where’s the Link?•Posted on the ARRA Listserve (on 8/8/2011)•Your DNPAO Project Officer can email it to you
DNPAO Online Training Calendar
Healthier Food Retail: Guidance Products from the Centers for Disease
Control and Prevention
Leah Maynard, PhDAmy Lowry, MPASonia Kim, PhD
Demia Wright, MPH
Division of Nutrition, Physical Activity, and ObesityCenters for Disease Control and Prevention
August 11, 2011
Rationale for Healthier Food Retail Strategies
People living near grocery stores tend to have healthier diets and lower levels of obesity.
Low income, rural, and minority communities have poor access to supermarkets and healthier foods.
Smaller stores often do not carry healthier foods because of limited space and equipment, or cost of obtaining healthier food.
(Larson, et al. 2009; Morland, et al. 2002; Rose and Richards, 2004; Morland and Evenson, 2009; Powell, et al. 2007; USDA 2009; Kaufman, et al. 1997; Neckerman, et al. 2010; Sharkey and Horel, 2008)
Purpose and Audience
Provides an overview of steps that public health practitioners can take to assess retail food environment.
Can use to understand the current landscape and differences in accessibility to healthier foods.
Level of Data
County Level
ZIP Code Level
Block, Block Group, and Tract Level
Address (Geocoded) Level
Considerations for Level of Data
Size of Geographic Unit
Boundaries of Geographic Unit
Use for State or Community Assessments
Public Data Sets
USDA Food Atlas County level
County Health Rankings County level
The Reinvestment Fund Policy Map Block group level
US Census Bureau’s County and ZIP Code Business Patterns ZIP Code, County, Metropolitan, Micropolitan level
USDA Agriculture Marketing Service Geocoded level
Considerations For Using Data Sets
Commercial datasets may be prohibitively expensive.
Commercial datasets are proprietary.
Public and commercial datasets can have a lag time.
Public and commercial datasets can have data validity concerns.
Other Sources for Data
State or local departments of health or agriculture
WIC and SNAP
USDA Food Desert Web Site
NCCOR Catalog of Surveillance Systems
Geographic Information System (GIS) Mapping
Work with partners City or county planning offices Universities (particularly urban planning or agriculture
departments) State departments of health or agriculture
Consider Software Consider Map Features
Geographic boundaries Geographic features
In-store Assessments of Availability, Cost, and Quality
Market basket audits NEMS USDA/ERS Food Store
Survey
Linear shelf space
Store owner survey or interview
Purpose and Audience
Provides public health practitioners with information about the characteristics of healthier food retail legislation.
Provides action steps and resources that public health practitioners can use to support healthier food retail initiatives.
Bill Search
Primary Data Sources: DNPAO’s newly updated database of State Legislative
and Regulatory Action to Prevent Obesity and Improve Nutrition and Physical Activity (SLRA)
• Database search criteria for HFR legislation :o Enacted between January 2001-January 2011o SLRA’s pre-defined search strings:
• “Grocery store/Food Markets”• “Access to Healthy Foods”
*CDC’s State Legislative and Regulatory Action to Prevent Obesity and Improve Nutrition and Physical Activity: http://apps.nccd.cdc.gov/DNPALeg/index.asp
Bill Search
*CDC’s State Legislative and Regulatory Action to Prevent Obesity: http://apps.nccd.cdc.gov/DNPALeg/index.asp
Bill Search
Primary Data Sources: National Conference of State Legislatures, Healthy
Community Design and Access to Healthy Food Legislative Database
• Database search criteria for HFR legislation:o Enacted between January 2004- December 31, 2009o Used pre-defined search strings
• “Supermarket/Food Access ”
*NCSL Healthy Community Design Legislative Database: http://www.ncsl.org/?tabid=13227
Legislative Analysis
Phase I: Bill Relevancy Review
The project team read all bill abstracts included in the legislative databases.
The full text of bills were retrieved from the states legislative webpage.
The project team read each bill to ensure it met pre-defined Healthier food retail criteria.
Legislative Analysis
A bill was included in the analysis if it addressed any of the following Healthier Food Retail criteria:
• building or placement of new or expansion of existing food retail outlets;
• renovation or equipment upgrades of existing food retail outlets;
• increases in the stocking or promotion of foods encouraged by the 2005 Dietary Guidelines for Americans; or
• the examination of healthier food access.
Legislative Analysis
Phase II: Bill Coding Tool Development
The project team coded key elements of enacted HFR Legislation:
• Most common components included in HFR bills• Most likely to impact access to healthy foods and economic
development• Most useful to stakeholders working on HFR initiatives
Legislative Analysis
Phase III: Bill Coding Coded key elements of enacted HFR Legislation:
• General info: state; bill & law citation; year of introduction
• Focus of bill: pilot program; program or initiative; task force or advisory committee; appropriations
• Type of retail: small or corner store; grocery store/supermarket
• Financial or other incentive: tax incentive; grants; low interest loans
• Type of projects or costs: Store building / construction; store renovation; Equipment and furnishings; Land acquisition / assembly
Legislative Analysis
Phase III: Bill Coding
Coded key elements of enacted HFR Legislation• Low-income or Underserved component
• Report or Evaluation Required
• Implementing organization
Category Explanation of Bill Coding
Focus The overarching focus or action of the bill as related to healthier food retail.
Task Force / Advisory Committee * – The bill establishes a task force, advisory committee, or other official committee; or directs the activities of such bodies.Appropriations** – The bill authorizes the expenditure of money and denotes the dollar amount appropriated. Program or Initiative – The bill establishes a program or initiative, including tax incentives.Pilot Program – The bill establishes an activity planned as a test or trial.* For Task force/Advisory Committee bills, only the categories “Low-income or Underserved Component” and “Report or Evaluation Required” were coded.
** Appropriations included in this table represent only monies stipulated in the actual bill language. This does not represent an exhaustive search of budget bills and General Appropriations Acts.
Type of Retail Type of retail establishment specifically listed in the bill.
Grocery/supermarket – “Grocery”, “supermarket”, “market” or “retail” is specified in bill text.Small or Corner store – “Small grocery”, “small”, “corner”, or “convenience” store is specified in bill text.Farmers Markets – “Farmers Markets” is specified in bill text.Other – Other types of retail establishments is specified in bill text.
Findings from Healthier Food Retail Legislation in States
Based on our analysis, healthier food retail legislation in the last decade has generally:
Established a legislative task force or advisory panel
Provided financial assistance or other type(s) of incentives to attract healthier food retail outlets to underserved areas or to improve healthier food offerings in existing stores.
Healthier Food Retail Legislation in States
Dist. Columbia
Enacted legislationDid not pass or pending legislationDid not introduce legislation
Action Steps
Action steps are based on core competencies identified by HPEC. Collect, analyze and present data Work with partners Develop or suggest strategies Evaluate HFR initiatives
Consult legal counsel before engaging in healthier food retail initiatives.
Action Steps: Collect, Analyze, and Present Data
Identify communities that lack access to healthier food retail.
Prepare reports, fact sheets, and other materials that demonstrate the need to improve the food environment.
Collect data that demonstrates co-benefits of HFR initiatives to multiple partners.
When invited, present health data or information at Committee Hearings or other venues.
Consult subject matter experts.
Action Steps: Work with Partners
Convene stakeholders and partners, or become a member of an existing coalition.
Collaborate with non-traditional partners.
Once healthier food retail legislation has been passed, work with the implementing agency to ensure public health goals are addressed.
Action Steps: Develop or Suggest Strategies
Consider strategies that are feasible.
Determine if existing state policies or programs have similar or overlapping goals with HFR initiatives.
Develop education and communication strategies to frame key messages.
Action Steps: Evaluate HFR Initiatives
Evaluate public health impacts of healthier food retail legislation and initiatives.
Resources
State Legislative Search Guide (Washington University in St. Louis)
CDC’s State Indicator Reports Children’s Food Environment Fruit and Vegetable
USDA Food Desert Locator Food Desert Web Page
Directors of Health Promotion and Education Public Health Solutions through Changes in Policies, Systems,
and the Built Environment: Specialized Competencies for the Public Health Workforce.
Resources (continued)
The Food Trust Pennsylvania Fresh Food Financing Initiative
Policy Link Improving Access to Healthy Food Equitable Development Toolkit: Healthy Food Retailing
Robert Wood Johnson Foundation Reversing the Trend in Childhood Obesity: Policies to
Promote Healthy Kids and Communities
Purpose
Will provide guidance for state health department staff on how to develop and implement policies, initiatives, or other activities around food retail
Will address increased consumption of healthier foods through access and availability strategies.
Will address health equity/health disparities through focus on work in underserved areas.
Audience
State health department employees working in nutrition and obesity prevention
State health department employees working in chronic disease prevention, partnership development, and other relevant areas
• State-level partners and local public health practitioners
Outline of Action Guide
Introduction
Planning the Approach Assessment Partnership Planning and Prioritization
Strategies Grocery Store Development Small Store Initiatives Farmers Markets Mobile Vending
Acknowledgements
Assessment Brief Latetia Moore, PhD (CDC) Amy Auchincloss, PhD (Drexel University)
Legislative Analysis Kathy Golson (Texas Department of Agriculture) Kathryn Parker-Karst (Tulane Prevention Research Center) George Manalo-LeClair (California Food Policy Advocates)
Action Guide Personnel from various state health departments Subject matter experts from various universities and organizations
For more information please contact Centers for Disease Control and Prevention
1600 Clifton Road NE, Atlanta, GA 30333Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: http://www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
National Center for Chronic Disease Prevention and Health Promotion