East Los Angeles, California has been characterized as a """"""""food desert,"""""""" where residents have poor access to comprehensive grocery stores and foods recommended for a healthful and balanced diet. Poor dietary practice contributes to significant chronic disease disparities. East L.A. has over 96% Latino residents, of whom, most live in poverty. To address food access disparities, we will convert corner stores, a common venue for food purchasing in this community. We will test whether corner store conversions are feasible in East L.A. and also whether store conversions contribute to healthier communities. Using an ecological and community-based participatory approach, we will work with four corner store owners to enhance marketing practices, store food quality and sales, and community involvement. For these stores, local high school youth will create and distribute outreach and education materials for community members about healthy food purchasing, preparation and eating. Four unconverted corner stares and their neighborhoods will serve as comparison groups. The project's framework conceptualizes the corner store as a neighborhood asset that can support healthy food purchasing, preparation and eating behaviors among residents. The following four aims guide the research: 1) what factors are necessary to persuade and enable corner store owners to convert their stores;2) what are the best practices to market and promote corner stores in resource poor communities;3) what factors are related to the maintenance and sustainability of corner store conversions;and 4) what impact do corner store conversions have on the health behaviors of community residents. Formative research and evaluation will be used to assess project feasibility. Program monitoring will be used to assess study implementation. A multiple case study approach will be used to assess corner store adoption and maintenance. Outcome evaluation will use a quasi-experimental, comparison groups design with repeated cross-sectional surveys stratified by neighborhoods containing converted and control corner stores. We will survey 1,000 community residents, in two different waves, to assess outcomes. Studying how corner store conversions work and the impact they have on communities is an understudied facet of current public health disparities and intervention research.

Public Health Relevance

East Los Angeles, Califomia is identified as a food desert with limited access to healthy foods and comprehensive grocery stores. This project will convert four study corner stores in East L.A., to make them community assets where people can buy healthy food and learn about healthy food consumption and preparation.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Specialized Center (P50)
Project #
5P50HL105188-05
Application #
8604733
Study Section
Special Emphasis Panel (ZCA1-SRLB-3)
Project Start
Project End
Budget Start
2014-01-01
Budget End
2014-12-31
Support Year
5
Fiscal Year
2014
Total Cost
$473,675
Indirect Cost
$84,053
Name
University of California Los Angeles
Department
Type
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Alcalá, Héctor E; Albert, Stephanie L; Trabanino, Shawn K et al. (2016) Access to and Use of Health Care Services Among Latinos in East Los Angeles and Boyle Heights. Fam Community Health 39:62-71
Hohl, Sarah D; Thompson, Beti; Krok-Schoen, Jessica L et al. (2016) Characterizing Community Health Workers on Research Teams: Results From the Centers for Population Health and Health Disparities. Am J Public Health 106:664-70
Langellier, Brent A; Chen, Jie; Vargas-Bustamante, Arturo et al. (2016) Understanding health-care access and utilization disparities among Latino children in the United States. J Child Health Care 20:133-44
Chen, Jie; Vargas-Bustamante, Arturo; Mortensen, Karoline et al. (2016) Racial and Ethnic Disparities in Health Care Access and Utilization Under the Affordable Care Act. Med Care 54:140-6
Alcalá, Héctor E; Albert, Stephanie L; Ortega, Alexander N (2016) E-cigarette use and disparities by race, citizenship status and language among adolescents. Addict Behav 57:30-4
Gill, Monique; Chan-Golston, Alec M; Rice, Lindsay N et al. (2016) Consistency of Moderate to Vigorous Physical Activity in Middle School Physical Education. Fam Community Health 39:283-92
Ortega, Alexander N; Albert, Stephanie L; Chan-Golston, Alec M et al. (2016) Substantial improvements not seen in health behaviors following corner store conversions in two Latino food swamps. BMC Public Health 16:389
Alcalá, Héctor E; Sharif, Mienah Z; Albert, Stephanie L (2016) Social cohesion and the smoking behaviors of adults living with children. Addict Behav 53:201-5
Cavallo, David N; Horino, Masako; McCarthy, William J (2016) Adult Intake of Minimally Processed Fruits and Vegetables: Associations with Cardiometabolic Disease Risk Factors. J Acad Nutr Diet 116:1387-94
Smith, Caren E; Fullerton, Stephanie M; Dookeran, Keith A et al. (2016) Using Genetic Technologies To Reduce, Rather Than Widen, Health Disparities. Health Aff (Millwood) 35:1367-73

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