Healthy Stores Initiative Associated with Produce Purchasing on Navajo Nation
| Autor: | Onagh W. MacKenzie, Emily Piltch, Sonya Shin, Carmen George, Sharon M Sandman, Jessica Lasky-Fink, Rafael Pérez-Escamilla, Clarina Clark, Taylor Wilmot, Que'sha J Avalos, Danya S. Carroll |
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| Rok vydání: | 2019 |
| Předmět: |
vegetables
030309 nutrition & dietetics Medicine (miscellaneous) fruits Sociodemographic data Odds 03 medical and health sciences 0302 clinical medicine health behavior Healthy food 030212 general & internal medicine Marketing Food and Nutrition of Indigenous Peoples Original Research 2. Zero hunger 0303 health sciences Nutrition and Dietetics Alaska Natives adult American Indians Food purchasing Purchasing Health equity language.human_language Health promotion Navajo language health promotion/methods health disparity Food Science |
| Zdroj: | Current Developments in Nutrition |
| ISSN: | 2475-2991 |
| Popis: | Background American Indians and Alaska Natives experience diet-related health disparities compared with non-Hispanic whites. Navajo Nation's colonial history and remote setting present unique challenges for healthy food access. Objective This study aims to understand the impact of the Healthy Navajo Stores Initiative (HNSI) on fruit and vegetable purchasing on Navajo Nation. Methods We conducted a cross-sectional survey of 692 customers shopping at 28 convenience stores, trading posts, and grocery stores on Navajo Nation. Individual- and household-level sociodemographic data and food purchasing behaviors were collected. Descriptive and bivariate analyses for customers’ individual- and household-level characteristics were conducted using chi-squared tests. The impact of individual-, household-, and store-level factors on fruit and vegetable purchasing was assessed using multiple logistic regression modeling. Results Store participation in the HNSI was significantly associated with customers’ purchase of produce. Customers experienced 150% higher odds of purchasing produce if they shopped in participating stores, compared with nonparticipating stores (P |
| Databáze: | OpenAIRE |
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