TY - JOUR
T1 - Impact of a Healthy Retail Intervention on Fruits and Vegetables and Total Sales in Tribally Owned Convenience Stores
T2 - Findings From the THRIVE Study
AU - Williams, Mary B.
AU - Wang, Wenyu
AU - Taniguchi, Tori
AU - Salvatore, Alicia L.
AU - Groover, William K.
AU - Wetherill, Mariana
AU - Love, Charlotte
AU - Cannady, Tamela
AU - Grammar, Mandy
AU - Standridge, Joy
AU - Fox, Jill
AU - Jernigan, Valarie Blue Bird
N1 - Funding Information:
We thank the following members of the institutional review boards of the Chickasaw Nation and the Choctaw Nation of Oklahoma for their guidance and contributions: Bobby Saunkeah, Michael Peercy, Danielle Branam, and David Wharton. We would like to thank the commerce division partners in both Nations, especially Mr. W. Kyle Groover and Mr. Chad McCage. We thank Ms. Shondra McCage for leadership in facilitating preliminary intervention work within the store settings. We would also like to acknowledge Jennifer Spiegel and JoAnna Owens for their work in collecting process evaluations for stores in Chickasaw Nation. This study was funded by the National Heart, Lung, and Blood Institute (Grant No. HL117729). The contents of this publication are solely the authors’ responsibility and do not necessarily represent the official views of the National Heart, Lung, and Blood Institute or the National Institutes of Health. The funding agency did not participate in the study design, data collection, analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2020 Society for Public Health Education.
PY - 2020
Y1 - 2020
N2 - Background: Healthy retail interventions are a recommended intervention strategy to address diet-related diseases, such as obesity and diabetes; however, retail managers are concerned about their bottom line. This study’s aim was to assess the impact of a healthy retail intervention on fruits and vegetables (FV) sales, as well as total sales, in tribally owned convenience stores where grocery stores are scarce. Method: We analyzed weekly sales data over the first 6 months of a healthy retail intervention. We assessed the proportion of sales from two FV baskets. The FV basket included all fresh, canned, and dried FV sold at stores; while the fruits, vegetables, and salads (FVS) basket included all FV items as well as all salads sold. We compared mean weekly sales rates in intervention and control stores over the 6-month period using generalized estimating equations models to account for repeated measures. Results: Mean weekly FV basket sales rates were higher in intervention stores than control stores in both Nations. Mean weekly FVS baskets sales were significantly higher in intervention stores than control stores in one Nation and were higher, but not statistically significant, in intervention stores in the other Nation. Total sales remained steady throughout the intervention period. Conclusions: The THRIVE (Tribal Health and Resilience in Vulnerable Environments) intervention increased FV sales without negatively affecting total sales. Policy and Practice Implications. Healthy retail interventions in tribal convenience stores, where many Native Americans living in rural areas shop due to scarcity of grocery stores, could improve diet-related disparities without reducing total sales.
AB - Background: Healthy retail interventions are a recommended intervention strategy to address diet-related diseases, such as obesity and diabetes; however, retail managers are concerned about their bottom line. This study’s aim was to assess the impact of a healthy retail intervention on fruits and vegetables (FV) sales, as well as total sales, in tribally owned convenience stores where grocery stores are scarce. Method: We analyzed weekly sales data over the first 6 months of a healthy retail intervention. We assessed the proportion of sales from two FV baskets. The FV basket included all fresh, canned, and dried FV sold at stores; while the fruits, vegetables, and salads (FVS) basket included all FV items as well as all salads sold. We compared mean weekly sales rates in intervention and control stores over the 6-month period using generalized estimating equations models to account for repeated measures. Results: Mean weekly FV basket sales rates were higher in intervention stores than control stores in both Nations. Mean weekly FVS baskets sales were significantly higher in intervention stores than control stores in one Nation and were higher, but not statistically significant, in intervention stores in the other Nation. Total sales remained steady throughout the intervention period. Conclusions: The THRIVE (Tribal Health and Resilience in Vulnerable Environments) intervention increased FV sales without negatively affecting total sales. Policy and Practice Implications. Healthy retail interventions in tribal convenience stores, where many Native Americans living in rural areas shop due to scarcity of grocery stores, could improve diet-related disparities without reducing total sales.
KW - chronic disease
KW - community intervention
KW - community-based participatory research
KW - consumer health
KW - health promotion
KW - health research
KW - minority health
KW - Native American/American Indian
KW - nutrition
KW - obesity
UR - http://www.scopus.com/inward/record.url?scp=85090823059&partnerID=8YFLogxK
U2 - 10.1177/1524839920953122
DO - 10.1177/1524839920953122
M3 - Article
AN - SCOPUS:85090823059
SN - 1524-8399
VL - 22
SP - 796
EP - 805
JO - Health Promotion Practice
JF - Health Promotion Practice
IS - 6
ER -