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 - 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 -