This study explored university‐community collaborations by examining the workings of 1 healthy marriage initiative. An ethnographic case study research strategy was used to study the process of this initiative, specifically looking at how participants worked through and overcame traditional university‐community collaboration challenges. Data consist of qualitative interviews with key initiative collaborators. Findings are organized into a model that offers a new way of looking at university‐community collaborations in light of challenge points to be addressed and either resolved or unresolved. The model provides implications for other collaborative efforts and outreach scholarship.
Objective: The aim of the study was to determine the association between dietary outcomes and the neighbourhood food environment (street network distance from home to stores) and consumer food environment (Nutrition Environment Measurement Survey-Stores (NEMS-S) audit). Design: The neighbourhood food environment was captured by creating 0?5-mile and 1-mile network distance (street distance) around each participant's home and the nearest food venue (convenience store, grocery store, supermarket, farmers' market and produce stand). The consumer food environment was captured by conducting NEMS-S in all grocery stores/supermarkets within 0?5 and 1 mile of participants' homes. Setting: Fayette County, KY, USA. Subjects: Supplemental Nutrition Assessment Program (SNAP) participants, n 147. Results: SNAP participants who lived within 0?5 mile of at least one farmers' market/produce stand had higher odds of consuming one serving or more of vegetables (OR 5 6?92; 95 % CI 4?09, 11?69), five servings or more of grains (OR 5 1?76; 95 % CI 1?01, 3?05) and one serving or more of milk (OR 5 3?79; 95 % CI 2?14, 6?71) on a daily basis. SNAP participants who lived within 0?5 mile of stores receiving a high score on the NEMS-S audit reported higher odds of consuming at least one serving of vegetables daily (OR 5 3?07; 95 % CI 1?78, 5?31). Conclusions: Taken together, both the neighbourhood food environment and the consumer food environment are associated with a healthy dietary intake among SNAP participants.
This study elicits community-identified barriers to healthy behaviors and provides foundational data to inform future place-based obesity reduction interventions.
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