This review examines current research on manipulations of U.S. food retail environments to promote healthier food purchasing and consumption. Studies reviewed use marketing strategies defined as the 4Ps (product, price, placement, promotion) to examine results based on single- and multi-component interventions by study design, outcome, and which of the “Ps” was targeted. Nine electronic databases were searched for publications from 2010 to 2019, followed by forward and backward searches. Studies were included if the intervention was initiated by a researcher or retailer, conducted in-store, and manipulated the retail environment. Of the unique 596 studies initially identified, 64 studies met inclusion criteria. Findings show that 56 studies had at least one positive effect related to healthier food consumption or purchasing. Thirty studies used single-component interventions, while 34 were multi-component. Promotion was the most commonly utilized marketing strategy, while manipulating promotion, placement, and product was the most common for multi-component interventions. Only 14 of the 64 studies were experimental and included objective outcome data. Future research should emphasize rigorous designs and objective outcomes. Research is also needed to understand individual and additive effects of multi-component interventions on sales outcomes, substitution effects of healthy food purchases, and sustainability of impacts.

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Objective: Using components of the Family Adjustment and Adaptation Response Model, Critical Race Feminism, and Sites of Resilience, this study explored how street-identified Black American mothers engage in street life, while juggling the pressures of childrearing, family, and home life within a distressed, urban Black community. Background: Street-identified Black American mothers are vilified for their intersecting identities of being Black women who are experiencing poverty, and who may also be involved in illegal activity. Black mothers are disproportionately represented in the criminal legal system, but existing research has inadequately examined how streetidentified Black mothers "do" family in the confines of structural violence. Method: We addressed this gap by analyzing interview data with 39 street-identified Black American mothers ages 18 to 54. Data were collected using street participatory action research. Results: We identified a typology of three adaptive mothering strategies employed by street-identified Black women as they respond to and cope with violent structural conditions shaping their mothering: constrained mothering, racialized mothering, and aspirational mothering. Conclusions: Findings suggested that these strategies were developed in response to an overarching carceral apparatus, of which these mothers were tasked with avoiding when possible and confronting when necessary. Their mothering strategies were shaped by a collective, Black American cultural identity and worldview, and the mothers possessed a unique way of perceiving the world as criminalized subjects with disproportionate proximity to the punitive state.

Objective: In 2019, California and Wilmington, Delaware implemented policies requiring healthier default beverages with restaurant kids’ meals. This study assessed restaurant beverage offerings and manager perceptions. Design: Pre-post menu observations were conducted in California and Wilmington. Observations of cashiers/servers during orders were conducted pre-post implementation in California and post-implementation in Wilmington. Changes in California were compared using multilevel logistic regression and paired t-tests. Post-implementation, managers were interviewed. Setting: Inside and drive-through ordering venues in a sample of quick-service restaurants in low-income California communities and all restaurants in Wilmington subject to the policy, the month before and 7-12 months after policy implementation. Participants: Restaurant observations (California n=110; Wilmington n=14); managers (California n=75; Wilmington n=15). Results: Pre-implementation, the most common kids’ meal beverages on California menus were unflavored milk and water (78.8%, 52.0%); in Wilmington, juice, milk, and sugar-sweetened beverages were most common (81.8%, 66.7%, 46.2%). Post-implementation, menus including only policy-consistent beverages significantly increased in California (9.7% to 66.1%, p<0.0001), but remained constant in Wilmington (30.8%). During orders, cashiers/servers offering only policy-consistent beverages significantly decreased post-implementation in California (5.0% to 1.0%, p=0.002). Few managers (California 29.3%; Wilmington 0%) reported policy knowledge, although most expressed support. Most managers wanted additional information for customers and staff. Conclusions: While the proportion of menus offering only policy-consistent kids’ meal default beverages increased in California, offerings did not change in Wilmington. In both jurisdictions managers lacked policy knowledge and few cashiers/servers offered only policy-consistent beverages. Additional efforts are needed to strengthen implementation of kids’ meal beverage policies.