A mixed methods assessment of the barriers and readiness for meeting the SNAP depth of stock requirements in Baltimore’s small food stores

Ross, Alexandra; Krishnan, Nandita; Ruggiero, Cara F.; Kerrigan, Deanna; Gittelsohn, Joel

doi:10.1080/03670244.2017.1416362

Cited by 15 publications

(8 citation statements)

References 19 publications

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“…21 , 90 In some inner cities, the proportion increases to 1 in 4 Americans. 91 Although the effects of residence within a FPA on various health issues, such as diabetes, 92 hypertension, 93 renal disease, 94 and cardiovascular risks, 95 have been well-characterized in the literature, data reporting the effects of residing in FPAs on cancer treatment and outcomes is nonexistent.…”

Section: Nutritional Support and Equalitymentioning

confidence: 99%

Nutrition in Cancer: Evidence and Equality

Haskins

Champ

Miller

et al. 2020

Advances in Radiation Oncology

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Purpose Poor nutrition is highly implicated in the pathogenesis of cancer and affects the survival of patients during and after completion of definitive therapies. Mechanistic evidence accumulated over the last century now firmly places dysregulated cellular energetics within the emerging hallmarks of cancer. Nutritional intervention studies often aim to either enhance treatment effect or treat nutritional deficiencies that portend poor prognoses. Patients living within food priority areas have a high risk of nutritional need and are more likely to develop comorbidities, including diabetes, hypertension, renal disease, and cardiovascular risk factors. Unfortunately, there is currently a paucity of data analyzing the impact of food priority areas on cancer outcomes. Methods Therefore, we performed a review of the literature focusing on the molecular and clinical interplay of cancer and nutrition, the importance of clinical trials in elucidating how to intervene in this setting and the significance of including citizens who live in food priority areas in these future prospective studies. Conclusions Given the importance of nutrition as an emerging hallmark of cancer, further research must be aimed at directing the optimal nutrition strategy throughout oncologic treatments, including the supplementation of nutritious foods to those that are otherwise unable to attain them

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Section: Nutritional Support and Equalitymentioning

confidence: 99%

Nutrition in Cancer: Evidence and Equality

Haskins

Champ

Miller

et al. 2020

Advances in Radiation Oncology

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“…Previous research has identified important challenges that might hinder adequate healthful food provision among small retailers. For example, in a study by Ross et al, store owners identified barriers to expanding food offerings, including low customer demand, high amounts of potential spoilage, and unfair pricing at the wholesaler [34]. Ross et al suggest that if the proposed rule were to be considered again, the requirements could be revised proportionally to the size of the store and that administrative support and oversight from the USDA should be increased, as they are currently lacking.…”

Section: Discussionmentioning

confidence: 99%

“…Ross et al suggest that if the proposed rule were to be considered again, the requirements could be revised proportionally to the size of the store and that administrative support and oversight from the USDA should be increased, as they are currently lacking. In particular, stores were largely unaware of the revisions in inventory requirements [34]. Nevertheless, a study by Haynes-Maslow et al points out that the revision of the inventory rule for the Women, Infants, and Children Program in 2009 raised similar concerns, but the new rule has partly contributed to improved diet quality of its participants, and few stores dropped out due to their inability to meet the inventory requirements [35].…”

Section: Discussionmentioning

confidence: 99%

“…The idea that the proposed expansion of the rule is unacceptable stems from the concerns of an increased administrative burden and profit loss for smaller retailers [33,34,35,36]; however, current knowledge about whether smaller retailers would adapt to the more stringent inventory requirements is limited. Therefore, it is important to evaluate how well they can meet the different requirements to help determine whether the concerns related to cost and burden are well-founded.…”

Section: Introductionmentioning

confidence: 99%

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Staple Food Item Availability among Small Retailers in Providence, RI

Huang

Tovar

Taylor

et al. 2019

IJERPH

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Inventory requirements for authorized Supplemental Nutrition Assistance Program (SNAP) retailers have undergone several revisions to increase the availability of healthful foods. A proposed rule of 84 staple food items was not implemented due to concerns that stores would not withstand this expansion, resulting in a final rule requiring 36 items. This study used the Food Access Research Atlas data to characterize food provisions in 30 small retailers in areas with high and low proportions of SNAP and racial minority residents in Providence, Rhode Island (RI). Stores were assessed with an audit instrument to tally variety, perishability, and depth of stock of four staple food categories. Descriptive, analysis of variance, and chi-square analyses were performed. Across stores, 80% were compliant with the final rule, but 66.7% would need to expand their offerings to meet the proposed rule. Mean dairy variety was lowest among all categories (p < 0.05). Most stores met the perishability (92.3%) and depth-of-stock requirements (96.1%) under both rules. No difference was detected between areas with high and low proportions of SNAP and racial minority residents. Future expansion of requirements may increase healthful food availability without imposing undue burdens on retailers in Providence, RI, excluding increased requirements for dairy variety.

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“…In order to increase access to staple foods in high-priority food areas, SNAP was updated with standards to increase the "depth of stock" of healthier foods. In Baltimore City, however, the barriers to providing better foods in food deserts have included low customer demand and the potential for food spoilage (Ross, Krishnan, Ruggiero, Kerrigan, & Gittelsohn, 2018). Food banks, which were traditionally established to alleviate hunger, are another source of food for low-income families.…”

Section: Addressing Food Insecuritymentioning

confidence: 99%

Providing planetary health diet meals to low-income families in Baltimore City during the COVID-19 pandemic

Semba

Ramsing²,

Rahman³

et al. 2020

J. Agric. Food Syst. Community Dev.

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The COVID-19 pandemic has increased food insecurity, especially among low-income Black and His¬panic families in the United States. Food insecurity is associated with poorer health and higher mortality in adults and greater risk of impaired cognitive development and behavioral problems in children. Pro-viding food for low-income families is an important priority of the COVID-19 response. Food That Connects Us All is a program that provides healthy meals to low-income Black and Hispanic families in Baltimore City. The meals follow guidelines for the planetary health diet, a reference diet developed by the EAT-Lancet Commission to optimize health and be sustainable within planetary boundaries. The planetary health diet consists largely of vegetables, fruit, whole grains, legumes, nuts, and unsaturated oils, with a low to moderate amount of seafood and poultry and with little or no red or processed meats, refined grains, starchy vegetables, and added sugar. In a food survey, participants showed a high level of satisfaction with the taste, appearance, and healthfulness of the meals. Food That Connects Us All is a direct approach to reducing health disparities and demonstrates the feasibility of providing an ideal reference diet to vulnerable low-income families at high risk for poor health outcomes during the pandemic.

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A mixed methods assessment of the barriers and readiness for meeting the SNAP depth of stock requirements in Baltimore’s small food stores

Cited by 15 publications

References 19 publications

Nutrition in Cancer: Evidence and Equality

Nutrition in Cancer: Evidence and Equality

Staple Food Item Availability among Small Retailers in Providence, RI

Providing planetary health diet meals to low-income families in Baltimore City during the COVID-19 pandemic

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