Working With Community Partners to Implement and Evaluate the Chicago Park District’s 100% Healthier Snack Vending Initiative

Mason, Maryann; Zaganjor, Hatidza; Bozlak, Christine T.; Lammel-Harmon, Colleen; Gomez-Feliciano, Lucy; Becker, Adam B.

doi:10.5888/pcd11.140141

Cited by 22 publications

(32 citation statements)

References 12 publications

(14 reference statements)

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“…This work supports the findings of a growing number of studies that suggest that policies and healthful vending initiatives can affect local access to healthy options in community settings ( 13 , 18 , 24 ). However, specific policy content may affect implementation, sustainability, and impact.…”

Section: Discussionsupporting

confidence: 86%

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Evaluating the Impact of the Healthy Beverage Executive Order for City Agencies in Boston, Massachusetts, 2011–2013

et al. 2015

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IntroductionIntake of sugar-sweetened beverages (SSBs) is associated with negative health effects. Access to healthy beverages may be promoted by policies such as the Healthy Beverage Executive Order (HBEO) established by former Boston mayor Thomas M. Menino, which directed city departments to eliminate the sale of SSBs on city property. Implementation consisted of “traffic-light signage” and educational materials at point of purchase. This study evaluates the impact of the HBEO on changes in beverage availability.MethodsResearchers collected data on price, brand, and size of beverages for sale in spring 2011 (899 beverage slots) and for sale in spring 2013, two years after HBEO implementation (836 beverage slots) at access points (n = 31) at city agency locations in Boston. Nutrient data, including calories and sugar content, from manufacturer websites were used to determine HBEO beverage traffic-light classification category. We used paired t tests to examine change in average calories and sugar content of beverages and the proportion of beverages by traffic-light classification at access points before and after HBEO implementation.ResultsAverage beverage sugar grams and calories at access points decreased (sugar, −13.1 g; calories, −48.6 kcal; p<.001) following the implementation of the HBEO. The average proportion of high-sugar (“red”) beverages available per access point declined (−27.8%, p<.001). Beverage prices did not change over time. City agencies were significantly more likely to sell only low-sugar beverages after the HBEO was implemented (OR = 4.88; 95% CI, 1.49–16.0).DiscussionPolicies such as the HBEO can promote community-wide changes that make healthier beverage options more accessible on city-owned properties.

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Section: Discussionsupporting

confidence: 86%

“…Differential pricing of healthy beverages below that of less-healthy beverages can promote increased purchases of healthier beverages in cafeteria settings ( 28 ). Additionally, upgrading vending machines to healthy options only has been associated with increased average monthly per-machine sales ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Impact of the Healthy Beverage Executive Order for City Agencies in Boston, Massachusetts, 2011–2013

et al. 2015

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“…The context for studies varied greatly, with 15 Organization for Economic Co‐operation and Development (OECD) countries represented. The majority of studies were conducted in the United States (n = 56) or Canada (n = 13) . Studies encompassed food service (n = 44), grocery (n = 56), and mixed (n = 7) retail settings including cafeterias (n = 24), full service restaurants (n = 18), corner stores and/or grocery stores (n = 19), supermarkets (n = 16), vending machines (n = 13), quick‐service restaurants (n = 13), and cafés (n = 5)…”

Section: Resultsmentioning

confidence: 99%

Investigating business outcomes of healthy food retail strategies: A systematic scoping review

et al. 2019

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Large changes to food retail settings are required to improve population diet.However, limited research has comprehensively considered the business implications of healthy food retail strategies for food retailers. We performed a systematic scoping review to identify types of business outcomes that have been reported in healthy food retail strategy evaluations. Peer-reviewed and grey literature were searched.We identified qualitative or quantitative real-world food or beverage retail strategies designed to improve the healthiness of the consumer nutrition environment (eg, changes to the "marketing mix" of product, price, promotion, and/or placement).Eligible studies reported store-or chain-level outcomes for measures of commercial viability, retailer perspectives, customer perspectives, and/or community outcomes. 11 682 titles and abstracts were screened with 107 studies included for review from 15 countries. Overall item sales, revenue, store patronage, and customer level of satisfaction with strategy were the most frequently examined outcomes. There was a large heterogeneity in outcome measures reported and in favourability for retailers of outcomes across studies. We recommend more consistent reporting of business outcomes and increased development and use of validated and reliable measurement tools. This may help generate more robust research evidence to aid retailers and policymakers to select feasible and sustainable healthy food retail strategies to benefit population health within and across countries.

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“…Evaluation of FSG nutrition standards for government facilities is ongoing; however, early evidence has suggested nutrition standard policies have resulted in changes to the food environment such as increased availability of healthier foods and beverages (18,19). Although evaluation of sales and dietary intake changes in response to nutrition standards enactment in government facilities in the United States is limited, changes to cafeteria and vending are associated with increasing purchases and consumption of healthier foods in schools, hospitals, and other settings (20–23).…”

Section: Discussionmentioning

confidence: 99%

Nutrition Standards for Food Service Guidelines for Foods Served or Sold in Municipal Government Buildings or Worksites, United States, 2014

et al. 2016

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IntroductionThe Institute of Medicine and Centers for Disease Control and Prevention have recommended that government agencies use nutrition standards for foods and beverages sold and provided at their facilities. In this study, we examine written nutrition standards for foods sold or served in local government buildings or worksites among US municipalities.MethodsWe used data from a 2014 national survey of 1,945 municipal governments serving populations of 1,000 or more to assess the presence of written nutrition standards, the food groups or nutrients addressed by standards, and the populations served by facilities where standards are applied. The prevalence of standards was estimated by municipality population size, rural–urban status, census region, poverty prevalence, education level, and racial/ethnic composition.ResultsOverall, 3.2% of US municipalities reported nutrition standards with greater prevalence observed among large municipalities (12.8% of municipalities with ≥50,000 people vs 2.2% of municipalities with <2,500 people, P < .001). Prevalence differed by region, and standards were most common in the West (6.6%) and least common in the Midwest (2.0%, P = .003).The most common nutrition topics addressed in standards were offering low-calorie beverages, fruits and vegetables, and free drinking water. Most standards applied to facilities serving government employees (67%) or the general public (66%), with fewer serving institutionalized populations (23%).ConclusionFew municipal governments reported having written nutrition standards for foods and beverages sold in their facilities in 2014. Implementing nutrition standards for foods sold or served by local governments is a strategy for increasing access to healthier foods and beverages among municipal employees and local residents.

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Working With Community Partners to Implement and Evaluate the Chicago Park District’s 100% Healthier Snack Vending Initiative

Abstract: Background

Cited by 22 publications

References 12 publications

Evaluating the Impact of the Healthy Beverage Executive Order for City Agencies in Boston, Massachusetts, 2011–2013

Evaluating the Impact of the Healthy Beverage Executive Order for City Agencies in Boston, Massachusetts, 2011–2013

Investigating business outcomes of healthy food retail strategies: A systematic scoping review

Nutrition Standards for Food Service Guidelines for Foods Served or Sold in Municipal Government Buildings or Worksites, United States, 2014

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