Beth Racine DrPH RD UNC Charlotte Discussion Topics Support Healthier Eating Patterns for All Whats the problem What Americans Eat Weight Status of Children in Charlotte region ID: 933247
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Slide1
Where’s the Problem?: A Case for Targeted Interventions
Beth Racine,
DrPH
, RD
UNC Charlotte
Slide2Discussion Topics
“Support Healthier Eating Patterns for All”
What’s
the
problem
?
What Americans Eat
Weight Status of Children in Charlotte region
Policy and Business Role in
“supporting healthy eating”
The Role of SNAP
Foods
in Food
Deserts
Slide3http://world.time.com/2013/09/20/hungry-planet-what-the-world-eats/photo/nor_130523_139_x/
Slide4http://world.time.com/2013/09/20/hungry-planet-what-the-world-eats/photo/nor_130523_139_x/
Slide5Local Weight Status Statistics among Elementary School Children
26 Elementary Schools in the Charlotte-Mecklenburg School System
Height and Weight measured in spring 2015 by PE teachers
It’s difficult to compare these stats to other sources
n
%
Underwt
559
4%
Normal
8947
60%
Overweight
2388
16%
Obese
2216
15%
Severly Obese
871
6%
14981
100%
Slide6Severe Obesity by Gender, Race/Ethnicity and School Poverty Status
Girls
Boys
Low Poverty Schools
High Poverty
Schools
Low Poverty Schools
High Poverty Schools
Asian
0%
6%
3%
7%
Black
5%
7%
5%
7%
Hispanic
4%
7%
6%
11%
White
1%
6%
2%
6%
Slide7How to Intervene
Nutrition education C
C
hanging the food served in schools
Increasing the opportunities for physical activity
Where is the problem the greatest?
Roles of SNAP and Food Stores
Slide8SNAP Redemptions for NC
Store
Type
Redemptions
% of Total
Redeeming Stores
Direct Marketing Farmer
$42,151
0.002%
20
Farmers' Market
$111,461
0.005%
42
Non-profit Food Buying Co-op
$525,966 0.02%7Fruits/Veg Specialty$605,386 0.02%62Bakery Specialty$1,301,634 0.05%56Delivery Route$1,513,634 0.06%32Seafood Specialty$4,573,566 0.19%105Military Commissary$6,623,998 0.27%7Meat/Poultry Specialty$14,467,572 0.59%113Small Grocery Store$17,349,798 0.71%343Medium Grocery Store$27,902,476 1.14%205Large Grocery Store$28,465,448 1.16%68Convenience Store$86,292,708 3.52%3,827Combination Grocery/Other$140,068,193 5.71%2,888Super Store$968,189,247 39.50%365Supermarket$1,153,150,356 47.04%1,137TOTALS$2,451,183,594 100.00%9,277
Data requested from USDA FNS
Slide9Using data from
Racine EF, Wang Q, Wilson C. Mecklenburg County Community Food Assessment,
Mecklenburg County Health Department,
2010.
Slide10Racine EF, Wang Q, Laditka SB, Johnson
CR,
Mignery
A. The Characteristics and Concentration of SNAP Approved Stores and Community Health.
Journal of Hunger and Environmental Nutrition
. 2013; 8(3), 350-361.
Slide11Food Stores in Food Deserts
Picture Show
Slide12Slide13Slide14Slide15Slide16Slide17Slide18Slide19Slide20Slide21Slide22Slide23Slide24Slide25Slide26Slide27Thank you
Slide28SNAP Redemptions for Mecklenburg, 2013
SNAP Category
Redemption $
% of total
# of stores
Non-profit Food Buying Co-op
$107,840
(redacted)
0.04%
1
Delivery Route
3
Direct Marketing Farmer
1
Farmers' Market1Combination Grocery/Other$12,175,3935%217Convenience Store$8,971,8004%306Fruits/Veg Specialty$19,1710.01%7Large Grocery Store$2,325,4201%7Meat/Poultry Specialty$1,239,6810.5%11Medium Grocery Store$2,269,7821%26Seafood Specialty$907,9790.4%6Small Grocery Store$1,979,0531%46
Super Store
$110,130,152
44%
39
Supermarket
$110,697,589
44%
113
Total
$ 250,823,859
100.00%
784
Data requested from USDA FNS
Slide29If there are no grocery stores in food deserts how can they accept food stamps/
ebt
/snap?
Slide30Questions
Is the way we access food working for all?
What should SNAP stores sell?
How does the current placement of SNAP stores help or hurt SNAP recipients?
Is there a role for local government in food access?
Slide31Water, Schools, Food
How do we access it?
Who do we buy it from?
How much do we spend?
Does quality differ by neighborhood in Mecklenburg?
What’s the role of the federal government?
What’s the role of the local/state government?
Slide32Examples of SNAP stores by category
SNAP Code
SNAP Category
Examples of stores
BC
Non-profit Food Buying Co-op
Solid Rock Christian Church and Harvest Discount Foods
DR
Delivery Route
Mobile Food Service
DF
Direct Marketing Farmer
S&J Produce
FM
Farmers' Market
A time to Harvest (n=6), Atherton Market, Davidson, New Africa of Charlotte, Scally's BeefCOCombination Grocery/OtherPharmacies and Dollar StoresCSConvenience Store7-eleven, Circle K, Xpress Mart, etcFVFruits/Veg SpecialtyBharat Bazaar, Friendship Gardens, go-go Fresco, Providence produce market, sow much good and 2 othersLGLarge Grocery Store
Mostly
independently
owned like Jerry's Market, Wayne's supermarket
ME
Meat/Poultry Specialty
Mainly Asia meat shops
MG
Medium Grocery Store
Specialty, ethic markets, looks independently owned
SE
Seafood Specialty
Specialty
seafood stores
SG
Small Grocery Store
Many ethnic stores
SS
Super Store
Sam's,
Earth Fare, Costco, Target, Walmart, Whole Foods
SM
Supermarket
Aldi, Kmart,
Bi-Lo
, Food Lion, HT, Publix, Fresh Market, Trader Joes
Data requested from USDA FNS
Slide33SNAP Participation by R/E and age
North Carolina
Mecklenburg County
http://sasweb.unc.edu/cgi-bin/broker?_service=default&_program=fsweb.tbCross.sas&county=North%20Carolina&label=&fn=ncfast&type=&format=html&entry=1
Slide34