Association between store food environment and customer purchases in small grocery stores, gas-marts, pharmacies and dollar stores

Caitlin E Caspi, Kathleen Lenk, Jennifer E Pelletier, Timothy L Barnes, Lisa Harnack, Darin J Erickson, Melissa N Laska, Caitlin E Caspi, Kathleen Lenk, Jennifer E Pelletier, Timothy L Barnes, Lisa Harnack, Darin J Erickson, Melissa N Laska

Abstract

Background: Purchases at small/non-traditional food stores tend to have poor nutritional quality, and have been associated with poor health outcomes, including increased obesity risk The purpose of this study was to examine whether customers who shop at small/non-traditional food stores with more health promoting features make healthier purchases.

Methods: In a cross-sectional design, data collectors assessed store features in a sample of 99 small and non-traditional food stores not participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Minneapolis/St. Paul, MN in 2014. Customer intercept interviews (n = 594) collected purchase data from a bag check and demographics from a survey. Store measures included fruit/vegetable and whole grain availability, an overall Healthy Food Supply Score (HFSS), healthy food advertisements and in-store placement, and shelf space of key items. Customer nutritional measures were analyzed using Nutrient Databases System for Research (NDSR), and included the purchase of ≥1 serving of fruits/vegetables; ≥1 serving of whole grains; and overall Healthy Eating Index-2010 (HEI-2010) score for foods/beverages purchased. Associations between store and customer measures were estimated in multilevel linear and logistic regression models, controlling for customer characteristics and store type.

Results: Few customers purchased fruits and vegetables (8%) or whole grains (8%). In fully adjusted models, purchase HEI-2010 scores were associated with fruit/vegetable shelf space (p = 0.002) and the ratio of shelf space devoted to healthy vs. less healthy items (p = 0.0002). Offering ≥14 varieties of fruit/vegetables was associated with produce purchases (OR 3.9, 95% CI 1.2-12.3), as was having produce visible from the store entrance (OR 2.3 95% CI 1.0 to 5.8), but whole grain availability measures were not associated with whole grain purchases.

Conclusions: Strategies addressing both customer demand and the availability of healthy food may be necessary to improve customer purchases.

Trial registration: ClinialTrials.gov: NCT02774330 . Registered May 4, 2016 (retrospectively registered).

Keywords: Community nutrition; Corner stores; Customer purchases; Healthy Eating Index.

References

    1. Morland K, Wing S, Roux A. The contextual effect of the local food environment on residents’ diets: The atherosclerosis risk in communities study. Am J Public Health. 2002;92:1761–1767. doi: 10.2105/AJPH.92.11.1761.
    1. Caspi CE, Sorensen G, Subramanian SV, Kawachi I. The local food environment and diet: A systematic review. Health Place. 2012;18:1172–1187. doi: 10.1016/j.healthplace.2012.05.006.
    1. Larson N, Story M, Nelson M. Neighborhood environments disparities in access to healthy foods in the US. Am J Prev Med. 2009;36:74–81. doi: 10.1016/j.amepre.2008.09.025.
    1. Zenk S, Lachance L, Schultz A, Mentz G, Kannan S, Ridella W. Neighborhood Retail Food Environment and Fruit and Vegetable Intake in a Multiethnic Urban Population. Am J Health Promot. 2009;23:255–264. doi: 10.4278/ajhp.071204127.
    1. Bodor JN, Rose D, Farley TA, Swalm C, Scott SK. Neighbourhood fruit and vegetable availability and consumption: the role of small food stores in an urban environment. Public Health Nutr. 2008;11:413–420. doi: 10.1017/S1368980007000493.
    1. Pearson T, Russell J, Campbell MJ, Barker ME. Do “food deserts” influence fruit and vegetable consumption?--A cross-sectional study. Appetite. 2005;45:195–197. doi: 10.1016/j.appet.2005.04.003.
    1. Cannuscio CC, Tappe K, Hillier A, Buttenheim A, Karpyn A, Glanz K. Urban Food Environments and Residents’ Shopping Behaviors. Am J Prev Med. 2013;45:606–614. doi: 10.1016/j.amepre.2013.06.021.
    1. Lucan SC, Seitchick J, Yoon DH, Sperry L, Maroko A. Unexpected businesses may improve food environments in urban neighborhoods. Chicago: Presented at the American Public Health Association Annual Meeting; 2015.
    1. Lucan SC, Maroko A, Shanker R, Jordan WB. Green Carts (mobile produce vendors) in the Bronx--optimally positioned to meet neighborhood fruit-and-vegetable needs? J. Urban Health. 2011;88:977–981. doi: 10.1007/s11524-011-9593-2.
    1. Cannuscio CC, Weiss EE, Asch DA. The Contribution of Urban Foodways to Health Disparities. J. Urban Health. 2010;87:381–393. doi: 10.1007/s11524-010-9441-9.
    1. Fish CA, Brown JR, Quandt SA. African American and Latino Low Income Families’ Food Shopping Behaviors: Promoting Fruit and Vegetable Consumption and Use of Alternative Healthy Food Options. J Immigr Minor Health. 2015;17:498–505. doi: 10.1007/s10903-013-9956-8.
    1. Pitts SBJ, Bringolf KR, Lawton KK, McGuirt JT, Wall-Bassett E, Morgan J, et al. Formative Evaluation for a Healthy Corner Store Initiative in Pitt County, North Carolina: Assessing the Rural Food Environment, Part 1. Prev Chronic Dis. 2013 [cited 2014 Oct 16];10. Available from:
    1. Borradaile KE, Sherman S, Vander Veur SS, McCoy T, Sandoval B, Nachmani J, et al. Snacking in children: the role of urban corner stores. Pediatrics. 2009;124:1293–1298. doi: 10.1542/peds.2009-0964.
    1. Kiszko K, Cantor J, Abrams C, Ruddock C, Moltzen K, Devia C, et al. Corner Store Purchases in a Low-Income Urban Community in NYC. J Community Health. 2015;40:1084–1090. doi: 10.1007/s10900-015-0033-1.
    1. Lent MR, Vander Veur SS, McCoy TA, Wojtanowski AC, Sandoval B, Sherman S, et al. A Randomized Controlled Study of a Healthy Corner Store Initiative on the Purchases of Urban, Low-Income Youth. Obesity. 2014;22:2494–2500. doi: 10.1002/oby.20512.
    1. O’Malley K, Gustat J, Rice J, Johnson CC. Feasibility of Increasing Access to Healthy Foods in Neighborhood Corner Stores. J Community Health. 2013;38:741–749. doi: 10.1007/s10900-013-9673-1.
    1. Dannefer R, Williams DA, Baronberg S, Silver L. Healthy bodegas: increasing and promoting healthy foods at corner stores in New York City. Am J Public Health. 2012;102:e27–e31. doi: 10.2105/AJPH.2011.300615.
    1. Martin KS, Havens E, Boyle KE, Matthews G, Schilling EA, Harel O, et al. If you stock it, will they buy it? Healthy food availability and customer purchasing behaviour within corner stores in Hartford, CT, USA. Public Health Nutr. 2012;15:1973–1978. doi: 10.1017/S1368980011003387.
    1. Whitehouse A, Simon A, French SA, Wolfson J. Availability of snacks, candy and beverages in hospital, community clinic and commercial pharmacies. Public Health Nutr. 2012;15:1117–1123. doi: 10.1017/S1368980011003600.
    1. Adjoian T, Dannefer R, Sacks R, Van Wye G. Comparing Sugary Drinks in the Food Retail Environment in Six NYC Neighborhoods. J Community Health. 2014;39:327–335. doi: 10.1007/s10900-013-9765-y.
    1. Farley TA, Baker ET, Futrell L, Rice JC. The Ubiquity of Energy-Dense Snack Foods: A National Multicity Study. Am J Public Health. 2010;100:306–311. doi: 10.2105/AJPH.2009.178681.
    1. Caspi CE, Pelletier JE, Harnack L, Erickson DJ, Laska MN. Differences in healthy food supply and stocking practices between small grocery stores, gas-marts, pharmacies and dollar stores. Public Health Nutr. 2015:1–8.
    1. Laska MN, Caspi CE, Pelletier JE, Friebur R, Harnack LJ. Lack of healthy food in small-size to mid-size retailers participating in the Supplemental Nutrition Assistance Program, Minneapolis-St. Paul, Minnesota, 2014. Prev Chron Dis. 2015;12:E135.
    1. Stern D, Ng SW, Popkin BM. The Nutrient Content of U.S. Household Food Purchases by Store Type. Am J Prev Med. 2016;50:180–190. doi: 10.1016/j.amepre.2015.07.025.
    1. Caspi CE, Lenk K, Pelletier JE, Barnes TL, Harnack L, Erickson DJ, et al. Food and beverage purchases in corner stores, gas-marts, pharmacies and dollar stores. Public Health Nutr. in press.
    1. Ruff RR, Akhund A, Adjoian T. Small Convenience Stores and the Local Food Environment: An Analysis of Resident Shopping Behavior Using Multilevel Modeling. Am J Health Promot. 2016;30:172–180. doi: 10.4278/ajhp.140326-QUAN-121.
    1. Bodor JN, Ulmer VM, Dunaway LF, Farley TA, Rose D. The Rationale behind Small Food Store Interventions in Low-Income Urban Neighborhoods: Insights from New Orleans. J Nutr. 2010;140:1185–1188. doi: 10.3945/jn.109.113266.
    1. Gittelsohn J, Rowan M, Gadhoke P. Interventions in Small Food Stores to Change the Food Environment, Improve Diet, and Reduce Risk of Chronic Disease. Prev Chronic Dis. 2012;9:110015.
    1. Powell L, Slater S, Mirtcheva D, Bao Y, Chaloupka F. Food store availability and neighborhood characteristics in the United States. Prev Med. 2007;44:189–195. doi: 10.1016/j.ypmed.2006.08.008.
    1. D’Angelo H, Suratkar S, Song H-J, Stauffer E, Gittelsohn J. Access to food source and food source use are associated with healthy and unhealthy food-purchasing behaviours among low-income African-American adults in Baltimore City. Public Health Nutr. 2011;14:1632–1639. doi: 10.1017/S1368980011000498.
    1. Lee, Medina, Regan, Reese-Smith, Jokura, Maddock. A Picture of the Healthful Food Environment in Two Diverse Urban Cities. Environ Health Insights. 2010;4:49-60.
    1. Zenk SN, Powell LM, Rimkus L, Isgor Z, Barker DC, Ohri-Vachaspati P, et al. Relative and absolute availability of healthier food and beverage alternatives across communities in the United States. Am J Public Health. 2014;104:2170–2178. doi: 10.2105/AJPH.2014.302113.
    1. Cavanaugh E, Mallya G, Brensinger C, Tierney A, Glanz K. Nutrition environments in corner stores in Philadelphia. Prev Med. 2013;56:149–151. doi: 10.1016/j.ypmed.2012.12.007.
    1. Laska MN, Borradaile KE, Tester J, Foster GD, Gittelsohn J. Healthy food availability in small urban food stores: a comparison of four US cities. Public Health Nutr. 2010;13:1031–1035. doi: 10.1017/S1368980009992771.
    1. Gittelsohn J, Kumar MB. Preventing childhood obesity and diabetes: is it time to move out of the school? Pediatr Diabetes. 2007;8:55–69. doi: 10.1111/j.1399-5448.2007.00333.x.
    1. Sharkey JR, Dean WR, Nalty C. Convenience Stores and the Marketing of Foods and Beverages Through Product Assortment. Am J Prev Med. 2012;43:S109–S115. doi: 10.1016/j.amepre.2012.05.012.
    1. Gebauer H, Laska MN. Convenience stores surrounding urban schools: an assessment of healthy food availability, advertising, and product placement. J Urban Health. 2011;88:616–622. doi: 10.1007/s11524-011-9576-3.
    1. Laska MN, Hearst MO, Forsyth A, Pasch KE, Lytle L. Neighbourhood food environments: are they associated with adolescent dietary intake, food purchases and weight status? Public Health Nutr. 2010;13:1757–1763. doi: 10.1017/S1368980010001564.
    1. Morland K, Roux A, Wing S. Supermarkets, other food stores, and obesity - The atherosclerosis risk in communities study. Am J Prev Med. 2006;30:333–339. doi: 10.1016/j.amepre.2005.11.003.
    1. Morland K, Evenson K. Obesity prevalence and the local food environment. Health Place. 2009;15:491–495. doi: 10.1016/j.healthplace.2008.09.004.
    1. Wall MM, Larson NI, Forsyth A, Van Riper DC, Graham DJ, Story MT, et al. Patterns of Obesogenic Neighborhood Features and Adolescent Weight A Comparison of Statistical Approaches. Am J Prev Med. 2012;42:E65–E75. doi: 10.1016/j.amepre.2012.02.009.
    1. Ayala GX, Laska MN, Zenk SN, Tester J, Rose D, Odoms-Young A, et al. Stocking characteristics and perceived increases in sales among small food store managers/owners associated with the introduction of new food products approved by the Special Supplemental Nutrition Program for Women, Infants, and Children. Public Health Nutr. 2012;15:1771–1779. doi: 10.1017/S1368980012001255.
    1. Lent MR, Veur SV, Mallya G, McCoy TA, Sanders TA, Colby L, et al. Corner store purchases made by adults, adolescents and children: items, nutritional characteristics and amount spent. Public Health Nutr. 2015;18:1706–1712. doi: 10.1017/S1368980014001670.
    1. Andreyeva T, Middleton AE, Long MW, Luedicke J, Schwartz MB. Food retailer practices, attitudes and beliefs about the supply of healthy foods. Public Health Nutr. 2011;14:1024–1031. doi: 10.1017/S1368980011000061.
    1. Glanz K, Bader MDM, Iyer S. Retail Grocery Store Marketing Strategies and Obesity An Integrative Review. Am J Prev Med. 2012;42:503–512. doi: 10.1016/j.amepre.2012.01.013.
    1. Barker D, Quinn C, Rimkus L, Mineart C, Zenk S, Chaloupka F. Availability of Healthy Food Products at Check-out Nationwide, 2010–2012. Bridging the Gap Program, Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago. 2015. Available from:
    1. Gittelsohn J, Laska MN, Karpyn A, Klingler K, Ayala GX. Lessons Learned From Small Store Programs to Increase Healthy Food Access. Am J Health Behav. 2014;38:307–315. doi: 10.5993/AJHB.38.2.16.
    1. Sigurdsson V, Larsen NM, Gunnarsson D. Healthy Food Products at the Point of Purchase: An in-Store Experimental Analysis. J Appl Behav Anal. 2014;47:151–154. doi: 10.1002/jaba.91.
    1. Ayala GX, Baquero B, Pickrel JL, Mayer J, Belch G, Rock CL, et al. A store-based intervention to increase fruit and vegetable consumption: The El Valor de Nuestra Salud cluster randomized controlled trial. Contemp Clin Trials. 2015;42:228–238. doi: 10.1016/j.cct.2015.04.009.
    1. Liberato SC, Bailie R, Brimblecombe J. Nutrition interventions at point-of-sale to encourage healthier food purchasing: a systematic review. BMC Public Health. 2014;14:919. doi: 10.1186/1471-2458-14-919.
    1. Song H-J, Gittelsohn J, Kim M, Suratkar S, Sharma S, Anliker J. A corner store intervention in a low-income urban community is associated with increased availability and sales of some healthy foods. Public Health Nutr. 2009;12:2060–2067. doi: 10.1017/S1368980009005242.
    1. Gittelsohn J, Song H-J, Suratkar S, Kumar MB, Henry EG, Sharma S, et al. An Urban Food Store Intervention Positively Affects Food-Related Psychosocial Variables and Food Behaviors. Health Educ Behav. 2010;37:390–402. doi: 10.1177/1090198109343886.
    1. Laska MN, Pelletier JE. Minimum Stocking Levels and Marketing Strategies of Healthful Foods for Small Retail Food Stores. Minneapolis, MN: Healthy Eating Research; 2016 Feb. Report No.: 1088. Available from:
    1. Minneapolis Staple Foods Ordinance. [cited 2016 Apr 28]. Available from:
    1. Pelletier JE, Caspi CE, Schreiber LRN, Erickson DJ, Harnack L, Laska MN. Successful customer intercept interview recruitment outside small and midsize urban food retailers. BMC Public Health. 2016;16:1050. doi: 10.1186/s12889-016-3717-2.
    1. Andreyeva T, Luedicke J, Middleton AE, Long MW, Schwartz MB. Positive Influence of the Revised Special Supplemental Nutrition Program for Women, Infants, and Children Food Packages on Access to Healthy Foods. J Acad Nutr Diet. 2012;112:850–858. doi: 10.1016/j.jand.2012.02.019.
    1. Elizabeth Frazão. USDA Economic Research Service - Fruit and Vegetable Prices. [cited 2016 Aug 5]. Available from:
    1. USDA Nutrient Data Services. [cited 2016 Aug 5]. Available from:
    1. Ghirardelli A, Quinn V, Sugerman S. Reliability of a Retail Food Store Survey and Development of an Accompanying Retail Scoring System to Communicate Survey Findings and Identify Vendors for Healthful Food and Marketing Initiatives. J Nutr Educ Behav. 2011;43:S104–S112. doi: 10.1016/j.jneb.2011.03.003.
    1. Barnes TL, Pelletier JE, Erickson DJ, Caspi CE, Harnack LJ, Laska MN. Healthfulness of Foods Advertised in Small and Nontraditional Urban Stores in Minneapolis-St. Paul, Minnesota, 2014. Prev Chronic Dis. 2016;13:E153. doi: 10.5888/pcd13.160149.
    1. Sievert YA, Schakel SF, Buzzard IM. Maintenance of a nutrient database for clinical trials. Control Clin Trials. 1989;10:416–425. doi: 10.1016/0197-2456(89)90006-8.
    1. Schakel SF, Sievert YA, Buzzard IM. Sources of data for developing and maintaining a nutrient database. J Am Diet Assoc. 1988;88:1268–1271.
    1. HEI Tools for Researchers. [cited 2017 Jan 31]. Available from:
    1. U.S. Department of Agriculture and U.S. Department of Agriculture: Center for Nutrition Policy and Promotion. Healthy Eating Index [Internet]. [cited 2016 Apr 29]. Available from:
    1. Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HAB, Kuczynski KJ, et al. Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet. 2013;113:569–580. doi: 10.1016/j.jand.2012.12.016.
    1. Jahns L, Scheett AJ, Johnson LK, Krebs-Smith SM, Payne CR, Whigham LD, et al. Diet Quality of Items Advertised in Supermarket Sales Circulars Compared to Diets of the US Population, as Assessed by the Healthy Eating Index-2010. J Acad Nutr Diet. 2016;116:115–122.e1. doi: 10.1016/j.jand.2015.09.016.
    1. Reedy J, Krebs-Smith SM, Bosire C. Evaluating the food environment: application of the Healthy Eating Index-2005. Am J Prev Med. 2010;38:465–471. doi: 10.1016/j.amepre.2010.01.015.
    1. Krebs-Smith SM, Reedy J, Bosire C. Healthfulness of the U.S. Food Supply: Little Improvement Despite Decades of Dietary Guidance. Am J Prev Med. 2010;38:472–477. doi: 10.1016/j.amepre.2010.01.016.
    1. Miller PE, Reedy J, Kirkpatrick SI, Krebs-Smith SM. The United States food supply is not consistent with dietary guidance: evidence from an evaluation using the Healthy Eating Index-2010. J Acad Nutr Diet. 2015;115:95–100. doi: 10.1016/j.jand.2014.08.030.
    1. Hearst MO, Harnack LJ, Bauer KW, Earnest AA, French SA, Michael OJ. Nutritional quality at eight U.S. fast-food chains: 14-year trends. Am J Prev Med. 2013;44:589–594. doi: 10.1016/j.amepre.2013.01.028.
    1. Volpe R, Okrent A. Assessing the Healthfulness of Consumers’ Grocery Purchases. Unites States Department of Agriculture; 2012 Nov. Available from:
    1. Ortega AN, Albert SL, Sharif MZ, Langellier BA, Garcia RE, Glik DC, et al. Proyecto MercadoFRESCO: A Multi-level, Community-Engaged Corner Store Intervention in East Los Angeles and Boyle Heights. J Community Health. 2015;40:347–356. doi: 10.1007/s10900-014-9941-8.
    1. Clary CM, Ramos Y, Shareck M, Kestens Y. Should we use absolute or relative measures when assessing foodscape exposure in relation to fruit and vegetable intake? Evidence from a wide-scale Canadian study. Prev Med. 2015;71:83–87. doi: 10.1016/j.ypmed.2014.11.023.
    1. Zenk SN, Powell LM, Rimkus L, Isgor Z, Barker DC, Ohri-Vachaspati P, et al. Relative and Absolute Availability of Healthier Food and Beverage Alternatives Across Communities in the United States. Am J Public Health. 2014;104:2170–2178. doi: 10.2105/AJPH.2014.302113.
    1. Lawman HG, Veur SV, Mallya G, McCoy TA, Wojtanowski A, Colby L, et al. Changes in quantity, spending, and nutritional characteristics of adult, adolescent and child urban corner store purchases after an environmental intervention. Prev Med. 2015;74:81–85. doi: 10.1016/j.ypmed.2014.12.003.
    1. Webber CB, Sobal J, Dollahite JS. Shopping for fruits and vegetables. Food and retail qualities of importance to low-income households at the grocery store. Appetite. 2010;54:297–303. doi: 10.1016/j.appet.2009.11.015.
    1. Krukowski RA, McSweeney J, Sparks C, West DS. Qualitative study of influences on food store choice. Appetite. 2012;59
    1. Krukowski RA, Sparks C, DiCarlo M, McSweeney J, West DS. There’s more to food store choice than proximity: a questionnaire development study. BMC Public Health. 2013;13:586. doi: 10.1186/1471-2458-13-586.
    1. Enhancing Retailer Standards in the Supplemental Nutrition Assistance Program (SNAP) | Food and Nutrition Service. [cited 2016 Aug 5]. Available from:

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