ArticleCurrent developments in nutrition2019
Healthy Stores Initiative Associated with Produce Purchasing on Navajo Nation.
Article in Current developments in nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Understanding the Use of Community Involvement in Rural Food Environment Modifications: A Systematic Review.Current nutrition reports · 2025Pooled it
- Improving Consumption and Purchases of Healthier Foods in Retail Environments: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Challenges and Practices in Perishable Food Supply Chain Management in Remote Indigenous Communities: A Scoping Review and Conceptual Framework for Enhancing Food Access.International journal of environmental research and public health · 2026Article
- Community-Based Intervention to Promote Awareness and Implementation Accuracy of Food and Beverage Tax Policies in Stores on Navajo Nation.Health promotion practice · 2025Article
- Subjectively-measured Environmental Support for Physical Activity, Healthy Eating, and Breastfeeding in the Rural United States: A Scoping Review to Inform Opportunities for Public Health Surveillance.Journal of healthy eating and active living · 2025Article
- A Cross-Sectional Study of Dietary Patterns andNutrition and cancer · 2025Article
- Encouraging Healthier Food and Beverage Purchasing and Consumption: A Review of Interventions within Grocery Retail Settings.International journal of environmental research and public health · 2022Review
- Implementation of Indigenous Food Tax Policies in Stores on Navajo Nation.Health promotion practice · 2022Article
- Navajo Nation Stores Show Resilience During COVID-19 Pandemic.Health promotion practice · 2022Article
- Shopper Purchasing Trends at Small Stores on the Navajo Nation since the Passage of the Healthy Diné Nation Act Tax: A Multi-Year Cross-sectional Survey.Current developments in nutrition · 2022Article
- Journey to Promoting Structural Change for Chronic Disease Prevention: Examining the Processes for Developing Policy, Systems, and Environmental Supports in Native American Nations.Current developments in nutrition · 2022Article
- Driving Distance and Food Accessibility: A Geospatial Analysis of the Food Environment in the Navajo Nation and Border Towns.Frontiers in nutrition · 2022Article
- Engaging School and Family in Navajo Gardening for Health: Development of the Yéego Intervention to Promote Healthy Eating among Navajo Children.Health behavior and policy review · 2021Article
- Article
- The Retail Food Sector and Indigenous Peoples in High-Income Countries: A Systematic Scoping Review.International journal of environmental research and public health · 2020Article
- Impact of a Fruit and Vegetable Prescription Program on Health Outcomes and Behaviors in Young Navajo Children.Current developments in nutrition · 2020Article
- The Navajo Nation Healthy Diné Nation Act: A Description of Community Wellness Projects Funded by a 2% Tax on Minimal-to-No-Nutritious-Value Foods.Journal of public health management and practice : JPHMPArticle
Corrections and comments
- Erratum issued
Authors and funding
11 authors.
Funding
Abstract
backgroundAmerican Indians and Alaska Natives experience diet-related health disparities compared with non-Hispanic whites. Navajo Nation's colonial history and remote setting present unique challenges for healthy food access.
objectiveThis study aims to understand the impact of the Healthy Navajo Stores Initiative (HNSI) on fruit and vegetable purchasing on Navajo Nation.
methodsWe conducted a cross-sectional survey of 692 customers shopping at 28 convenience stores, trading posts, and grocery stores on Navajo Nation. Individual- and household-level sociodemographic data and food purchasing behaviors were collected. Descriptive and bivariate analyses for customers' individual- and household-level characteristics were conducted using chi-squared tests. The impact of individual-, household-, and store-level factors on fruit and vegetable purchasing was assessed using multiple logistic regression modeling.
resultsStore participation in the HNSI was significantly associated with customers' purchase of produce. Customers experienced 150% higher odds of purchasing produce if they shopped in participating stores, compared with nonparticipating stores (
conclusionsOur findings reveal increased produce purchasing at stores participating in the HNSI. Customers were significantly more likely to purchase fruits or vegetables in stores enrolled in a healthy store intervention than in nonenrolled stores, after controlling for quantity of produce stocked and store type. Customers shopping in grocery stores and trading posts were significantly more likely to purchase produce than customers shopping in convenience stores. These findings have implications for food access in rural tribal communities.
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