Evidence map›Paper›PMID 32170531›Full record

ArticleJournal of community health2021

Small Improvements in an Urban Food Environment Resulted in No Changes in Diet Among Residents.

Darcy A Freedman, Bethany A Bell, Jill Clark, David Ngendahimana, Elaine Borawski, Erika Trapl, Stephanie Pike, Ashwini R Sehgal

Abstract read
In one paragraph

Article in Journal of community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Transgenerational Inheritance and Systemic Racism in America.Psychiatric research and clinical practice · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Darcy A FreedmanSchool of Medicine, Case Western Reserve University, Cleveland, OH, 44122, USA. daf96@case.edu.ORCID 0000-0002-0521-9621
Bethany A BellCollege of Social Work, University of South Carolina, Columbia, SC, 29208, USA.
Jill ClarkJohn Glenn College of Public Affairs, Ohio State University, Columbus, OH, 43210, USA.
David NgendahimanaMary Ann Swetland Center for Environmental Health, Case Western Reserve University, Cleveland, OH, 44122, USA.
Elaine BorawskiSchool of Medicine, Case Western Reserve University, Cleveland, OH, 44122, USA.
Erika TraplSchool of Medicine, Case Western Reserve University, Cleveland, OH, 44122, USA.
Stephanie PikeSchool of Medicine, Case Western Reserve University, Cleveland, OH, 44122, USA.
Ashwini R SehgalSchool of Medicine, Case Western Reserve University, Cleveland, OH, 44122, USA.

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Using Lay Health Advisors to Help African American Patients Address the Social Context of HypertensionU54MD002265 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI SEHGAL, ASHWINI · 2017 to 2021
$7.1M
Prevention Research Center for Healthy NeighborhoodsU48DP005030 · DP · CASE WESTERN RESERVE UNIVERSITY · PI BORAWSKI, ELAINE A. · 2014 to 2018
$6.8M
Evaluating a Food Hub Opening in an Urban ContextR01DK108184 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI FREEDMAN, DARCY, SEHGAL, ASHWINI · 2015 to 2017
$2.0M
ACL HHS U48DP005030NCATS NIH HHS UL1 TR002548NIDDK NIH HHS R01 DK108184NIMHD NIH HHS U54 MD002265
6 · The paper itself

Abstract

Living in a low-income neighborhood with low access to healthy food retailers is associated with increased risk for chronic disease. The U.S. Healthy Food Financing Initiative (HFFI) provides resources to support the development of infrastructure to improve neighborhood food environments. This natural experiment examined a HFFI funded food hub that was designed to be implemented by a community development corporation in an urban neighborhood in Cleveland, Ohio. It was intended to increase access to affordable, local, and healthy foods; establish programs to increase social connections and support for healthy eating; and create job opportunities for residents. We used a quasi-experimental, longitudinal design to externally evaluate food hub implementation and its impact on changes to the built and social environment and dietary patterns among residents living in the intervention neighborhood (n = 179) versus those in a comparison (n = 150) neighborhood. Overall, many of the food hub components were not implemented fully, and dose and reach of the executed food hub components was low. There were statistically significant improvements in observed availability of healthy foods in the intervention neighborhood versus the comparison neighborhood. There were no changes over time in diet quality scores, total caloric intake, or fruit and vegetable intake in the intervention neighborhood. In conclusion, low dose implementation of a food hub led to small improvements in availability of healthy foods but not in dietary patterns. Findings highlight challenges to implementing a food hub in neighborhoods with low access to healthy food retailers.

Indexed as

DietDiet, HealthyFeeding BehaviorFood SupplyFruitHumansOhioPovertyResidence CharacteristicsSocial EnvironmentVegetablesDietFood desertFood environmentNatural experiment

Identifiers

PMID32170531
PMCPMC7487057

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.