Evidence map›Paper›PMID 36374592›Full record

ArticleHealth promotion practice2022

Navajo Nation Stores Show Resilience During COVID-19 Pandemic.

Brianna John, Sean O Etsitty, Alex Greenfeld, Robert Alsburg, Malyssa Egge, Sharon Sandman, Carmen George, Caleigh Curley, Cameron Curley, Hendrik D de Heer and 6 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Health promotion practice, 2022. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 19% of its field
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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 1 country.

Brianna JohnCommunity Outreach & Patient Empowerment, Gallup, NM, USA.ORCID 0000-0002-1482-5869
Sean O EtsittyCommunity Outreach & Patient Empowerment, Gallup, NM, USA.ORCID 0000-0001-6976-0321
Alex GreenfeldCommunity Outreach & Patient Empowerment, Gallup, NM, USA.
Robert AlsburgCommunity Outreach & Patient Empowerment, Gallup, NM, USA.
Malyssa EggeCommunity Outreach & Patient Empowerment, Gallup, NM, USA.
Sharon SandmanCommunity Outreach & Patient Empowerment, Gallup, NM, USA.
Carmen GeorgeCommunity Outreach & Patient Empowerment, Gallup, NM, USA.
Caleigh CurleyNorthern Arizona University, Flagstaff, AZ, USA.
Cameron CurleyCommunity Outreach & Patient Empowerment, Gallup, NM, USA.
Hendrik D de HeerNorthern Arizona University, Flagstaff, AZ, USA.
Gloria BegayDiné Food Sovereignty Alliance, Gallup, NM, USA.
Martin E AshleyOffice of the Navajo Tax Commission, Window Rock, AZ, USA.
Del YazzieNavajo Epidemiology Center, Window Rock, AZ, USA.
Ramona Antone-NezNavajo Epidemiology Center, Window Rock, AZ, USA.
Sonya Sunhi ShinCommunity Outreach & Patient Empowerment, Gallup, NM, USA.
Carolyn BancroftBrigham and Women's Hospital, Boston, MA, USA.
Brigham and Women's Hospital · USNorthern Arizona University · USNavajo Language Academy · US

Funding

SSCIMA: Integrating Analysis of Socio-economic Sub-population Dynamics to Improve Spatial Models of Infectious DiseaseU54MD012388 · NIMHD · NORTHERN ARIZONA UNIVERSITY · PI Samantha Jane Sabo · 2017 to 2026
$49.7M
Impact of Navajo Nation Tax on Junk FoodR01MD013352 · NIMHD · NORTHERN ARIZONA UNIVERSITY · PI DE HEER, HENDRIK DIRK, SHIN, SONYA S · 2018 to 2021
$1.9M
NIMHD NIH HHS R01 MD013352NIMHD NIH HHS U54 MD012388
6 · The paper itself

Abstract

On April 8, 2020, the Navajo Nation issued an administrative order limiting business operations. Facing high coronavirus disease 2019 (COVID-19) rates and limited food infrastructure, a survey was conducted among Navajo Nation store managers to assess: (1) COVID-19 adaptations; (2) challenges; (3) changes in customer volume and purchasing; and (4) suggestions for additional support. Purposive sampling identified 29 stores in Navajo communities. Representatives from 20 stores (19 store managers/owners, 1 other; 7 grocery, and 13 convenience/other stores) were interviewed by phone or in-person to reach saturation (new information threshold < 5%). Responses were coded using frequencies and inductive thematic analysis. All 20 stores implemented COVID-19 guidelines (Centers for Disease Control and Prevention [CDC]/Navajo Nation) and most received orientation/support from local chapters, community organizations, or health centers. Stores implemented staff policies (50%, handwashing, vaccinations, protective personal equipment (PPE), sick leave, temperature checks), environmental changes (50%, hand sanitizer, checkout dividers), customer protocols (40%, limit customers, mask requirements, closed restrooms), and deep cleaning (40%). Most stores (65%) reported challenges including stress/anxiety, changing guidelines, supply chain and customer compliance; 30% reported infection or loss of staff. Weekday customer volume was slightly higher vs. pre-COVID, but weekend lower. Stores reported consistent or more healthy food purchases (50%), more nonfood essentials (20%), or shelf-stable foods (10%). Desired support included further orientation (30%), leadership support (20%), overtime/time to learn guidelines (20%), and signage/handouts (15%). Despite a high COVID-19 burden and limited food store infrastructure, Navajo Nation stores adapted by implementing staff, environmental and customer policies. Local support, staffing, and small store offerings were key factors in healthy food access.

Indexed as

COVID-19PandemicsCommerceConsumer BehaviorFoodFood SupplyHumanscommunity assessmentcommunity-based participatory researchcrisis and emergency risk communication for pandemic influenzadisaster & emergency preparednessminority healthNative American/American Indianneeds / assets assessmentworksite safety & health

Identifiers

PMID36374592
PMCPMC10726380
OpenAlexW4308965321

What OpenQuestion holds

Textmetadata
LicenceTDM
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.