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The Diabetes Educator

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Health Promotion Practice
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Steps to a Healthier Salinas

Targeting the Taqueria: Implementing Healthy Food Options at Mexican American Restaurants

Krista D. Hanni, MS, PhD

Monterey County Health Department in Salinas, California

Elan Garcia, BSc

Monterey County Health Department in Salinas, California

Cheryl Ellemberg, MPH, CHES

Monterey County Health Department in Salinas, California

Marilyn Winkleby, PhD, MPH

Stanford Prevention Research Center in Stanford, California, winkleby{at}stanford.edu

As part of a 5-year community-based intervention in Salinas, California, the Steps to a Healthier Salinas team developed a taqueria intervention addressing obesity and diabetes among Mexican Americans. The authors present: (a) a comparison of service/entrée options for Salinas taquerias (n = 35) and fast-food restaurants ( n = 38) at baseline, (b) a case study of one taqueria, (c) a description of a healthy nutrition tool kit tailored to taquerias, and (d) an evaluation of the intervention at Year 3. It was found that traditional Mexican American—style menu offerings at taquerias tended to be healthier than American-style fast-food restaurant offerings. In addition, the initial response to the intervention has shown positive changes, which include the taqueria owners promoting available healthy menu items and modifying other menu offerings to reduce fats and increase fruit and vegetable availability. This, in turn, has led to a transition of the owners' perceptions of themselves as gatekeepers for a healthy community.

Key Words: health behaviors • Hispanic • nutrition • obesity • organizational change • social environment • Steps to a Healthier Salinas

Health Promotion Practice, Vol. 10, No. 2 Suppl, 91S-99S (2009)
DOI: 10.1177/1524839908331268
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