|
Sign In to gain access to subscriptions and/or personal tools.
|
Steps to a Healthier SalinasTargeting 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
References
- Balcazar, H., Alvarado, M., Hollen, M.L., Gonzalez-Cruz, Y., & Pedregon, V. (2005). Evaluation of Salud Para Su Corazon (Health for your Heart): National Council of La Raza Promotora Outreach Program. Preventing Chronic Disease, 2, A09.
- Carrera, P.M., Gao, X., & Tucker, K.L. (2007). A study of dietary patterns in the Mexican-American population and their association with obesity. Journal of the American Dietetic Association, 107, 1735-1742.[CrossRef][Medline]
[Order article via Infotrieve]
- Cohen, L., & Swift, S. (1999). The spectrum of prevention: developing a comprehensive approach to injury prevention. Injury Prevention, 5, 203-207.[Abstract/Free Full Text]
- Cummins, S., & Macintyre, S. (2002). Food deserts: Evidence and assumption in health policy making. British Medical Journal, 325(7361), 436-438.[Free Full Text]
- Drewnowski, A., & Specter, S.E. (2004). Poverty and obesity: The role of energy density and energy costs. American Journal of Clinical Nutrition, 79, 6-16.[Abstract/Free Full Text]
- Duerksen, S.C., Elder, J.P., Arredondo, E.M., Ayala, G.X., Slymen, D.J., Campbell, N.R., et al. (2007). Family restaurant choices are associated with child and adult overweight status in Mexican-American families. Journal of the American Dietetic Association, 107, 849-853.[CrossRef][Medline]
[Order article via Infotrieve]
- Edwards, N., Mill, J., & Kothari, A.R. (2004). Multiple intervention research programs in community health. Canadian Journal of Nursing Research, 36, 40-54.[Medline]
[Order article via Infotrieve]
- Feinleib, M. (1996). New directions for community intervention studies. American Journal of Public Health, 86, 1696-1698.[Free Full Text]
- Hanni, K.D., Mendoza, E., Snider, J., & Winkleby, M.A. (2007). A methodology for evaluating organizational change in community-based, chronic disease interventions. Preventing Chronic Disease, 4, A105.
- Hubert, H.B., Snider, J., & Winkleby, M.A. (2005). Health status, health behaviors, and acculturation factors associated with overweight and obesity in Latinos from a community and agricultural labor camp survey. Preventive Medicine, 40, 642-651.[CrossRef][Medline]
[Order article via Infotrieve]
- Kretzmann, J.P., & McKnight, J.L. (1997). Building communities from the inside out: A path toward finding and mobilizing a community's assets. Skokie, IL: ACTA.
- Kumanyika, S., & Grier, S. (2006). Targeting interventions for ethnic minority and low-income populations. The Future of Children/ Center for the Future of Children, the David and Lucile Packard Foundation, 16, 187-207.
- MacDonald, G., Garcia, D., Zaza, S., Schooley, M., Compton, D., Bryant, T., et al. (2006). Steps to a HealthierUS Cooperative Agreement Program: Foundational elements for program evaluation planning, implementation, and use of findings. Preventing Chronic Disease, 3, A19.[CrossRef]
- Nichols, D.C., Berrios, C., & Samar, H. (2005). Texas' community health workforce: From state health promotion policy to community-level practice. Preventing Chronic Disease, 2, A13.[CrossRef]
- Stokols, D. (1996). Translating social ecological theory into guidelines for community health promotion. American Journal of Health Promotion, 10, 282-298.[Medline]
[Order article via Infotrieve]
- Sundquist, J., & Winkleby, M.A. (1999). Cardiovascular risk factors in Mexican American adults: A transcultural analysis of NHANES III, 1988-1994. American Journal of Public Health, 89, 723-730.[Abstract/Free Full Text]
- U.S. Census Bureau. (2001). United States census 2000. Retrieved December 3, 2007, from http://factfinder.census.gov/
- U.S. Census Bureau. (2006). 2006 population estimates. Retrieved December 3, 2007, from http://factfinder.census.gov/
- Verheijden, M.W., & Kok, F.J. (2005). Public health impact of community-based nutrition and lifestyle interventions. European Journal of Clinical Nutrition, 59 (Suppl. 1), S66-S76.[CrossRef][Medline]
[Order article via Infotrieve]
- Wang, M.C., Kim, S., Gonzalez, A.A., Macleod, K.E., & Winkleby, M.A. (2007). Socioeconomic and food-related physical characteristics of the neighbourhood environment are associated with body mass index. Journal of Epidemiology and Community Health, 61, 491-498.[Abstract/Free Full Text]
- Warren, H., Cubbin, C., & Winkleby, M. (in press). Availability and quality of food, tobacco, and physical activity resources: Comprehensive assessments in three socioeconomically contrasting neighborhoods. DataCrítica: International Journal of Critical Statistics.
- Winkleby, M.A., & Cubbin, C. (2004). Changing patterns in health behaviors and risk factors related to chronic diseases, 1990-2000. American Journal of Health Promotion, 19, 19-27.[Medline]
[Order article via Infotrieve]
- Winkleby, M.A., Kim, S., Urizar, G.G., Jr., Ahn, D., Garcia Jennings, M., & Snider, J. (2006). Ten-year changes in cancer-related health behaviors and screening practices among Latino women and men in California. Ethnicity and Health, 11, 1-17.[CrossRef][Medline]
[Order article via Infotrieve]
- Witmer, A., Seifer, S.D., Finocchio, L., Leslie, J., & O'Neil, E.H. (1995). Community health workers: integral members of the health care work force. American Journal of Public Health, 85(8,Pt.1), 1055-1058.
- Yen, I.H., Scherzer, T., Cubbin, C., Gonzales, A., & Winkleby, M.A. (2007). Women's perceptions of neighborhood resources and hazards related to diet, physical activity, and smoking: focus group results from economically distinct neighborhoods in a mid-sized U.S. city American Journal of Health Promotion, 22, 98-106.[Medline]
[Order article via Infotrieve]
Health Promotion Practice, Vol. 10, No. 2 Suppl,
91S-99S (2009)
DOI: 10.1177/1524839908331268
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
|
|
