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Kim M. Gans - One of the best experts on this subject based on the ideXlab platform.
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Effectiveness of Fresh to You, a Discount Fresh Fruit and Vegetable Market in Low-Income Neighborhoods, on Children’s Fruit and Vegetable Consumption, Rhode Island, 2010–2011
Preventing chronic disease, 2015Co-Authors: Gemma Gorham, Akilah Dulin-keita, Patricia Markham Risica, Jennifer Mello, George D. Papandonatos, Amy Nunn, Sara A. Gorham, Mya L. Roberson, Kim M. GansAbstract:INTRODUCTION Eating fruits and vegetables is associated with lowered risk for many chronic diseases. However, most Americans, especially members of Low-Income and minority populations, do not eat adequate amounts. Fresh to You is a public-private partnership program that brings discount fresh produce markets into Low-Income Neighborhoods. We conducted a mixed-methods evaluation of Fresh to You to assess the effect of the program on children's consumption of fruits and vegetables. METHODS A local produce distributor brought the Fresh to You markets to 6 community organizations serving Low-Income families in Rhode Island. The markets, held weekly for 5 months at each site, sold fresh produce at below-retail prices. Parents (N = 480) of children aged 3 to 13 years were recruited at the markets to participate in a 5-month cohort study. The primary outcome was change in children's fruit and vegetable intake, measured by a validated screener. We also conducted postintervention focus groups at each site with parents and qualitative interviews with site contacts to collect feedback about Fresh to You. RESULTS From baseline to 5 months, there was a significant increase in children's daily fruit and vegetable consumption of 0.48 cups (t = 4.16, P < .001). Data from follow-up parent surveys, focus groups, and site contact interviews provided positive feedback about Fresh to You and recommendations for improvement. CONCLUSION Fresh to You was effective at increasing consumption of fruits and vegetables among racially and ethnically diverse Low-Income children aged 3 to 13 years whose parents shopped at the markets. The intervention could serve as a model program for replication in other cities. Refinements and a more rigorous evaluation are needed.
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effectiveness of fresh to you a discount fresh fruit and vegetable market in low income Neighborhoods on children s fruit and vegetable consumption rhode island 2010 2011
Preventing Chronic Disease, 2015Co-Authors: Gemma Gorham, Patricia Markham Risica, Jennifer Mello, George D. Papandonatos, Amy Nunn, Akilah Dulinkeita, Sara Gorham, Mya Roberson, Kim M. GansAbstract:INTRODUCTION Eating fruits and vegetables is associated with lowered risk for many chronic diseases. However, most Americans, especially members of Low-Income and minority populations, do not eat adequate amounts. Fresh to You is a public-private partnership program that brings discount fresh produce markets into Low-Income Neighborhoods. We conducted a mixed-methods evaluation of Fresh to You to assess the effect of the program on children's consumption of fruits and vegetables. METHODS A local produce distributor brought the Fresh to You markets to 6 community organizations serving Low-Income families in Rhode Island. The markets, held weekly for 5 months at each site, sold fresh produce at below-retail prices. Parents (N = 480) of children aged 3 to 13 years were recruited at the markets to participate in a 5-month cohort study. The primary outcome was change in children's fruit and vegetable intake, measured by a validated screener. We also conducted postintervention focus groups at each site with parents and qualitative interviews with site contacts to collect feedback about Fresh to You. RESULTS From baseline to 5 months, there was a significant increase in children's daily fruit and vegetable consumption of 0.48 cups (t = 4.16, P < .001). Data from follow-up parent surveys, focus groups, and site contact interviews provided positive feedback about Fresh to You and recommendations for improvement. CONCLUSION Fresh to You was effective at increasing consumption of fruits and vegetables among racially and ethnically diverse Low-Income children aged 3 to 13 years whose parents shopped at the markets. The intervention could serve as a model program for replication in other cities. Refinements and a more rigorous evaluation are needed.
Min Rex Cheung - One of the best experts on this subject based on the ideXlab platform.
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Using SEER Data to Quantify Effects of Low Income Neighborhoods on Cause Specific Survival of Skin Melanoma
Asian Pacific journal of cancer prevention : APJCP, 2013Co-Authors: Min Rex CheungAbstract:Background This study used receiver operating characteristic (ROC) curves to screen Surveillance, Epidemiology and End Results (SEER) skin melanoma data to identify and quantify the effects of socioeconomic factors on cause specific survival. Methods 'SEER cause-specific death classification' was used as the outcome variable. The area under the ROC curve was to select best pretreatment predictors for further multivariate analysis with socioeconomic factors. Race and other socioeconomic factors including rural-urban residence, county level % college graduate and county level family income were used as predictors. Univariate and multivariate analyses were performed to identify and quantify the independent socioeconomic predictors. Results This study included 49,666 patients. The mean follow up time (SD) was 59.4 (17.1) months. SEER staging (ROC area of 0.80) was the most predictive factor. Race, lower county family income, rural residence, and lower county education attainment were significant univariates, but rural residence was not significant under multivariate analysis. Living in poor Neighborhoods was associated with a 2-4% disadvantage in actuarial cause specific survival. Conclusions Racial and socioeconomic factors have a significant impact on the survival of melanoma patients. This generates the hypothesis that ensuring access to cancer care may eliminate these outcome disparities.
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African American race and low income Neighborhoods decrease cause specific survival of endometrial cancer: a SEER analysis.
Asian Pacific journal of cancer prevention : APJCP, 2013Co-Authors: Min Rex CheungAbstract:Background: This study analyzed Surveillance, Epidemiology and End Results (SEER) data to assess if socio-economic factors (SEFs) impact on endometrial cancer survival. Materials and Methods: Endometrial cancer patients treated from 2004-2007 were included in this study. SEER cause specific survival (CSS) data were used as end points. The areas under the receiver operating characteristic (ROC) curve were computed for predictors. Time to event data were analyzed with Kaplan-Meier method. Univariate and multivariate analyses were used to identify independent risk factors. Results: This study included 64,710 patients. The mean follow up time (S.D.) was 28.2 (20.8) months. SEER staging (ROC area of 0.81) was the best pretreatment predictor of CSS. Histology, grade, race/ethnicity and county level family income were also significant pretreatment predictors. African American race and low income Neighborhoods decreased the CSS by 20% and 3% respectively at 5 years. Conclusions: This study has found significant endometrial survival disparities due to SEFs. Future studies should focus on eliminating socio-economic barriers to good outcomes.
Joel Gittelsohn - One of the best experts on this subject based on the ideXlab platform.
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a youth mentor led nutritional intervention in urban recreation centers a promising strategy for childhood obesity prevention in low income Neighborhoods
Health Education Research, 2016Co-Authors: Priscila De Morais Sato, Elizabeth Anderson Steeves, Susan Carnell, Lawrence J Cheskin, Angela Trude, Cara Shipley, Maria Jose Mejia Ruiz, Joel GittelsohnAbstract:B’More Healthy Community for Kids (BHCK) is an ongoing multi-level intervention to prevent childhood obesity in African-American Low-Income Neighborhoods in Baltimore city, MD. Although previous nutrition interventions involving peer mentoring of youth have been successful, there is a lack of studies evaluating the influence of cross-age peers within interventions targeting youth. This article evaluates the implementation of the BHCK intervention in recreation centers, and describes lessons learned. Sixteen youth leaders delivered bi-weekly, interactive sessions to 10- to 14-y olds. Dose, fidelity and reach are assessed, as is qualitative information regarding what worked well during sessions. Dose is operationalized as the number of interactive sessions, and taste tests, giveaways and handouts per session; fidelity as the number of youth leaders participating in the entire intervention and per session and reach as the number of interactions with the target population. Based on a priori set values, number of interactive sessions was high, and number of taste tests, giveaways and handouts was moderate to high (dose). The number of participating youth leaders was also high (fidelity). Of the 14 planned sessions, the intervention was implemented with high/moderate reach. Data suggest that working with cross-age peers is a promising nutritional intervention for recreation centers.
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influence of the supply network on the availability of healthy foods in small food stores of urban low income settings 384 4
The FASEB Journal, 2014Co-Authors: Yeeli Mui, Atif Adam, Anna Kharmats, Nadine Budd, Bruce Y Lee, Joel GittelsohnAbstract:Disparities in healthy food access commonly exist in urban Low-Income Neighborhoods, where small food stores predominate. What is not commonly understood is the supply network of these small food s...
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preferences for healthy carryout meals in low income Neighborhoods of baltimore city
Health Promotion Practice, 2013Co-Authors: Jayne K Jeffries, Seung Hee Lee, Kevin D. Frick, Joel GittelsohnAbstract:Context. The nutrition environment is associated with risk of obesity and other diet-related chronic diseases. In Baltimore’s Low-Income areas, carryouts (locally prepared–food sources that offer food “to go”) are a common source of food, but they lack a variety of healthy options for purchase. Objective. To evaluate individuals’ preferences of healthy combination meals sold at carryouts and to identify successful intervention methods to promote healthier foods in carryouts in Low-Income communities in Baltimore. Method. The study estimated the relationship between combinations of healthier entrees (turkey club, grilled chicken), beverages (diet coke, bottled water), side dishes (watermelon, side salad), price points ($5.00, $7.50), and labeling on consumers’ combination meal decisions using a forced-choice conjoint analysis. Logistic regression analysis was used to determine how individuals value different features in combination meals sold in carryouts. Results. There was a statistically significant dif...
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Characteristics of prepared food sources in Low-Income Neighborhoods of Baltimore City.
Ecology of food and nutrition, 2010Co-Authors: Seung Hee Lee, Megan Rowan, Lisa M. Powell, Sara Newman, Ann C. Klassen, Kevin D. Frick, Jennifer M. Anderson, Joel GittelsohnAbstract:The food environment is associated with obesity risk and diet-related chronic diseases. Despite extensive research conducted on retail food stores, little is known about prepared food sources (PFSs). We conducted an observational assessment of all PFSs (N = 92) in Low-Income Neighborhoods in Baltimore. The most common PFSs were carry-outs, which had the lowest availability of healthy food choices. Only a small proportion of these carry-outs offered healthy sides, whole wheat bread, or entree salads (21.4%, 7.1%, and 33.9%, respectively). These findings suggest that carry-out-specific interventions are necessary to increase healthy food availability in Low-Income urban Neighborhoods.
Gemma Gorham - One of the best experts on this subject based on the ideXlab platform.
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Effectiveness of Fresh to You, a Discount Fresh Fruit and Vegetable Market in Low-Income Neighborhoods, on Children’s Fruit and Vegetable Consumption, Rhode Island, 2010–2011
Preventing chronic disease, 2015Co-Authors: Gemma Gorham, Akilah Dulin-keita, Patricia Markham Risica, Jennifer Mello, George D. Papandonatos, Amy Nunn, Sara A. Gorham, Mya L. Roberson, Kim M. GansAbstract:INTRODUCTION Eating fruits and vegetables is associated with lowered risk for many chronic diseases. However, most Americans, especially members of Low-Income and minority populations, do not eat adequate amounts. Fresh to You is a public-private partnership program that brings discount fresh produce markets into Low-Income Neighborhoods. We conducted a mixed-methods evaluation of Fresh to You to assess the effect of the program on children's consumption of fruits and vegetables. METHODS A local produce distributor brought the Fresh to You markets to 6 community organizations serving Low-Income families in Rhode Island. The markets, held weekly for 5 months at each site, sold fresh produce at below-retail prices. Parents (N = 480) of children aged 3 to 13 years were recruited at the markets to participate in a 5-month cohort study. The primary outcome was change in children's fruit and vegetable intake, measured by a validated screener. We also conducted postintervention focus groups at each site with parents and qualitative interviews with site contacts to collect feedback about Fresh to You. RESULTS From baseline to 5 months, there was a significant increase in children's daily fruit and vegetable consumption of 0.48 cups (t = 4.16, P < .001). Data from follow-up parent surveys, focus groups, and site contact interviews provided positive feedback about Fresh to You and recommendations for improvement. CONCLUSION Fresh to You was effective at increasing consumption of fruits and vegetables among racially and ethnically diverse Low-Income children aged 3 to 13 years whose parents shopped at the markets. The intervention could serve as a model program for replication in other cities. Refinements and a more rigorous evaluation are needed.
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effectiveness of fresh to you a discount fresh fruit and vegetable market in low income Neighborhoods on children s fruit and vegetable consumption rhode island 2010 2011
Preventing Chronic Disease, 2015Co-Authors: Gemma Gorham, Patricia Markham Risica, Jennifer Mello, George D. Papandonatos, Amy Nunn, Akilah Dulinkeita, Sara Gorham, Mya Roberson, Kim M. GansAbstract:INTRODUCTION Eating fruits and vegetables is associated with lowered risk for many chronic diseases. However, most Americans, especially members of Low-Income and minority populations, do not eat adequate amounts. Fresh to You is a public-private partnership program that brings discount fresh produce markets into Low-Income Neighborhoods. We conducted a mixed-methods evaluation of Fresh to You to assess the effect of the program on children's consumption of fruits and vegetables. METHODS A local produce distributor brought the Fresh to You markets to 6 community organizations serving Low-Income families in Rhode Island. The markets, held weekly for 5 months at each site, sold fresh produce at below-retail prices. Parents (N = 480) of children aged 3 to 13 years were recruited at the markets to participate in a 5-month cohort study. The primary outcome was change in children's fruit and vegetable intake, measured by a validated screener. We also conducted postintervention focus groups at each site with parents and qualitative interviews with site contacts to collect feedback about Fresh to You. RESULTS From baseline to 5 months, there was a significant increase in children's daily fruit and vegetable consumption of 0.48 cups (t = 4.16, P < .001). Data from follow-up parent surveys, focus groups, and site contact interviews provided positive feedback about Fresh to You and recommendations for improvement. CONCLUSION Fresh to You was effective at increasing consumption of fruits and vegetables among racially and ethnically diverse Low-Income children aged 3 to 13 years whose parents shopped at the markets. The intervention could serve as a model program for replication in other cities. Refinements and a more rigorous evaluation are needed.
Matthew Freedman - One of the best experts on this subject based on the ideXlab platform.
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Tax Incentives and Housing Investment in Low-Income Neighborhoods
2015Co-Authors: Matthew FreedmanAbstract:Governments often use tax incentives to encourage residential investment in blighted Neighborhoods. Exploiting the lottery structure of Missouri’s Neighborhood Preservation Act (NPA), this paper examines how tax incentives to promote housing investment affect communities. Missouri’s NPA offers tax credits to homeowners and developers that improve or expand the owneroccupied housing stock in the state’s poorer Neighborhoods. Due to limits on the amount that can be awarded, the state uses a lottery to determine which applicants receive credits. Taking advantage of the random assignment of NPA tax credits and exploiting detailed property-level data, I find evidence that the program has positive but modest effects on construction activity. While there appear to be some positive spillovers on neighbors’ investment behavior, the effects are confined to properties within 50 feet of those receiving credits. Impacts on property values are larger in geographic scope, implying important roles for both neighbor interactions and amenity effects in local housing markets. JEL Codes: H23, R21, R31, R58
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teaching new markets old tricks the effects of subsidized investment on low income Neighborhoods
Journal of Public Economics, 2012Co-Authors: Matthew FreedmanAbstract:This paper examines the effects of investment subsidized by the federal government's New Markets Tax Credit (NMTC) program, which provides tax incentives to encourage private investment in Low-Income Neighborhoods. I identify the impacts of the program by taking advantage of a discontinuity in the rule determining the eligibility of census tracts for NMTC-subsidized investment. Using this discontinuity as a source of quasi-experimental variation in commercial development across tracts, I find that subsidized investment has modest positive effects on neighborhood conditions in Low-Income communities. Though spillovers appear to be small and crowd out incomplete, the results suggest that some of the observed impacts on Neighborhoods are attributable to changes in the composition of residents as opposed to improvements in the welfare of existing residents.
