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From Mounds of Data to Effectively Communicating Results. APHA- Philadelphia, PA November 10, 2009. Changing the Neighborhood Food Environment. Presented by:. Valerie Quinn, M.Ed., California Department of Public Health, Network for a Healthy California.

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From mounds of data to effectively communicating results

FromMounds of Data toEffectively Communicating Results

APHA- Philadelphia, PA

November 10, 2009

Changing the Neighborhood Food Environment

Presented by:

Valerie Quinn, M.Ed., California Department of Public Health, Network for a Healthy California

Additional contributors: Alyssa Ghirardelli, MPH,RD, Ellen Feighery, RN, MS


Presenter disclosures
Presenter Disclosures

Valerie Quinn, M.Ed.

(1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months:

No relationships to disclose



Cx 3 project background
CX3: Project Background

  • Communities of Excellence in Nutrition, Physical Activity and Obesity Prevention = CX3

    • Objective: Activate consumers to improve food availability in low-income neighborhoods*

    • Focused initiative with 23 funded local health depts.

      • Began 2006 (6 pilot sites)

    • Collect neighborhood-level data using CX3 standardized tools & methods

      • 3 – 7 neighborhoods in jurisdiction

* >50% 185% FPL


Local role
Local Role

  • Change Agents

    • Data collection by local health department

      • Involve community members where possible

      • Disseminate and engage: Community groups, neighborhoods actively involved, community leaders


Data uses
Data Uses

  • Expose disparities

  • Resource allocation

  • Engage residents in advancing change

  • Design/tailor interventions

  • Real-world data to create healthier neighborhoods

    • City/Co Planners, Redevelopment agencies, inform General Plan, health impact, etc.


Neighborhood marketplace
Neighborhood Marketplace

  • Are healthy food choices available and accessible to residents of low-income neighborhoods? What’s the food store mix?

  • What is the density of fast food outlets in neighborhood and around schools?

  • How much and what are the types of healthy/unhealthy marketing messages on billboards around schools?

  • Is it safe to walk to store? Is it accessible?

  • What kinds of food are available from emergency food outlets? Nutrition education?

  • And more!


Cx 3 data collection mapping
CX3 Data Collection: Mapping

  • Data layers: retail, farmers’ markets, schools, parks; census level

  • Built environment:

  • Street connectivity

  • Lack of green space/parks

  • Out-of-balance store mix; saturation of FF and C-stores

  • Food deserts

http://www.cnngis.org Network for a Healthy California Map Viewer


Cx 3 data collection field surveys
CX3 Data Collection: Field Surveys

  • Grocery stores and small markets

    • Different types of stores (large to small, c-stores, etc)

    • Availability and quality of fruits and vegetables, new WIC pkg

    • Fruit and vegetable prices

    • Marketing of healthy/unhealthy foods

  • Walkability & Safety

  • Fast food

    • Availability of healthy options

    • Menu labeling

    • Marketing

  • Outdoor marketing

  • Food Banks

  • Alternative Healthy Food Sources


Mountain of data!

Need: Compelling ways to characterize conditions


Cx 3 data analyses

Neighborhood level

Store level

CX3 Data Analyses


Neighborhood level retail food environment
Neighborhood level: Retail Food Environment

HEALTHY vs. UNHEALTHY FOOD SOURCES*

* Percent of neighborhood stores offering predominately healthy food vs.

those offering predominately high fat/sugar food. Healthy food sources

include supermarkets or large grocery stores, small markets meeting quality standards,

farmers markets & fruit/vegetable markets. High fat/sugar food sources include

fast food outlets, convenience stores, & small markets not meeting quality standards.


Store level
Store level

  • Scores automatically calculated

  • Formulas


Cx 3 communications pieces
CX3 Communications Pieces

  • Neighborhood Brief

  • Fact sheets

  • PowerPoint

  • Store score card

  • Fast food score card

  • Neighborhood markets card

  • Spanish (all)

  • Templates


Cx 3 evaluation survey
CX3 Evaluation Survey

  • CX3 local health departments

    • 22 of 23 responded

  • Administered via Survey Monkey

  • Qualitative & quantitative

  • May 2009

  • First survey capturing results from CX3 field work



“Specific store scores have so far been the most useful … Fast food ratio numbers have caused me to get a lot of media, but also caused some ripples in the community.”


Most Effective Communications Tools … Fast food ratio numbers have caused me to get a lot of media, but also caused some ripples in the community.”


“Fact sheets provided “call to action” which policy makers and key community leaders have found to be most helpful.”

“Visuals of neighborhoods – powerful picture says a thousand words.”


Skill Improvement makers and key community leaders have found to be most helpful.”


Consumer targeted interventions
Consumer-targeted interventions makers and key community leaders have found to be most helpful.”

  • Network Retail Program started (73%)

  • “Where to shop” lists for healthy food (68%)

  • Skill building to foster parent or youth “Champions for Change” (68%)

  • Food demos (68%)

  • Corner store activities (64%)

    Sites responded as actively implementing or planning to implement


Community Actions makers and key community leaders have found to be most helpful.”


Discussion next steps
Discussion & Next Steps makers and key community leaders have found to be most helpful.”

  • Relevant data

  • Local innovation in applying data

  • Analyses & Tools assisting efforts

    • Addt’l needs: media outreach, school scoring/analysis, more languages

    • Improve: supermarket analysis

  • Varying skill level, experience

    • Focused TA in certain areas


Thank you! makers and key community leaders have found to be most helpful.”

Valerie Quinn, M.Ed.

Network for a Healthy California

CA Dept. of Public Health

[email protected]

916.552.9908

This material was produced by the California Department of Public Health, Network for a Healthy California, with funding from the USDA Supplemental Nutrition Assistance Program.


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