Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

An evaluation of the impact of a restrictive retail food environment intervention in a rural community pharmacy setting

Authors: Leia M. Minaker, Dana Lee Olstad, Graham MacKenzie, Nghia Nguyen, Sunday Azagba, Brian E. Cook, Catherine L. Mah

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

Sugar-sweetened beverage consumption is associated with morbidity and mortality. The retail food environment influences food and beverage purchasing and consumption. This study assesses the impact of a community pharmacy’s removal of sweet beverages on overall community sales of carbonated soft drinks (CSD) in a rural setting. We also examined whether the pharmacy intervention affected CSD sales in the town’s other food stores.

Methods

Weekly CSD sales data were acquired from the three food retailers in the town of Baddeck, Nova Scotia (January 1, 2013 to May 8, 2015, n = 123 weeks). Autoregressive integrated moving average (ARIMA) analysis was used to analyse the interrupted time series data and estimate the impact of the pharmacy intervention (September 11, 2014) on overall CSD sales at the community level. Data were analysed in 2015.

Results

Before the intervention, the pharmacy accounted for approximately 6 % of CSD sales in the community. After the intervention, declines in total weekly average community CSD sales were not statistically significantly. CSD sales at the other food stores did not increase after the pharmacy intervention.

Conclusions

This study was among the first to examine the impact of a restrictive retail food environment intervention, and found a non-significant decline in CSD sales at the community level. It is the first study to examine a retail food environment intervention in a community pharmacy. Pharmacies may have an important role to play in creating healthy retail food environments.
Literature
1.
go back to reference Malik VS, Popkin BM, Bray GA, Després J, Hu FB. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation [cited 24 June 2015]. 2010;121(11):1356–64. Malik VS, Popkin BM, Bray GA, Després J, Hu FB. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation [cited 24 June 2015]. 2010;121(11):1356–64.
2.
go back to reference Malik VS, Popkin BM, Bray GA, Després J, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: A meta-analysis. Diabetes Care [cited 24 June 2015]. 2010;33(11):2477–83.CrossRef Malik VS, Popkin BM, Bray GA, Després J, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: A meta-analysis. Diabetes Care [cited 24 June 2015]. 2010;33(11):2477–83.CrossRef
3.
go back to reference Te Morenga LA, Howatson AJ, Jones RM, Mann J. Dietary sugars and cardiometabolic risk: Systematic review and meta-analyses of randomized controlled trials of the effects on blood pressure and lipids. Am J Clin Nutr [cited 24 June 2015]. 2014;100(1):65–79.CrossRef Te Morenga LA, Howatson AJ, Jones RM, Mann J. Dietary sugars and cardiometabolic risk: Systematic review and meta-analyses of randomized controlled trials of the effects on blood pressure and lipids. Am J Clin Nutr [cited 24 June 2015]. 2014;100(1):65–79.CrossRef
4.
go back to reference Singh GM, Micha R, Khatibzadeh S, Lim S, Ezzati M, Mozaffarian D. Estimated global, regional and national disease burdens related to sugar-sweetened beverage consumption in 2010. Circulation. 2015;132:639–66. Singh GM, Micha R, Khatibzadeh S, Lim S, Ezzati M, Mozaffarian D. Estimated global, regional and national disease burdens related to sugar-sweetened beverage consumption in 2010. Circulation. 2015;132:639–66.
7.
go back to reference Public Health Agency of Canada. Curbing childhood obesity: A federal, provincial and territorial framework for action to promote healthy weights. Ottawa, Ontario: Public Health Agency of Canada; 2010. Public Health Agency of Canada. Curbing childhood obesity: A federal, provincial and territorial framework for action to promote healthy weights. Ottawa, Ontario: Public Health Agency of Canada; 2010.
8.
go back to reference Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: Policy and environmental approaches. Annu Rev Public Health. 2008;29:253.CrossRefPubMed Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: Policy and environmental approaches. Annu Rev Public Health. 2008;29:253.CrossRefPubMed
9.
go back to reference Giskes K, van Lenthe F, Avendano-Pabon M, Brug J. A systematic review of environmental factors and obesogenic dietary intakes among adults: Are we getting closer to understanding obesogenic environments? Obes Rev. 2011;12:e95–e106.CrossRefPubMed Giskes K, van Lenthe F, Avendano-Pabon M, Brug J. A systematic review of environmental factors and obesogenic dietary intakes among adults: Are we getting closer to understanding obesogenic environments? Obes Rev. 2011;12:e95–e106.CrossRefPubMed
10.
go back to reference Minaker L. Measuring the food environment in canada. Ottawa, Ontario: Health Canada; 2013. Minaker L. Measuring the food environment in canada. Ottawa, Ontario: Health Canada; 2013.
11.
go back to reference The Reinvestment Fund. Pennsylvania fresh food financing. 2011. The Reinvestment Fund. Pennsylvania fresh food financing. 2011.
12.
go back to reference Kleinert S, Horton R. Rethinking and reframing obesity. Lancet. 2015;385(9985):13–9.CrossRef Kleinert S, Horton R. Rethinking and reframing obesity. Lancet. 2015;385(9985):13–9.CrossRef
14.
go back to reference Glanz K, Sallis JF, Saelens BE, Frank LD. Healthy nutrition environments: Concepts and measures. Am J Health Promot. 2005;19(5):330–3.CrossRefPubMed Glanz K, Sallis JF, Saelens BE, Frank LD. Healthy nutrition environments: Concepts and measures. Am J Health Promot. 2005;19(5):330–3.CrossRefPubMed
15.
go back to reference Sturm R, Hattori A. Diet and obesity in Los Angeles county 2007–2012: Is there a measurable effect of the 2008 “fast-food ban”? Soc Sci Med. [cited 24 June 2015]. 2015;133:205–11. Sturm R, Hattori A. Diet and obesity in Los Angeles county 2007–2012: Is there a measurable effect of the 2008 “fast-food ban”? Soc Sci Med. [cited 24 June 2015]. 2015;133:205–11.
16.
go back to reference Gittelsohn J, Rowan M, Gadhoke P. Interventions in small food stores to change the food environment, improve diet, and reduce risk of chronic disease. Prev Chronic Dis. 2012;9:E59.PubMedPubMedCentral Gittelsohn J, Rowan M, Gadhoke P. Interventions in small food stores to change the food environment, improve diet, and reduce risk of chronic disease. Prev Chronic Dis. 2012;9:E59.PubMedPubMedCentral
17.
go back to reference Escaron AL, Meinen AM, Nitzke SA, Martinez-Donate AP. Supermarket and grocery store-based interventions to promote healthful food choices and eating practices: A systematic review. Prev Chronic Dis [cited 5 February 2014]. 2013;10(4):1–20. Escaron AL, Meinen AM, Nitzke SA, Martinez-Donate AP. Supermarket and grocery store-based interventions to promote healthful food choices and eating practices: A systematic review. Prev Chronic Dis [cited 5 February 2014]. 2013;10(4):1–20.
18.
go back to reference Kremers SPJ. Theory and practice in the study of influences on energy balance-related behaviors. Patient Educ Couns [cited 7 April 2016]. 2010;79(3):291–8.CrossRef Kremers SPJ. Theory and practice in the study of influences on energy balance-related behaviors. Patient Educ Couns [cited 7 April 2016]. 2010;79(3):291–8.CrossRef
19.
go back to reference Calancie L, Leeman J, Jilcott Pitts SB, Kettel Khan L, Fleischhacker S, Evenson KR, et al. Nutrition-related policy and environmental strategies to prevent obesity in rural communities: A systematic review of the literature, 2002–2013. Prev Chronic Dis. 2015;12(E57):1–16. Calancie L, Leeman J, Jilcott Pitts SB, Kettel Khan L, Fleischhacker S, Evenson KR, et al. Nutrition-related policy and environmental strategies to prevent obesity in rural communities: A systematic review of the literature, 2002–2013. Prev Chronic Dis. 2015;12(E57):1–16.
24.
go back to reference Yaffee R, McGee M. Introduction to time series analysis and forecasting. Amsterdam: Academic; 2000. Yaffee R, McGee M. Introduction to time series analysis and forecasting. Amsterdam: Academic; 2000.
25.
go back to reference Lawman HG, Vander Veur S, Mallya G, McCoy TA, Wojtanowski A, Colby L, et al. Changes in quantity, spending, and nutritional characteristics of adult, adolescent and child urban corner store purchases after an environmental intervention. Prev Med [cited 25 June 2015]. 2015;74:81–5.CrossRef Lawman HG, Vander Veur S, Mallya G, McCoy TA, Wojtanowski A, Colby L, et al. Changes in quantity, spending, and nutritional characteristics of adult, adolescent and child urban corner store purchases after an environmental intervention. Prev Med [cited 25 June 2015]. 2015;74:81–5.CrossRef
26.
go back to reference Cummins S, Flint E, Matthews SA. New neighborhood grocery store increased awareness of food access but did not alter dietary habits or obesity. Health Aff (Millwood). 2014;33(2):283–91.CrossRef Cummins S, Flint E, Matthews SA. New neighborhood grocery store increased awareness of food access but did not alter dietary habits or obesity. Health Aff (Millwood). 2014;33(2):283–91.CrossRef
28.
go back to reference Joyce AW, Sunderland VB, Burrows S, McManus A, Howat P, Maycock B. Community pharmacy’s role in promoting healthy behaviours. J Pharm Pract Res [cited 23 June 2015]. 2007;37(1):42–4.CrossRef Joyce AW, Sunderland VB, Burrows S, McManus A, Howat P, Maycock B. Community pharmacy’s role in promoting healthy behaviours. J Pharm Pract Res [cited 23 June 2015]. 2007;37(1):42–4.CrossRef
29.
go back to reference Fakih S, Marriott JL, Boardman H, Anderson C, Hussainy SY. Comparing women pharmacy consumers’ experiences with weight loss treatment in victoria and nottingham: A cross-sectional study. BMC Public Health. [cited 19 June 2015]. 2014;14(1):662–73. Fakih S, Marriott JL, Boardman H, Anderson C, Hussainy SY. Comparing women pharmacy consumers’ experiences with weight loss treatment in victoria and nottingham: A cross-sectional study. BMC Public Health. [cited 19 June 2015]. 2014;14(1):662–73.
30.
go back to reference Maher JH, Hughes R, Anderson C, Lowe JB. An exploratory investigation amongst australian mothers regarding pharmacies and opportunities for nutrition promotion. Health Educ Res [cited 19 June 2015]. 2013;28(6):1040–50.CrossRef Maher JH, Hughes R, Anderson C, Lowe JB. An exploratory investigation amongst australian mothers regarding pharmacies and opportunities for nutrition promotion. Health Educ Res [cited 19 June 2015]. 2013;28(6):1040–50.CrossRef
31.
go back to reference Maher JH, Lowe J, Hughes R. Community pharmacy as a setting for public health nutrition action: Australian nutritionists’ perspectives. Public Health Nutr [cited 19 June 2015]. 2015;18(10):1864–72.CrossRef Maher JH, Lowe J, Hughes R. Community pharmacy as a setting for public health nutrition action: Australian nutritionists’ perspectives. Public Health Nutr [cited 19 June 2015]. 2015;18(10):1864–72.CrossRef
32.
go back to reference Um IS, Armour C, Krass I, Gill T, Chaar BB. Consumer perspectives about weight management services in a community pharmacy setting in NSW, australia. Health Expect [cited 23 June 2015]. 2014;17(4):579–92.CrossRef Um IS, Armour C, Krass I, Gill T, Chaar BB. Consumer perspectives about weight management services in a community pharmacy setting in NSW, australia. Health Expect [cited 23 June 2015]. 2014;17(4):579–92.CrossRef
34.
go back to reference Richardson AJ. CVS/caremark: The costs and strategy of a tobacco free pharmacy. Accounting Perspectives. 2015;14(1):71–85.CrossRef Richardson AJ. CVS/caremark: The costs and strategy of a tobacco free pharmacy. Accounting Perspectives. 2015;14(1):71–85.CrossRef
Metadata
Title
An evaluation of the impact of a restrictive retail food environment intervention in a rural community pharmacy setting
Authors
Leia M. Minaker
Dana Lee Olstad
Graham MacKenzie
Nghia Nguyen
Sunday Azagba
Brian E. Cook
Catherine L. Mah
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3281-9

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue