A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment.

Little is known about the mechanisms through which neighborhood-level factors (e.g., social support, economic opportunity) relate to suboptimal availability of healthy foods in low-income urban communities. We engaged a diverse group of chain and local food outlet owners, residents, neighborhood org...

Full description

Bibliographic Details
Main Authors: Yeeli Mui, Ellis Ballard, Eli Lopatin, Rachel L J Thornton, Keshia M Pollack Porter, Joel Gittelsohn
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0216985
_version_ 1819035344702537728
author Yeeli Mui
Ellis Ballard
Eli Lopatin
Rachel L J Thornton
Keshia M Pollack Porter
Joel Gittelsohn
author_facet Yeeli Mui
Ellis Ballard
Eli Lopatin
Rachel L J Thornton
Keshia M Pollack Porter
Joel Gittelsohn
author_sort Yeeli Mui
collection DOAJ
description Little is known about the mechanisms through which neighborhood-level factors (e.g., social support, economic opportunity) relate to suboptimal availability of healthy foods in low-income urban communities. We engaged a diverse group of chain and local food outlet owners, residents, neighborhood organizations, and city agencies based in Baltimore, MD. Eighteen participants completed a series of exercises based on a set of pre-defined scripts through an interactive, iterative group model building process over a two-day community-based workshop. This process culminated in the development of causal loop diagrams, based on participants' perspectives, illustrating the dynamic factors in an urban neighborhood food system. Synthesis of diagrams yielded 21 factors and their embedded feedback loops. Crime played a prominent role in several feedback loops within the neighborhood food system: contributing to healthy food being "risky food," supporting unhealthy food stores, and severing social ties important for learning about healthy food. Findings shed light on a new framework for thinking about barriers related to healthy food access and pointed to potential new avenues for intervention, such as reducing neighborhood crime.
first_indexed 2024-12-21T07:48:08Z
format Article
id doaj.art-983111efa2124c38b2fe932feb3adf8f
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-21T07:48:08Z
publishDate 2019-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-983111efa2124c38b2fe932feb3adf8f2022-12-21T19:11:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01145e021698510.1371/journal.pone.0216985A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment.Yeeli MuiEllis BallardEli LopatinRachel L J ThorntonKeshia M Pollack PorterJoel GittelsohnLittle is known about the mechanisms through which neighborhood-level factors (e.g., social support, economic opportunity) relate to suboptimal availability of healthy foods in low-income urban communities. We engaged a diverse group of chain and local food outlet owners, residents, neighborhood organizations, and city agencies based in Baltimore, MD. Eighteen participants completed a series of exercises based on a set of pre-defined scripts through an interactive, iterative group model building process over a two-day community-based workshop. This process culminated in the development of causal loop diagrams, based on participants' perspectives, illustrating the dynamic factors in an urban neighborhood food system. Synthesis of diagrams yielded 21 factors and their embedded feedback loops. Crime played a prominent role in several feedback loops within the neighborhood food system: contributing to healthy food being "risky food," supporting unhealthy food stores, and severing social ties important for learning about healthy food. Findings shed light on a new framework for thinking about barriers related to healthy food access and pointed to potential new avenues for intervention, such as reducing neighborhood crime.https://doi.org/10.1371/journal.pone.0216985
spellingShingle Yeeli Mui
Ellis Ballard
Eli Lopatin
Rachel L J Thornton
Keshia M Pollack Porter
Joel Gittelsohn
A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment.
PLoS ONE
title A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment.
title_full A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment.
title_fullStr A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment.
title_full_unstemmed A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment.
title_short A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment.
title_sort community based system dynamics approach suggests solutions for improving healthy food access in a low income urban environment
url https://doi.org/10.1371/journal.pone.0216985
work_keys_str_mv AT yeelimui acommunitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT ellisballard acommunitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT elilopatin acommunitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT rachelljthornton acommunitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT keshiampollackporter acommunitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT joelgittelsohn acommunitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT yeelimui communitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT ellisballard communitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT elilopatin communitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT rachelljthornton communitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT keshiampollackporter communitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment
AT joelgittelsohn communitybasedsystemdynamicsapproachsuggestssolutionsforimprovinghealthyfoodaccessinalowincomeurbanenvironment