The Goal of Baltimore Healthy Carryouts (BHC) project is to develop, implement and evaluate a culturally appropriate multi-component carry-out intervention to reduce risk factors for diet-related chronic diseases in a low income urban setting. BHC was funded by the Diabetes Research & Training Center and the Center for a Livable Future.
The intervention trial utilizes a systems-based approach to test and evaluate multilevel structural interventions.
Our trial will:
- improve the healthy food supply chain from wholesalers, to small stores/carryouts, to consumers;
- create cost-effective partnerships between small urban food source owners and wholesalers,
- develop strategies to increase individual and retailer demand for healthy foods,
- reveal barriers and enhancing factors to scaling up these interventions city-wide via policy changes, and
- provide the evidence and data needed to develop and refine multi-level obesity-prevention systems-models, enhance GIS mapping systems of the urban food environment.
The federal government has recently tested programs to further subsidize costs of specific foods within existing programs, such as SNAP. It is crucial to understand how stakeholders can work together to maximize the impact of such discounts, and to determine ways to enhance consumer demand for healthy foods.
Jeffries J, Lee SH, Frick K, Gittelsohn J. Preferences for Carry-Out Meals in Low-Income Neighborhoods of Baltimore City. Health Promotion & Practice. Published online before print November 26, 2012, doi:10.1177/1524839912465290.
Lee SH, Rowan M, Powell L, Newman S, Anderson J, Klassen C, Frick K, Gittelsohn J. (2010) “Characteristics of prepared food sources in low-income neighborhoods of Baltimore City.” Ecology of Food and Nutrition, 49(6): 409-430.
Lee SH, Hoffman V, Bleich S, Gittelsohn J. Frequency of visiting and food dollars spent at carry-outs among low-income urban African-American adults. Journal of Hunger and Environmental Nutrition 2013; 7(4):459-467.
Noormohamed A, Lee SH, Batorsky B, Jackson A, Newman S, Gittelsohn J. Factors Influencing Ordering Practices at Baltimore City Carryouts: Qualitative Research to Inform an Obesity Prevention Intervention. Ecology of Food and Nutrition 2012; 51(6):481-91.
Yong R, Lee SH, Freishtat H, Bleich S, Gittelsohn J. Availability of healthy foods in prepared food sources in urban public markets. Journal of Hunger and Environmental Nutrition 2013;7(4):468-481.