Barriers and Enablers for Equitable Healthy Food Access in Baltimore Carryout Restaurants: A Qualitative Study in Healthy Food Priority Areas
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Context
2.2. Sampling and Participant Recruitment
2.3. Data Collection
2.4. Data Management and Analysis
3. Results
3.1. Interpersonal Drivers
3.1.1. Perceptions of Consumer Preferences
3.1.2. Care for Consumer Well-Being
3.1.3. Maximizing Transactions
3.2. Sociocultural Drivers
Multicultural Ownership Shapes Food Offerings
3.3. Business Drivers
Cost of Business Impacts Carryouts’ Ability to Offer Healthy Options
3.4. Policy Drivers
3.4.1. Taxation
3.4.2. Government Regulations and Policy
3.4.3. Information Challenges
3.4.4. Uneven Investment across Neighborhoods
4. Discussion
4.1. Implications for Policy
4.2. Limitations and Strengths
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | n (%) | |
---|---|---|
Carryout Level | Type of Cuisine | |
Italian | 3 (23) | |
Seafood | 3 (23) | |
General/Mixed/American | 2 (15) | |
Chicken Meals | 2 (15) | |
Soul Food | 1 (8) | |
Caribbean | 1 (8) | |
Asian | 1 (8) | |
Neighborhood or Zip Code Level 1 | Average HFAI | |
>9.5 | 5 (38) | |
≤9.5 | 8 (62) | |
Median Household Income (in dollars) | ||
>40,000 | 9 (69) | |
≤40,000 | 4 (31) | |
Household without Vehicles Available (%) | ||
>30% | 13 (100) | |
≤30% | 0 | |
Total Amount Invested in Small Businesses per 50 Businesses (in dollars) | ||
>1,000,000 | 4 (31) | |
750,000–1,000,000 | 4 (31) | |
<750,000 | 5 (38) |
Themes | Sub-Themes | Supporting Examples |
---|---|---|
Interpersonal Drivers | Perceptions of consumer preferences |
|
Care for consumer well-being |
| |
Maximizing transactions |
|
Themes | Sub-Themes | Supporting Examples |
---|---|---|
Sociocultural Drivers | Multicultural Ownership Shapes Food Offerings |
|
Themes | Sub-Themes | Supporting Examples |
---|---|---|
Business Drivers | Cost of business impacts carryouts’ ability to offer healthy options |
|
Themes | Sub-Themes | Supporting Examples |
---|---|---|
Policy Drivers | Taxation |
|
Government regulations and policy |
| |
Information Challenges |
| |
Uneven investment across neighborhoods |
|
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Hua, S.; Vong, V.; Thomas, A.E.; Mui, Y.; Poirier, L. Barriers and Enablers for Equitable Healthy Food Access in Baltimore Carryout Restaurants: A Qualitative Study in Healthy Food Priority Areas. Nutrients 2024, 16, 3028. https://doi.org/10.3390/nu16173028
Hua S, Vong V, Thomas AE, Mui Y, Poirier L. Barriers and Enablers for Equitable Healthy Food Access in Baltimore Carryout Restaurants: A Qualitative Study in Healthy Food Priority Areas. Nutrients. 2024; 16(17):3028. https://doi.org/10.3390/nu16173028
Chicago/Turabian StyleHua, Shuxian, Vicky Vong, Audrey E. Thomas, Yeeli Mui, and Lisa Poirier. 2024. "Barriers and Enablers for Equitable Healthy Food Access in Baltimore Carryout Restaurants: A Qualitative Study in Healthy Food Priority Areas" Nutrients 16, no. 17: 3028. https://doi.org/10.3390/nu16173028