A Healthy Makeover: Nutrition-based Initiatives at Feeding America Food Banks in the United States Public
Handforth, Becky Nicole (2011)
Abstract
Food banks form the foundation of the United States' emergency
food system under the umbrella
organization, Feeding America. The predominant mission of food
banks is to alleviate food
insecurity, which was experienced in 2009 by 17.4 million
households in the United States. To
achieve their mission, food banks historically did not
differentiate between donations based on
nutritional value. However, given the prominence of obesity and
diet-related diseases among
food insecure populations in the United States, some food banks
have shifted their operational
strategies to emphasize the distribution of nutritious products.
This exploratory qualitative study
assessed the role of nutrition at food banks, specifically focusing
on nutrition profiling systems,
nutrition policies and fresh produce distribution in this paper.
In-depth interviews were
conducted with 20 Feeding America food banks from June to October
2010. Transcribed
recordings were analyzed using MAXQDA10. Results show that
nutrition policies to eliminate
products, such as soda and candy, were more controversial than
nutrition profiling systems to
evaluate the quality of products. Most food banks showed a
concerted effort to allocate more
fresh produce to communities through an assortment of activities.
Notable concerns related to
these initiatives included: reducing the food options available to
food insecure populations;
jeopardizing donor relationships; and partner agency resource
limitations. The nutrition
paradigm shift undoubtedly provides improved access to nutritious
products for those living in
food insecure households, but the extent of its impact on
nutritional status deserves greater
attention in the future.
Table of Contents
Contents
Chapter 1: Introduction 1
Chapter 2: Literature Review 4
Food Insecurity in the United States 4
Food Insecurity and Obesity Paradox 9
Role of Food Banks 17
Significance of Study 27
Chapter 3: Manuscript 29
Abstract 32
Introduction 33
Methodology 36
Participant Selection 36
Data Collection Methods 37
Analysis 38
Results 39
Nutrition-based Initiatives 40
Influences on Nutrition-based Initiatives 46
Barriers to Nutrition-based Initiatives 51
Discussion 58
Conclusion 61
Chapter 4: Conclusions and Recommendations 63
References 67
Appendix A. U.S. Household Food Security Survey Module 71
Appendix B. Interview Guide 79
Appendix C. IRB Letter 82
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