The Influence of Gender and Self-Efficacy on Healthy Eating in a Low-Income Urban Population Affected by Structural Changes to the Food Environment

Table 2

Summary of nutrition-focused, system and environmental change strategies in Los Angeles County, 2010–2012.

Type of strategy	Target setting	Strategy summary
Institutional policies or practices on healthy food procurement, for food and vending services.	Government	(i) County of Los Angeles Board motion mandating healthy nutrition standards and food procurement practices in 37+ county departments.
	Cities	(ii) Adoption of healthy nutrition standards and food procurement practices in at least ten low-income cities with high obesity prevalence.
Breastfeeding promotion and accommodations in the workplace.	Government; Private employers	(i) Institutional policy to provide lactation accommodations in the workplace for county departments and other employers in the region.
	Hospitals	(ii) Attaining “Baby Friendly” hospital certifications to increase breastfeeding promotion at four to five large, safety-net hospitals in low-income areas of Los Angeles County.
Improving food quality in grocery stores, corner stores, and/or farmers markets.	Cities	Efforts to increase access to healthy foods through corner store conversions and farmers markets in at least two cities with low-income neighborhoods.
Public education through health marketing and other social media approaches.	County/city; general population	Dissemination of multipronged public education campaigns (e.g., sodium and sugary drink reduction campaigns) designed to promote healthy eating in the community through social and traditional media channels.