Abstract
Accounts of the retail food environment have been limited by research that focused on supermarkets, grocery stores and restaurants as the principal food sources for consumers. Little is known about alternative retail food-sources, especially in rural and underserved areas such as the colonias along the South Texas border with Mexico. Many colonias are located near pulgas (flea markets). This is the first study to examine this alternative food source for colonia residents. This study's purpose is to provide preliminary data on food availability in this unstudied element of the retail food environment. Five pulgas were identified for study by local informants. Two separate teams of two promotores (indigenous community health workers) conducted observations, wrote field notes, and surveyed vendors in each pulga. Traditional foods, prepared foods, and fresh fruit and vegetables were available in the observed pulgas. Traditional foods included staples, meal items, and snacks and sweets. Prepared foods were available in small stands run by independent operators, and each pulga had permanent restaurants which served prepared foods. A large variety of fresh fruit and vegetables were also available. An emphasis on supermarkets and grocery stores will provide an incomplete account of the retail food environment. Further studies should attempt to provide a more complete account by identifying alternative retail sources used by local residents. One such alternative retail food-source, the pulga, provides a range of traditional food stuffs, prepared food items, and fruits and vegetables that complement conventionally studied aspects of the retail food environment.
Keywords: Colonias, retail food environment, pulgas, South Texas
INTRODUCTION
The consumption of healthy foods such as fruits and vegetables, and foods low in fat and sugar plays a role in the prevention and management of a number of chronic diseases.1, 2 The retail food environment impacts healthy food intake. Accessibility, defined as proximity to supermarkets or grocery stores, has been associated with higher intake of fruits and vegetables.3–7 Food availability studies examine the variability of food among stores within a retail food environment.8–10 Although little is known about the availability of healthy food in rural areas,9, 11, 12 residing or shopping in an area with a wide variety of fruits and vegetables has been positively associated with greater fruit and vegetable intake.3, 5, 7, 9, 13
Traditionally studied retail food environment components include supercenters, supermarkets, grocery stores and fast-food and full-service restaurants. 8, 11, 14 The scope of this research has been expanded to consider the accessibility and availability of food items in nontraditional components of the retail food environment including dollar stores and mass merchandisers,8–10, 15 and farmers' markets.16, 17
One relatively unstudied rural food environment is the one shared by Mexican and Mexican-American residents of colonias in South Texas.14Colonias are defined by the Texas Office of the Attorney General as “substandard housing developments, often found along the Texas-Mexico border, where many residents lack basic services such as drinking water, sewage treatment, and paved roads.”18 Ward's seminal study describes colonias as informal low-income communities of trailers and self-built housing located in extra-jurisdictional areas.19 Many colonias are located near pulgas. Observations from interviews and prior studies, including a recent community assessment of colonias in South Texas identified the importance to colonia residents of pulgas as a food source.20, 26 This study is the first to describe this alternative food source for colonias by cataloguing the foods available from vendors operating within pulgas.
METHODS
Setting
This study was conducted in five pulgas located near clusters of colonias in the Alton, Mercedes, and San Carlos areas of Hidalgo County, South Texas. Hidalgo County has a 2005 poverty rate of 43.6%; one of the ten poorest counties in the U.S.21 Percentages of adults with diabetes in South Texas are higher than the rest of the U.S. and the percentage of Hispanics with diabetes is higher in South Texas than in the rest of Texas. The prevalence of obesity is higher in South Texas than in the rest of Texas and nationally.22 The Mexican Americans and Mexican immigrants living in this area are among the most difficult to reach and disadvantaged communities in the U.S.23 Hidalgo County suffers from persistent poverty defined by the USDA-ERS as 20% of the county below the poverty line across the last thirty years, here measured from the 1970 Census.24 Of the approximately 1524 colonias and 400,000 colonia residents in Texas, 60% of the colonias are estimated to be in Hidalgo County.19 Ward describes the population of colonias in South Texas as largely composed of American citizens of Mexican origin.19 According to 2000 data, the towns of Alton, San Carlos and Mercedes were respectively 97.9%, 97.1% and 90% Hispanic or Latino which differs from the national estimate of 12.5%. The percentages of families below the poverty line in the 2000 U.S. census were 38.7%, 60% and 30.4% respectively for the same towns. These estimates also differed from the national estimate of 9.2%.25
Sample, Survey and Data Collection
Five pulgas were identified for study though consultation with community informants including project affiliated promotores as popular among colonia residents near Alton, Mercedes and San Carlos, TX. Pulgas are private facilities and their owners or operators were approached by promotores for permission to collect data from vendors. One pulga owner refused to allow a survey of vendors in their pulga and gave no reason for this refusal. Within the pulgas, vendors rent tables and booths to sell produce and other items including clothing, shoes, music, and household goods. Vendors within participating pulgas were sampled if food items for sale were observed. Of 217 vendors approached by promotores, 141 vendors among the four remaining pulgas completed a survey with a response rate of 65.0%. Some vendors were too busy making sales to participate. Food vendors in Texas are regulated and monitored by the county health departments. Individuals who sell food items prepared off-site must operate from a licensed food-service operation. Promotores had to assure some vendors they did not work for the health department, and some vendors may not have participated because of their concerns about this authority. The promotores also suggested many vendors may be fearful of engaging with individuals who could represent the U. S. Immigration and Customs Enforcement.
The survey was adapted from a previous Spanish-language instrument designed to study mobile food vendors in colonias.26 It included items to capture foods sold, other food characteristics, and vendors' demographic characteristics. A literature review on popular foods in the region, discussions with promotores and other local residents, and site visits augmented the lists of food items on the survey. The instrument was not tested for reliability against preexisting instruments as no such instrument exists, however the instrument does have face validity based on pretesting and revision with community experts.
The promotores involved in this project were all local residents and native speakers of Spanish with proven skills at outreach among the resident population of local colonias. The promotores participated in one day of training that included recruiting and consenting participants, administering the survey, conducting observations, and writing field notes. Research teams approached the owner or manager of the pulga, presented an information sheet available in English and Spanish describing the study's purpose, and requested permission to conduct the study on pulga grounds. To capture the widest variety of vendors, pulgas were visited twice, once on a weekday and once on a weekend day. Within each pulga, each team of researchers approached a vendor, described the study purpose, asked the vendor to review the information sheet, offered a five dollar participation incentive, and administered a vendor survey, or accepted a refusal. Some pulga vendors sold on both days, but were only surveyed once. In addition to administering surveys, promotores took photographs and observational notes. Results from this observational data are reported elsewhere.27 Procedures and instruments used in this study were approved by the Texas A&M University Institutional Review Board.
Survey Instrument
Sociodemographic characteristics included gender, age, years of education completed, national origin and if vendor resided in a colonia. Business characteristics included number of years as a pulga vendor, one way distance from vendor's residence to pulga, percentage of household income derived from pulga sales, employment status as a pulga vendor (full time or not), family participation, and whether vendors marketed at more than one pulga.
Food items marketed included taqueria/tacos, tamales, menudo (tripe soup), hot dogs, nieves (ice cream), raspas (snow cones), elotes (corn with cheese, mayonnaise and chile), churros (sugary fried dough), frutas/verduras (fruits and vegetables), frutas y aguas frescas/refrescos Mexicanos (fruit waters, and Mexican and American soft drinks), animales granjas-chivos, vacas, marranos, aves, etc. (farm animals-goats, cattle, pigs, and poultry), carnitas or chicharrones de puerco (roasted pork and deep fried pork skin), and an “other” category. Other responses were combined with the initial categories to create categorical variables for fruits and vegetables; taquerias; prepared hot foods; frozen sweet items; sweet and fried items; salty snacks; candy; bread and tortillas; sweetened breads; herbs and spices; live goats, cattle, pigs, and poultry; and juice. Separate categories were created for sodas and aguas frescas (sugar-sweetened fruit waters), and an inclusive category for all sugar-sweetened beverages. Food characteristics included food source and traditional character of food item.
Data Analysis
Frequencies and percentages were calculated separately for each pulga, and used to describe the demographic characteristics of the 141 participant vendors and items for sale at their stands. All analyses were conducted using STATA (version 11, 2009, STATA Corp., College Station, TX).
RESULTS
Demographic characteristics of the pulga vendors for the four pulgas can be seen in Table 1. The majority of surveyed pulga vendors were women. The overall mean age was 42.8 years (range across the four pulgas from approximately 39 to 45 years) and years of education was 7.9 years. The majority was born in Mexico, and resided in a colonia. Vendors had spent approximately six to eight years selling products in the pulgas. Although most responses were fairly similar across the four pulgas, notable differences were present for the percentage of household income and full-time employment connected to the pulga.
Several foods were recorded for the other category in the foods item. Other responses reclassified as prepared foods included pollo de mole (chicken in a chile and chocolate sauce), burritos, tortas (Mexican sandwiches), chiles rellenos (battered and fried chiles stuffed with meat or cheese), sopes (thick corn tortillas with toppings), barbacoa (beef cheek), caldo (soup), cabrito (goat meat/kid), tostadas (fried corn tortillas with toppings), gorditas (thick corn tortillas stuffed with meat or vegetables), pupusas (Salvadoran meat pies), tamales Salvadoreños (Salvadoran tamales steamed in banana leaves), spiropapas (spiral potatoes), and frijoles (beans). Other cold and sweet deserts included shakes and paletas (popsicles). Other fruits and vegetables included garlic, nopales (cactus), tunas (prickly-pear fruit), mangos, and watermelon. Other salty snacks included chicharrones (fried starch resembling fried pork skin), nachos, botanas (fried appetizers), peanuts, and semillas (nuts such as pumpkin seeds). Other sugar-sweetened beverages included American and Mexican soft drinks.
Items sold by vendor (including the other category) for each pulga, and combined for the entire sample are shown in Table 2. Sugar-sweetened beverages were the most common item available (41.8% of vendors surveyed), followed closely by fresh fruits and vegetables (39.7%), salty snacks (27.7%), prepared hot foods (22.7%), and candy (22%). Taquerias selling tacos and other items were also common with 21 opportunities for purchase distributed across all four pulgas. Notably absent were eggs, and dairy products were represented by three vendors selling cheese. Cheese and eggs were available in prepared food items.
Characteristics of foods sold in the pulgas are not shown in table form. Approximately 40% of the vendors (n=57) sold food produced in Mexico, and approximately 48% of vendors (n=67) described their food items as traditional Mexican foods. Vendors who marketed fresh fruits and vegetables mainly purchased produce from a wholesaler (89.6%, n=43); five vendors purchased their produce for sale from retail outlets (6.3%). No vendors sold their own fruits and vegetables and one (2.1%) purchased fruits and vegetables from local farmers.
DISCUSSION
This study extends knowledge of the retail food environment, and is apparently the first study to examine the availability of fruits and vegetables, salty and sweet snacks, traditional foods, and prepared foods within pulgas. It is also one of the few studies that examines the retail food environment of South-Texas colonias.14 This analysis discovered a variety of food options available in the pulgas. The findings indicate a large proportion of the available food items to be traditional elements of the Mexican and Mexican-American diet.
Demographic characteristics indicate that pulga vendors are not only similar to colonia residents in regards to their Mexican origins, but are also largely residents of colonias. The ties of vendors to nearby colonias are further suggested by the relatively short distance travelled by vendors from home to their stands in the pulga.
Although some variations exist in the percentage of income derived by vendors from pulga sales and the percentage of vendors who are fully employed as vendors, these results indicate the importance of pulga vending to the livelihood of vendor families. This importance is further suggested by the large number of vendors who work with fellow family members in their stalls, and who sell in multiple pulgas throughout the week. The number of years employed as vendors also indicates some stability to this form of employment.
Research on food availability has extended its characterization of the retail food environment from traditional outlets such as supermarkets and grocery stores8, 11, 14 to non-traditional outlets including dollar stores, farmers' markets, and fruit stands.8–10, 15–17 By focusing on food availability in pulgas, this research agenda has been furthered by enrichening the variety of food sources available in South Texas. Any picture of this retail food environment that disregards pulgas will have ignored a potentially important source of fruits, vegetables, and other foods.
This study has some limitations. As the first such study of this aspect of the retail food environment, it only examines four pulgas. Thus, this assessment of the availability of fruits, vegetables and other foods may not speak to the regional availability of these items in pulgas. However, these are the only pulgas located near clusters of colonias in the Alton, Mercedes, and San Carlos areas. This study cannot address differences between participants and those who refused. As some vendors were too busy to participate, more successful vendors may be underrepresented in the sample. This assessment focuses on availability and vendor characteristics, and cannot speak to important issues from the consumer perspective including the accessibility and utilization of pulgas. Finally, price data was not collected, prohibiting an assessment of item affordability, although the promotores observed that many customers shopped at pulgas because food was cheaper than in conventional outlets. Nevertheless, this study indicates that pulgas do make available a variety of food options, including fruits and vegetables, and traditional food items, to nearby colonia residents.
CONCLUSION
The pulgas make available to colonia residents a variety of culturally important and appropriate foods including imported Mexican goods and traditional Mexican and Mexican-American food items, such as prepared dishes and ready to eat items.28 While many of these items are available from conventionally studied components of the retail food environment such as supermarkets, the pulga setting is an appealing one that bears a strong resemblance to the Mexican markets familiar to many residents of South Texas colonias.28, 29
This study is preliminary work that examines the food environment of pulgas in one county in South Texas, however anecdotal evidence and reports from promotores and other research informants suggest that pulgas are becoming commonplace in locations with large populations of Mexican immigrants throughout the U.S., especially along the border with Mexico, and in large urban centers such as Los Angeles, San Diego, Houston, and Austin.29 A complete account of the retail food environment in South Texas, and in other U.S. locations with large Mexican immigrant populations calls for a closer and more extensive examination of pulgas.
It is important for policy makers and local practitioners to be aware of the full set of available retail food options. Initial results indicate the potential importance of pulgas to the retail food environment of colonia residents. Thus, practitioners in locations that incorporate pulgas into the retail food environment should ask clients if they shop at pulgas, and what food items they purchase there. In turn, further research on the retail food environment in largely Mexican American and Mexican-immigrant locations such as South Texas should establish how often residents shop at pulgas and what items they purchase. While pulgas sell many of the same items one can find at a supermarket or a farmers' market, they are dissimilar. Unlike farmers' markets, pulgas are not a direct conduit between producers and consumers. Furthermore, products available in many farmers' markets and ubiquitous in supermarkets such as eggs and dairy products were mostly unavailable in pulgas. Unlike many products in supermarkets, nutritional information is not provided on labels in pulgas with the exception of prepackaged items purchased elsewhere for resale, suggesting that clients who purchase prepared foods from pulgas may require dietary advice in a different form from that provided for those who shop primarily in supermarkets. Perhaps the most important observation from a health and nutrition perspective is that many vendors sell fresh fruits and vegetables, although this should be tempered by the even larger number of vendors selling less-healthy items such as sugar-sweetened beverages and fried foods. Thus, pulgas provide another option to purchase fruits and vegetables for low-income and poverty-level clients who may have limited transportation and difficulty accessing other retail outlets. Pulgas may also provide an important avenue for nutritional interventions such as the establishment of Electronic Benefit Transfer terminals to allow Supplemental Nutrition Assistance Program recipients to take advantage of local pulgas.
Practitioners who wish to implement nutritional interventions in pulgas should be cognizant of the demographic profile of pulga vendors and respectful, well-informed and socially integrated with this largely Mexican-immigrant cultural milieu, preferably by employing locally engaged community representatives such as the promotores who were involved in this research project. The potential linkages between pulga vendors and colonia residents may be advantageous to those implementing nutritional interventions as pulga vendors may understand the consumers who stand to benefit from these interventions to be members of their own community. Finally, based on the relative importance of pulga vending to the overall livelihood of vendor families, practitioners should show a cautious regard when implementing nutritional interventions that could impact the sales of pulga vendors. An unsuccessful intervention may not only fail to improve consumer well being, but may also harmfully impact a pulga vendor's family.
Further study of the pulgas as an element of the retail food environment will provide policy makers with a more accurate depiction of the options available to promote healthy eating among colonia residents. Such research will facilitate the crafting of more finely-tuned policies to assure the availability of healthy food items to the disadvantaged colonia neighborhoods of South Texas.
Table 1.
Pulgas |
|||||
---|---|---|---|---|---|
Pulga 1 (n=41) | Pulga 2 (n=23) | Pulga 3 (n=34) | Pulga 4 (n=43) | Total (n=141) | |
Sociodemographic characteristics | |||||
Female, % (n) | 80 (33) | 70 (16) | 65 (22) | 77 (33) | 73.8 (104) |
Age in years, mean ± s.d. | 43.9±14.6 | 42.4±14.3 | 39.3±11.8 | 44.6±14.2 | 42.8±13.8 |
Education in years, mean ± s.d. | 9.1±4.1 | 7.4±3.6 | 8.8±3.6 | 8.2±3.5 | 7.9±4.2 |
National origin, % (n) | |||||
U.S. | 8.1 (3) | 18.2 (4) | 17.2 (5) | 15.8 (6) | 14.3 (18) |
Mexico | 92 (34) | 81.8 (18) | 79.3 (23) | 79.0 (30) | 83.3 (105) |
El Salvador | 0 | 0 | 0 | 5.3 (2) | 1.6 (2) |
Nicaragua | 0 | 0 | 3.5 (1) | 0 | 0.8 (1) |
Colonia resident, % (n) | 87.8 (36) | 86.96 (20) | 64.7 (22) | 76.7 (33) | 78.8 (111) |
Business characteristics | |||||
Years as vendor | 6.1±6.7 | 6.7±5.2 | 6.3±9.0 | 5.5±6.7 | 6.1±7.1 |
Distance from home in miles, mean ± s.d. | 13.9±14.6 | 13.2±13.4 | 11.4±9.5 | 15.7±12.7 | 13.7±12.7 |
Full time vendor, % (n) | 12.2 (5) | 8.7 (2) | 58.8 (20) | 62.79 (27) | 38.3 (54) |
Income from vending, % (n) | 33.2±41 | 32.5±21.7 | 68.2±26.9 | 59.0±35.8 | 48.8±33.2 |
Family participation | |||||
≥ 1relative employed, % (n) | 68.3 (28) | 91.3 (21) | 44.1 (15) | 53.5 (23) | 61.7 (87) |
≥ 1 children employed, % (n) | 0 | 0 | 5.9 (2) | 0 | 1.4 (2) |
Sell at multiple pulgas, % (n) | 19.5 (8) | 82.6 (19) | 32.4 (11) | 51.2 (22) | 44.0 (60) |
Table 2.
Pulga Name (n) |
|||||
---|---|---|---|---|---|
Stall Type by Item Sold | Pulga 1 (41) | Pulga 2 (23) | Pulga 3 (34) | Pulga 4 (43) | Total (141) |
Fresh fruits and vegetables | 24.4 (10) | 47.8 (11) | 61.8 (21) | 32.6 (14) | 39.7 (56) |
Prepared hot food items | |||||
Taquerias | 12.2 (5) | 21.8 (5) | 5.9 (2) | 20.9 (9) | 14.9 (21) |
All prepared hot foods | 17.1 (7) | 30.4 (7) | 17.7 (6) | 27.9 (12) | 22.7 (32) |
Snack items | |||||
Frozen sweet items | 4.9 (2) | 13.0 (3) | 5.9 (2) | 14.0 (6) | 9.2 (13) |
Sweet and fried items | (0) | 4.4 (1) | (0) | 2.3 (1) | 1.4 (2) |
Salty snacks | 14.6 (6) | 17.4 (4) | 41.2 (14) | 34.9 (15) | 27.7 (39) |
Candy | 14.6 (6) | 13.0 (3) | 23.5 (8) | 32.6 (14) | 22.0 (31) |
Breads | |||||
Bread and tortillas | 7.3 (3) | 8.7 (2) | 2.9 (1) | 2.3 (1) | 5.0 (7) |
Sweetened breads | 4.9 (2) | (0) | (0) | 9.3 (4) | 4.3 (6) |
Drinks | |||||
Sodas | 34.2 (14) | 30.4 (7) | 5.9 (2) | 37.2 (16) | 27.7 (39) |
Sugar-sweetened fruit waters | 39.0(16) | 34.8 (8) | 14.7 (5) | 18.6 (8) | 26.2 (37) |
Total sugar-sweetened beverages | 56.1 (23) | 43.5 (10) | 17.7 (6) | 46.5 (20) | 41.8 (59) |
Juice | 2.4 (1) | (0) | (0) | 2.3 (1) | 1.4 (2) |
Live goats, cattle, pigs, and poultry | 12.2 (5) | 4.4 (1) | (0) | (0) | 4.3 (6) |
Herbs and spices | (0) | 8.7 (2) | (0) | 2.3 (1) | 2.1 (3) |
Acknowledgments
This research was supported with funding from the National Institutes of Health (NIH)/National Center on Minority Health and Health Disparities (# 5P20MD002295) and the Centers for Disease Control and Prevention (CDC), Prevention Research Centers Program, through the Center for Community Health Development (#5U48DP000045). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH and CDC. We would like to thank the vendors and pulga owners who participated in this study. We would also like to thank the team promotores for their hard work in data collection: Maria Davila Castillo, Maria Ortiz, Olga Castilleja, and Aracely Garibay.
Footnotes
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NOTES
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