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editorial
. 2020 Oct;110(10):1495–1497. doi: 10.2105/AJPH.2020.305779

TABLE 1—

Characteristics of Different Types of Approaches That Address Food Access Inequities

Food Access Approach
1.0 Purchasing Power 2.0 Availability 3.0 Structural Change
Problem definition Lack of household income to purchase healthy food Lack of geographic access to healthy food Underlying structural and policy inequities that lead to lack of household resources and healthy food stores
Intervention approach Food assistance Financing of grocery stores in underserved areas; small-store stocking programs Alternative food system interventions that increase employment, mentor youths, and advocate system change, while improving healthy food access and purchasing power
Example program or organization Supplemental Nutrition Assistance Program Healthy Food Financing Act Grow Dat Youth Farm, Fresh Moves Mobile Markets, Propeller, Detroit Black Community Food Security Network
Operation Federally run Federal, state, and some private financing, state or locally run Usually locally run by nonprofit or socially oriented businesses, with some federal, state, local, or private sector support
Community participation Little to no input in operations but contributes to advocacy for change Some input on programming, including store locations Extensive input and oversight in design and implementation