This week,
Ellen Kersten, a University of California, Berkeley PhD candidate and this year’s winner of PCD’s 2012 student research contest, investigates the availability of nutritious foods in small food stores in six predominantly urban counties in Northern California. PCD interviewed Kersten about her research and asked her what she has planned after graduation.
We received 45 submissions this year, which was more than 4 times the number of submissions as last year, the contest’s first. The strong response this year reaffirms the primary goal of the contest: to recognize outstanding student research and give students an opportunity to publish their work. The contest also represents
The food environment has generated great interest, including defining food deserts and determining the effect of the availability of healthy foods on diet and obesity. Kersten and colleagues examined one of the fundamental tools for exploring the food environment: North American Industry Classification System (NAICS) codes. NAICS is “the standard used by federal statistical agencies in classifying business establishments for the purpose of collecting, analyzing, and publishing statistical data related to the US business economy” (
They found that the NAICS code for small grocery stores represents a heterogeneous set of stores, not a single, homogeneous group. The types and numbers of nutritious food items offered by the stores in the study sample varied substantially, suggesting that NAICS codes may not be appropriate for epidemiologic studies, including studies that seek to identify food deserts or determine the association of store characteristics with behavioral and health outcomes. This study illustrates that data designed for one purpose can pose problems when used for another purpose; they should be used only after carefully considering their reliability and validity in the context in which they are being used. This valuable information will affect future research and program planning.
Ms Kersten’s article also reminds all of us who are dedicated to improving the health and well-being of the public that issues are sometimes more complex than expected, that items are not always what they appear to be, and that the validity of the basic measurements on which we commonly rely must be ensured. During the review process, the relevance of this study became clear, and the measurement issues raised and their effect on research were readily apparent. Equally important, however, was the observation from a reviewer who works in the field that the findings would fundamentally change the way programs and policies are designed and developed. If high-need areas are to be correctly identified and given top priority, Kersten and colleagues astutely note, incentive programs designed to increase the offerings of healthy foods may require more information on community context than is available from food store classifications derived from commercially available codes.
We congratulate Ms Kersten for her contributions to the field of public health; findings from her work have immediate implications for research, programs, and policy. Her work also accurately reflects the quality of submissions to the
The final decision was difficult. Many submissions were well-researched, well-written, and worthy of publication.
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