Developing and Testing a User-Focused, Web GIS-Based Food Asset Map for an Under-Resourced Community in Northeastern Connecticut
Abstract
:1. Introduction
2. Materials and Methods
2.1. Research Overview
2.2. Theoretical Approach
2.3. Asset Mapping
2.3.1. Web GIS Development
2.3.2. User-Focused Design
2.4. Pilot Testing
2.5. Usability Testing
2.5.1. Participants
2.5.2. Procedure
2.5.3. Data Analysis
3. Results
3.1. Web-Based Asset Map
3.2. Pilot Testing Results
3.3. Usability Test Results
3.4. Associations Between Food Security and Map Usability
4. Discussion
5. Strength and Limitations
6. Conclusions and Future Research
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Afshin, A.; Sur, P.J.; Fay, K.A.; Cornaby, L.; Ferrara, G.; Salama, J.S.; Mullany, E.C.; Abate, K.H.; Abbafati, C.; Abebe, Z. Health effects of dietary risks in 195 countries, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet 2019, 393, 1958–1972. [Google Scholar] [CrossRef] [PubMed]
- Agurs-Collins, T.; Alvidrez, J.; Ferreira, S.E.; Evans, M.; Gibbs, K.; Kowtha, B.; Pratt, C.; Reedy, J.; Shams-White, M.; Brown, A.G. Perspective: Nutrition health disparities framework: A model to advance health equity. Adv. Nutr. 2024, 15, 100194. [Google Scholar] [CrossRef] [PubMed]
- United States Department of Agriculture Economic Research Service. Food Access Research Atlas. 2022. Available online: https://www.ers.usda.gov/data-products/food-access-research-atlas/documentation/ (accessed on 20 October 2022).
- Rose, D.; Bodor, J.N.; Swalm, C.M.; Rice, J.C.; Farley, T.A.; Hutchinson, P.L. Deserts in New Orleans? Illustrations of Urban Food Access and Implications for Policy; University of Michigan National Poverty Center/USDA Economic Research Service Research: Ann Arbor, MI, USA, 2009. [Google Scholar]
- DeWeese, R.; Ohri-Vachaspati, P. Disparities in Healthy Food Access: Are We Improving? FASEB J. 2017, 31, 45–47. [Google Scholar] [CrossRef]
- Gopika, G.; Raghuveer, V.; MD, V.K. A mini-review: Everything you need to know about food deserts. J. Environ. Sci. Public Health 2022, 6, 065–068. [Google Scholar] [CrossRef]
- Smets, V.; Vandevijvere, S. The changing landscape of food deserts and swamps in Flanders, Belgium. Eur. J. Public Health 2022, 32 (Suppl. S3), ckac129. 758. [Google Scholar] [CrossRef]
- Definitions of Food Security. Food Security in the U.S. 2023. Available online: https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/definitions-of-food-security/ (accessed on 25 October 2023).
- Jones, A.D.; Ngure, F.M.; Pelto, G.; Young, S.L. What are we assessing when we measure food security? A compendium and review of current metrics. Adv. Nutr. 2013, 4, 481–505. [Google Scholar] [CrossRef]
- Olaboye, J. Promoting healthy food access initiatives in urban areas of the USA: Strategies to address food insecurity and improve nutritional health. Int. J. Appl. Res. Soc. Sci. 2024, 6, 1244–1252. [Google Scholar]
- Ziso, D.; Chun, O.K.; Puglisi, M.J. Increasing access to healthy foods through improving food environment: A review of mixed methods intervention studies with residents of low-income communities. Nutrients 2022, 14, 2278. [Google Scholar] [CrossRef]
- Odoms-Young, A.; Brown, A.G.; Agurs-Collins, T.; Glanz, K. Food insecurity, neighborhood food environment, and health disparities: State of the science, research gaps and opportunities. Am. J. Clin. Nutr. 2023, 119, 850–861. [Google Scholar] [CrossRef]
- Li, W.; Cao, S. Geographic poverty caused by distance to market. J. Infrastruct. Policy Dev. 2024, 8, 4535. [Google Scholar] [CrossRef]
- Luo, Y.; Ruggiano, N.; Bolt, D.; Witt, J.-P.; Anderson, M.; Gray, J.; Jiang, Z. Community asset mapping in public health: A review of applications and approaches. Soc. Work Public Health 2023, 38, 171–181. [Google Scholar] [CrossRef] [PubMed]
- Romses, K.; Stephens, T.; Tran, R.; Crocker, B.; Lam, V. Vancouver Food Asset Map helps users find food easily. Can. J. Diet. Pract. Res. 2017, 78, 163. [Google Scholar]
- de Jesus, E.G.V.; Brito, P.L.; de Oliveira Fernandes, V. Interaction problems found through usability testing on interactive maps. In Advances in Cartography and GIScience: Selections from the International Cartographic Conference 2017 28; Springer: Berlin/Heidelberg, Germany, 2017; pp. 255–268. [Google Scholar]
- Consavage Stanley, K.; Harrigan, P.B.; Serrano, E.L.; Kraak, V.I. A systematic scoping review of the literacy literature to develop a digital food and nutrition literacy model for low-income adults to make healthy choices in the online food retail ecosystem to reduce obesity risk. Obes. Rev. 2022, 23, e13414. [Google Scholar] [CrossRef] [PubMed]
- Trude, A.C.; Lowery, C.M.; Ali, S.H.; Vedovato, G.M. An equity-oriented systematic review of online grocery shopping among low-income populations: Implications for policy and research. Nutr. Rev. 2022, 80, 1294–1310. [Google Scholar]
- Cortés, D.E.; Zack, R.M.; Odayar, V.; Moyer, M.; Kumar, A.; Maia, J.L.; Bronico, J.V.R.; Granick, J. The Impact of the COVID-19 Pandemic on Food Access: Insights from First-Person Accounts in a Safety-Net Health Care System. J. Health Care Poor Underserved 2024, 35, 37–54. [Google Scholar] [CrossRef] [PubMed]
- Woodward-Lopez, G.; Esaryk, E.; Rauzon, S.; Hewawitharana, S.C.; Thompson, H.R.; Cordon, I.; Whetstone, L. Associations between Changes in Food Acquisition Behaviors, Dietary Intake, and Bodyweight during the COVID-19 Pandemic among Low-Income Parents in California. Nutrients 2023, 15, 4618. [Google Scholar] [CrossRef]
- Troy, A.L.; Ahmad, I.; Zheng, Z.; Wadhera, R.K. Food insecurity among low-income US adults during the COVID-19 pandemic. Ann. Intern. Med. 2024, 177, 260–262. [Google Scholar] [CrossRef] [PubMed]
- Rabbitt, M.P.; Hales, L.J.; Burke, M.P.; Coleman-Jensen, A. Household Food Security in the United States in 2022; USDA: Washington, DC, USA, 2023. [Google Scholar]
- Long, C. SNAP Emergency Allotments Are Ending; USDA: Washington, DC, USA, 2023. [Google Scholar]
- Polsky, J.Y. Trends in household food insecurity from the Canadian Community Health Survey, 2017 to 2022. Health Rep. 2024, 35, 0_1–28. [Google Scholar]
- Wells, W.; Jackson, K.; Leung, C.W.; Hamad, R. Food Insufficiency Increased After the Expiration of COVID-19 Emergency Allotments for SNAP Benefits in 2023: Article examines food insufficiency after the expiration of COVID-19 emergency SNAP benefits. Health Aff. 2024, 43, 1464–1474. [Google Scholar] [CrossRef]
- Evans, A.; Banks, K.; Jennings, R.; Nehme, E.; Nemec, C.; Sharma, S.; Hussaini, A.; Yaroch, A. Increasing access to healthful foods: A qualitative study with residents of low-income communities. Int. J. Behav. Nutr. Phys. Act. 2015, 12, S5. [Google Scholar] [CrossRef]
- Willis, K.L. Beliefs and Opinions of Low-Income Residents Living in a Food Desert in a Gulf Coast State. Ph.D. Thesis, Walden University, Minneapolis, MN, USA, 2019. [Google Scholar]
- Glanz, K.; Sallis, J.F.; Saelens, B.E.; Frank, L.D. Nutrition Environment Measures Survey in stores (NEMS-S): Development and evaluation. Am. J. Prev. Med. 2007, 32, 282–289. [Google Scholar] [CrossRef]
- Chen, X.; Kwan, M.-P. Contextual uncertainties, human mobility, and perceived food environment: The uncertain geographic context problem in food access research. Am. J. Public Health 2015, 105, 1734–1737. [Google Scholar] [CrossRef] [PubMed]
- Wamuyu, P.K. Bridging the digital divide among low income urban communities. Leveraging use of Community Technology Centers. Telemat. Inform. 2017, 34, 1709–1720. [Google Scholar] [CrossRef]
- Mocnik, F.-B. Why we can read maps. Cartogr. Geogr. Inf. Sci. 2023, 50, 1–19. [Google Scholar] [CrossRef]
- Cohen, N.; Ilieva, R.T. Expanding the boundaries of food policy: The turn to equity in New York City. Food Policy 2021, 103, 102012. [Google Scholar] [CrossRef]
- Soma, T.; Shulman, T.; Li, B.; Bulkan, J.; Curtis, M. Food assets for whom? Community perspectives on food asset mapping in Canada. J. Urban. Int. Res. Placemaking Urban Sustain. 2022, 15, 322–339. [Google Scholar] [CrossRef]
- Access Community Action Agency. ACCESS 2023 Community Needs Assessment. 2023. Available online: https://accessagency.org/wp-content/uploads/2023/05/ACCESS-2023-Community-Needs-Assessment-7.pdf (accessed on 12 January 2025).
- United States Census Bureau. 2021 ACS 1-Year Estimates Subject Table: Population for Whom Poverty Status is Determined-Percent Below Poverty Level. Available online: https://data.census.gov/map/050XX00US09110,09120,09130,09140,09150,09160,09170,09180,09190/ACSST1Y2023/S1701?layer=VT_2023_050_00_PY_D1&loc=41.5031,-72.8449,z8.3301 (accessed on 12 January 2025).
- United States Census Bureau. 2021 ACS 1-Year Estimates Subject Table: Median Income in the Past 12 Months. Available online: https://data.census.gov/map/050XX00US09001,09003,09005,09007,09009,09011,09013,09015/ACSDT1Y2021/B06011?layer=VT_2021_050_00_PY_D1&loc=41.5077,-72.8537,z8.1103 (accessed on 12 January 2025).
- Data USA. Health. Windham County, CT Profile. Available online: https://datausa.io/profile/geo/windham-county-ct#health (accessed on 12 January 2025).
- Avelino, D.C.; Duffy, V.B.; Puglisi, M.; Ray, S.; Lituma-Solis, B.; Nosal, B.M.; Madore, M.; Chun, O.K. Can ordering groceries online support diet quality in adults who live in low food access and low-income environments? Nutrients 2023, 15, 862. [Google Scholar] [CrossRef]
- Abraham, M. DataHaven Survey Finds Food Insecurity Nearly Doubled in Connecticut in 2022. 2022. Available online: https://www.ctdatahaven.org/blog/datahaven-survey-finds-food-insecurity-nearly-doubled-connecticut-2022 (accessed on 12 January 2025).
- Harper, K.; Belarmino, E.H.; Acciai, F.; Bertmann, F.; Ohri-Vachaspati, P. Patterns of food assistance program participation, food insecurity, and pantry use among US households with children during the COVID-19 pandemic. Nutrients 2022, 14, 988. [Google Scholar] [CrossRef]
- Uansri, S.; Kunpeuk, W.; Julchoo, S.; Sinam, P.; Phaiyarom, M.; Suphanchaimat, R. Perceived barriers of accessing healthcare among migrant workers in Thailand during the coronavirus disease 2019 (COVID-19) pandemic: A qualitative study. Int. J. Environ. Res. Public Health 2023, 20, 5781. [Google Scholar] [CrossRef] [PubMed]
- Carrillo, J.E.; Carrillo, V.A.; Perez, H.R.; Salas-Lopez, D.; Natale-Pereira, A.; Byron, A.T. Defining and targeting health care access barriers. J. Health Care Poor Underserved 2011, 22, 562–575. [Google Scholar] [CrossRef]
- Data Across Sectors for Health. Asset-Based Community Development (ABCD). 2024. Available online: https://www.dashconnect.org/asset-based-community-development (accessed on 12 January 2025).
- National Institute of Standards and Technology. Human Centered Design (HCD). Visualization and Usability Group 2021 May 3, 2021. Available online: https://www.nist.gov/itl/iad/visualization-and-usability-group/human-factors-human-centered-design (accessed on 12 January 2025).
- Mendez, D.D.; Duell, J.; Reiser, S.; Martin, D.; Gradeck, R.; Fabio, A. A methodology for combining multiple commercial data sources to improve measurement of the food and alcohol environment: Applications of geographical information systems. Geospat. Health 2014, 9, 71–96. [Google Scholar] [CrossRef] [PubMed]
- Martin, M.; Peters, B.; Corbett, J. Participatory Asset Mapping in the Lake Victoria Basin of Kenya. J. Urban Reg. Inf. Syst. Assoc. 2012, 24, 45. [Google Scholar]
- United States Department of Agriculture Food and Nutrition Service. USDA Expands Access to Online Shopping in SNAP, Invests in Future WIC Opportunities. 2020. Available online: https://www.fns.usda.gov/news-item/fns-001820 (accessed on 12 January 2025).
- WIC Research Policy Practice. Online Shopping. Available online: https://thewichub.org/priority-issues/online-shopping/ (accessed on 12 January 2025).
- SNAPtoHealth. WIC EBT. 2021. Available online: https://www.snaptohealth.org/wic-2/wic-ebt/ (accessed on 12 January 2025).
- United States Department of Agriculture Food and Nutrition Service. Stores Accepting SNAP Online. Available online: https://www.fns.usda.gov/snap/online (accessed on 5 September 2024).
- Oulton, K.; Oldrieve, N.; Bayliss, J.; Jones, V.; Manning, I.; Shipway, L.; Gibson, F. Using participatory and creative research methods to develop and pilot an informative game for preparing children for blood tests. Arts Health 2018, 10, 227–240. [Google Scholar] [CrossRef]
- Blumberg, S.J.; Bialostosky, K.; Hamilton, W.L.; Briefel, R.R. The effectiveness of a short form of the Household Food Security Scale. Am. J. Public Health 1999, 89, 1231–1234. [Google Scholar] [CrossRef] [PubMed]
- Kim, H.-Y. Statistical notes for clinical researchers: Chi-squared test and Fisher’s exact test. Restor. Dent. Endod. 2017, 42, 152. [Google Scholar] [CrossRef]
- Walker, R.E.; Keane, C.R.; Burke, J.G. Disparities and access to healthy food in the United States: A review of food deserts literature. Health Place 2010, 16, 876–884. [Google Scholar] [CrossRef]
- Wainer, A.; Robinson, L.; Argueta, C.M.; Cash, S.B.; Satin-Hernandez, E.; Chomitz, V.R. At the nexus of grocery access and transportation: Assessing barriers and preferences for alternative approaches to enhancing food access. J. Transp. Health 2023, 33, 101712. [Google Scholar] [CrossRef]
- Ma, X.; Liese, A.D.; Bell, B.A.; Martini, L.; Hibbert, J.; Draper, C.; Burke, M.P.; Jones, S.J. Perceived and geographic food access and food security status among households with children. Public Health Nutr. 2016, 19, 2781–2788. [Google Scholar] [CrossRef]
- Dubowitz, T.; Ghosh-Dastidar, M.; Cohen, D.A.; Beckman, R.; Steiner, E.D.; Hunter, G.P.; Flórez, K.R.; Huang, C.; Vaughan, C.A.; Sloan, J.C. Diet and perceptions change with supermarket introduction in a food desert, but not because of supermarket use. Health Aff. 2015, 34, 1858–1868. [Google Scholar] [CrossRef]
- Martin, K.S.; Havens, E.; Boyle, K.E.; Matthews, G.; Schilling, E.A.; Harel, O.; Ferris, A.M. If you stock it, will they buy it? Healthy food availability and customer purchasing behaviour within corner stores in Hartford, CT, USA. Public Health Nutr. 2012, 15, 1973–1978. [Google Scholar] [CrossRef]
- Sisk, A.; Rappazzo, K.; Luben, T.; Fefferman, N. Connecting people to food: A network approach to alleviating food deserts. J. Transp. Health 2023, 31, 101627. [Google Scholar] [CrossRef] [PubMed]
- Bader, M.D.; Purciel, M.; Yousefzadeh, P.; Neckerman, K.M. Disparities in neighborhood food environments: Implications of measurement strategies. Econ. Geogr. 2010, 86, 409–430. [Google Scholar] [CrossRef]
- Eckert, J.; Shetty, S. Food systems, planning and quantifying access: Using GIS to plan for food retail. Appl. Geogr. 2011, 31, 1216–1223. [Google Scholar] [CrossRef]
- Hubley, T.A. Assessing the proximity of healthy food options and food deserts in a rural area in Maine. Appl. Geogr. 2011, 31, 1224–1231. [Google Scholar] [CrossRef]
- Macdonald, L.; Ellaway, A.; Ball, K.; Macintyre, S. Is proximity to a food retail store associated with diet and BMI in Glasgow, Scotland? BMC Public Health 2011, 11, 464. [Google Scholar] [CrossRef] [PubMed]
- Pontin, F.; Baudains, P.; Ennis, E.; Morris, M. Identifying drivers of food insecurity through linked data-the Priority Places for Food Index. Int. J. Popul. Data Sci. 2023, 8, 2277. [Google Scholar] [CrossRef]
- Mathenge, M.; Sonneveld, B.G.; Broerse, J.E. Mapping the spatial dimension of food insecurity using GIS-based indicators: A case of Western Kenya. Food Secur. 2023, 15, 243–260. [Google Scholar] [CrossRef]
- Mulrooney, T.; Wooten, T. Digital high-scale food security analysis: Challenges, considerations and opportunities. In International Conference on Geographical Information Systems Theory, Applications and Management; Springer: Berlin/Heidelberg, Germany, 2020; pp. 140–166. [Google Scholar]
- Lai, J.S.; Hiles, S.; Bisquera, A.; Hure, A.J.; McEvoy, M.; Attia, J. A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults. Am. J. Clin. Nutr. 2014, 99, 181–197. [Google Scholar] [CrossRef]
- Berggreen-Clausen, A.; Pha, S.H.; Alvesson, H.M.; Andersson, A.; Daivadanam, M. Food environment interactions after migration: A scoping review on low- and middle-income country immigrants in high-income countries. Public Health Nutr. 2022, 25, 136–158. [Google Scholar] [CrossRef]
Identified Issues | Description | Solutions |
---|---|---|
Mobile and tablet version | Residents may not have computers; mobile and tablet versions are needed | Developing mobile and tablet versions |
Font size | Older adults with poor vision need larger font sizes | Adjusting font sizes |
User guide | Some residents lack basic digital literacy, requiring a simple map usage guide | Developing a map user guide |
Map Usability Test 7 | |||
---|---|---|---|
Characteristic | % Participants (n) Who Passed (n = 43) | % Participants (n) Who Failed (n = 31) | p Value |
Age | 0.091 | ||
19–34 (n = 46) | 72.1 (31) | 48.4 (15) | |
35–50 (n = 19) | 20.9 (9) | 32.3 (10) | |
51+ (n = 9) | 7.0 (3) | 19.4 (6) | |
Gender | 0.943 | ||
Men (n = 29) | 39.5 (17) | 38.7 (12) | |
Women (n = 45) | 60.5 (26) | 61.3 (19) | |
Race and Ethnicity | 0.976 | ||
White/Caucasian (n = 28) | 39.5 (17) | 35.5 (11) | |
Latino/Hispanic (n = 19) | 25.6 (11) | 25.8 (8) | |
Black/African American (n = 4) | 4.7 (2) | 6.5 (2) | |
Others 1 (n = 23) | 30.2 (13) | 32.3 (10) | |
Primary Language | 0.557 | ||
English (n = 40) | 51.2 (22) | 58.1 (18) | |
Non-English (n = 34) | 48.8 (21) | 41.9 (13) | |
Household Type | 0.177 | ||
Adults only (n = 56) | 81.4 (35) | 67.7 (21) | |
Households with children (n = 18) | 18.6 (8) | 32.3 (10) | |
Education | 0.064 | ||
≤8th grade/Some High School (n = 5) | 2.3 (1) | 12.9 (4) | |
H.S graduate/Technical (n = 28) | 32.6 (14) | 45.2 (14) | |
College/Professional degree 2 (n = 41) | 65.1 (28) | 41.9 (13) | |
Employment | 0.080 | ||
Full-time/Part-time/Self-employed (n = 41) | 60.5 (26) | 48.4 (15) | |
Unemployed, active seeking (n = 14) | 11.6 (5) | 29.0 (9) | |
Unemployed, not seeking 3 (n = 13) | 23.3 (10) | 9.7 (3) | |
Unable to work (due to disability or other reasons) (n = 6) | 4.7 (2) | 12.9 (4) | |
Food Security Status 4 | <0.05 | ||
Food secure (n = 42) | 67.4 (29) | 41.9 (13) | |
Food insecure (n = 32) | 32.6 (14) | 58.1 (18) | |
# of Drivable Vehicles 5 | 0.071 | ||
0 vehicles (n = 27) | 27.9 (12) | 48.4 (15) | |
≥1 vehicles (n = 47) | 72.1 (31) | 51.6 (16) | |
Food Assistance Program Participation 6 | <0.05 | ||
None (n = 39) | 62.8 (27) | 38.7 (12) | |
≥1 program (n = 35) | 37.2 (16) | 61.3 (19) | |
Self-rated Health Status | 0.325 | ||
Poor/Fair (n = 22) | 23.3 (10) | 38.7 (12) | |
Good (n = 28) | 39.5 (17) | 35.5 (11) | |
Very Good/Excellent (n = 24) | 37.2 (16) | 25.8 (8) | |
Self-rated Diet Quality | <0.05 | ||
Poor/Fair (n = 29) | 30.2 (13) | 51.6 (16) | |
Good (n = 29) | 37.2 (16) | 41.9 (13) | |
Very Good/Excellent (n = 16) | 32.6 (14) | 6.5 (2) |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Chen, X.; Mofrad, M.D.; Clements, S.; Killion, K.; Johnson, T.; Chen, X.; Zigmont, D.; Avelino, D.C.; Lituma-Solis, B.; Puglisi, M.J.; et al. Developing and Testing a User-Focused, Web GIS-Based Food Asset Map for an Under-Resourced Community in Northeastern Connecticut. Nutrients 2025, 17, 911. https://doi.org/10.3390/nu17050911
Chen X, Mofrad MD, Clements S, Killion K, Johnson T, Chen X, Zigmont D, Avelino DC, Lituma-Solis B, Puglisi MJ, et al. Developing and Testing a User-Focused, Web GIS-Based Food Asset Map for an Under-Resourced Community in Northeastern Connecticut. Nutrients. 2025; 17(5):911. https://doi.org/10.3390/nu17050911
Chicago/Turabian StyleChen, Xiran, Manije Darooghegi Mofrad, Sydney Clements, Kate Killion, Thess Johnson, Xiang Chen, Donna Zigmont, Daniela C. Avelino, Brenda Lituma-Solis, Michael J. Puglisi, and et al. 2025. "Developing and Testing a User-Focused, Web GIS-Based Food Asset Map for an Under-Resourced Community in Northeastern Connecticut" Nutrients 17, no. 5: 911. https://doi.org/10.3390/nu17050911
APA StyleChen, X., Mofrad, M. D., Clements, S., Killion, K., Johnson, T., Chen, X., Zigmont, D., Avelino, D. C., Lituma-Solis, B., Puglisi, M. J., Duffy, V. B., & Chun, O. K. (2025). Developing and Testing a User-Focused, Web GIS-Based Food Asset Map for an Under-Resourced Community in Northeastern Connecticut. Nutrients, 17(5), 911. https://doi.org/10.3390/nu17050911