1. Beth Racine, DrPH, RD UNC Charlotte

2. “Support Healthier Eating Patterns for All” What’s the problem? What Americans Eat Weight Status of Children in Charlotte region Policy and Business Role in “supporting healthy eating” The Role of SNAP Foods in Food Deserts

3. http://world.time.com/2013/09/20/hungry-planet-what-the-world- eats/photo/nor_130523_139_x/

5. 26 Elementary Schools in the Charlotte-Mecklenburg School System Height and Weight measured in spring 2015 by PE teachers It’s difficult to compare these stats to other sources n% Underwt5594% Normal894760% Overweight238816% Obese221615% Severly Obese8716% 14981100%

6. GirlsBoys Low Poverty Schools High Poverty Schools Low Poverty Schools High Poverty Schools Asian0%6%3% 7% Black5%7%5% 7% Hispanic4%7%6% 11% White1%6%2% 6%

7. Nutrition education C Changing the food served in schools Increasing the opportunities for physical activity Where is the problem the greatest? Roles of SNAP and Food Stores

8. SNAP Redemptions for NC Store TypeRedemptions % of Total Redeeming Stores Direct Marketing Farmer $42,151 0.002% 20 Farmers' Market $111,461 0.005% 42 Non-profit Food Buying Co-op $525,966 0.02% 7 Fruits/Veg Specialty $605,386 0.02% 62 Bakery Specialty $1,301,634 0.05% 56 Delivery Route $1,513,634 0.06% 32 Seafood Specialty $4,573,566 0.19% 105 Military Commissary $6,623,998 0.27% 7 Meat/Poultry Specialty $14,467,572 0.59% 113 Small Grocery Store $17,349,798 0.71% 343 Medium Grocery Store $27,902,476 1.14% 205 Large Grocery Store $28,465,448 1.16% 68 Convenience Store $86,292,708 3.52% 3,827 Combination Grocery/Other $140,068,193 5.71% 2,888 Super Store $968,189,247 39.50% 365 Supermarket $1,153,150,356 47.04% 1,137 TOTALS $2,451,183,594 100.00% 9,277 Data requested from USDA FNS

9. Using data from Racine EF, Wang Q, Wilson C. Mecklenburg County Community Food Assessment, Mecklenburg County Health Department, 2010.

10. Racine EF, Wang Q, Laditka SB, Johnson CR, Mignery A. The Characteristics and Concentration of SNAP Approved Stores and Community Health. Journal of Hunger and Environmental Nutrition. 2013; 8(3), 350-361.

28. SNAP CategoryRedemption $% of total# of stores Non-profit Food Buying Co-op $107,840 (redacted)0.04% 1 Delivery Route3 Direct Marketing Farmer1 Farmers' Market1 Combination Grocery/Other$12,175,3935%217 Convenience Store$8,971,8004%306 Fruits/Veg Specialty$19,1710.01%7 Large Grocery Store$2,325,4201%7 Meat/Poultry Specialty$1,239,6810.5%11 Medium Grocery Store$2,269,7821%26 Seafood Specialty$907,9790.4%6 Small Grocery Store$1,979,0531%46 Super Store$110,130,15244%39 Supermarket$110,697,58944%113 Total $ 250,823,859100.00%784 Data requested from USDA FNS

31. How do we access it? Who do we buy it from? How much do we spend? Does quality differ by neighborhood in Mecklenburg? What’s the role of the federal government? What’s the role of the local/state government?

32. SNAP CodeSNAP CategoryExamples of stores BC Non-profit Food Buying Co-opSolid Rock Christian Church and Harvest Discount Foods DRDelivery RouteMobile Food Service DFDirect Marketing FarmerS&J Produce FMFarmers' MarketA time to Harvest (n=6), Atherton Market, Davidson, New Africa of Charlotte, Scally's Beef CO Combination Grocery/OtherPharmacies and Dollar Stores CSConvenience Store7-eleven, Circle K, Xpress Mart, etc FVFruits/Veg Specialty Bharat Bazaar, Friendship Gardens, go-go Fresco, Providence produce market, sow much good and 2 others LGLarge Grocery StoreMostly independently owned like Jerry's Market, Wayne's supermarket MEMeat/Poultry SpecialtyMainly Asia meat shops MGMedium Grocery StoreSpecialty, ethic markets, looks independently owned SESeafood SpecialtySpecialty seafood stores SGSmall Grocery StoreMany ethnic stores SSSuper StoreSam's, Earth Fare, Costco, Target, Walmart, Whole Foods SMSupermarketAldi, Kmart, Bi-Lo, Food Lion, HT, Publix, Fresh Market, Trader Joes Data requested from USDA FNS

33. North Carolina Mecklenburg County http://sasweb.unc.edu/cgi- bin/broker?_service=default&_program=fsweb.tbCross.sas&county=North% 20Carolina&label=&fn=ncfast&type=&format=html&entry=1