Format

Send to

Choose Destination
J Public Health Manag Pract. 2018 May/Jun;24(3):215-224. doi: 10.1097/PHH.0000000000000702.

Evaluating the Potential Health and Revenue Outcomes of a 100% Healthy Vending Machine Nutrition Policy at a Large Agency in Los Angeles County, 2013-2015.

Author information

1
Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, California (Mss Wickramasekaran and Robles, Mr Dewey, and Dr Kuo); Departments of Community Health Sciences (Ms Robles) and Epidemiology (Mr Dewey and Dr Kuo), UCLA Fielding School of Public Health, Los Angeles, California; and Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California (Dr Kuo).

Abstract

CONTEXT:

Healthy vending machine policies are viewed as a promising strategy for combating the growing obesity epidemic in the United States. Few studies have evaluated the short- and intermediate-term outcomes of healthy vending policies, especially for interventions that require 100% healthy products to be stocked.

OBJECTIVE:

To evaluate the potential impact of a 100% healthy vending machine nutrition policy.

DESIGN:

The vendor's quarterly revenue, product sales records, and nutritional information data from 359 unique vending machines were used to conduct a baseline and follow-up policy analysis.

SETTING:

County of Los Angeles facilities, 2013-2015.

PARTICIPANTS:

Vending machines in facilities located across Los Angeles County.

INTERVENTION:

A healthy vending machine policy executed in 2013 that required 100% of all products sold in contracted machines meet specified nutrition standards.

OUTCOME MEASURES:

Policy adherence; average number of calories, sugar, and sodium in food products sold; revenue change.

RESULTS:

Policy adherence increased for snacks and beverages sold by the vending machines by 89% and 98%, respectively. Average snack and beverage revenues decreased by 37% and 34%, respectively, during the sampled period.

CONCLUSIONS:

Although a 100% healthy vending policy represents a promising strategy for encouraging purchases of healthier foods, steps should be taken to counteract potential revenue changes when planning its implementation.

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center