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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
The Garden of Eden: acknowledging the impact of race and class in efforts to decrease obesity rates
Elizabeth A Baker1, Cheryl Kelly, Ellen Barnidge
1Saint Louis University School of Public Health, St. Louis, MO 63130, USA. bakerpa@slu.edu
American Journal of Public Health
|June 1, 2006
Summary
Access to healthy food is limited for low-income African American families due to supermarket produce selection disparities. The Garden of Eden market addresses this by providing affordable, high-quality produce in underserved communities.
Area of Science:
- Community health
- Food access interventions
- Health equity
Background:
- Geographic assessments reveal disparities in supermarket produce availability based on area-level income and racial composition.
- These disparities disproportionately affect low-income African American families, hindering their ability to make healthy dietary choices.
- Limited access to fresh produce is a significant issue in economically depressed communities.
Purpose of the Study:
- To establish a community-based produce market, the Garden of Eden, to improve access to high-quality, affordable produce.
- To address the specific needs of an economically depressed African American community in St. Louis, MO, with limited fresh produce access.
Main Methods:
- The Garden of Eden produce market was established within a church in the target community.
- All market staff are recruited from the local community and compensated with a living wage.
- The market operates on a sustainable model, involving collaboration between academic partners, a faith-based organization, local businesses, and community members for decision-making.
Main Results:
- The Garden of Eden provides a vital source of fresh, affordable produce within a community previously underserved by such options.
- Community members are employed, contributing to local economic stability and fostering community ownership.
- Collaborative partnerships ensure the market's sustainability and responsiveness to community needs.
Conclusions:
- Community-based initiatives like the Garden of Eden can effectively improve access to healthy food options in underserved areas.
- Addressing food access disparities requires a multi-faceted approach involving community engagement, economic empowerment, and sustainable operational models.
- The Garden of Eden serves as a model for creating equitable access to nutritious food in marginalized communities.
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