Morris Healthy Eating Community Food Assessment
Morris Healthy Eating is one of eight Healthy Eating Minnesota projects funded by Blue Cross and Blue Shield of Minnesota, a nonprofit independent licensee of the Blue Cross and Blue Shield Association. Healthy Eating Minnesota is an initiative of Prevention Minnesota, Blue Cross’s commitment to improve the health of Minnesotans by decreasing tobacco use and reducing obesity through healthier eating and increased physical activity. Changing these behaviors can dramatically improve health and control health care costs. Prevention Minnesota is funded by settlement proceeds from Blue Cross’ historic lawsuit against the tobacco industry.
Community Food Assessment "Making the healthy choice the easy choice" Morris Healthy Eating is one of eight Healthy Eating Minnesota projects funded by Blue Cross and Blue Shield of Minnesota, a nonprofit independent licensee of the Blue Cross and Blue Shield Association. Healthy Eating Minnesota is an initiative of Prevention Minnesota, Blue Cross's commitment to improve the health of Minnesotans by decreasing tobacco use and reducing obesity through healthier eating and increased physical activity. Changing these behaviors can dramatically improve health and control health care costs. Prevention Minnesota is funded by settlement proceeds from Blue Cross' historic lawsuit against the tobacco industry. HEALTHY EATING Community Food Assessment Morris Healthy Eating Community Food Assessment Executive Summary In Minnesota today, a record two-thirds of citizens are overweight or obese. But the eating habits of Minnesotans affect far more than just weight. A combination of physical inactivity and unhealthy eating are the second leading cause of death and disease in the United States, contributing to obesity, cancer, cardiovascular disease, and Type 2 diabetes. Not only is obesity affecting the health of Minnesotans, it is costly. A 2008 Blue Cross and Blue Shield of Minnesota and Minnesota Department of Health study projects that if trends continue adult obesity-related health conditions could cost Minnesota an additional $3.7 billion annually by 2020. The University of Minnesota, Morris (UMM) and the greater Morris region are not immune from this epidemic of unhealthy eating. The 2007 Minnesota College Student Health Survey found that two out of five UMM students are overweight, obese, or very obese--nearly half of males and more than one-third of females. Other colleges showed similar results. This data reflects a significant concern for the state and for college students just entering adulthood, given the links between unhealthy eating, obesity, and risk for diseases. Yet, as troubling as this data is, there is an opportunity to significantly reverse this trend. Research shows that increased physical activity, coupled with eating more fruits and vegetables (especially fresh fruits and vegetables), can help protect against heart disease and some cancers, help manage diabetes and weight, lower cholesterol and blood pressure, and reduce the likelihood of heart attack or stroke. College students do fairly well on the physical activity part of the equation. At UMM, three out of four students meet the U.S. Centers for Disease Control requirements for moderate and high levels of physical activity. However, fruits and vegetables are another story. Only 16 percent of Morris students eat the recommended five daily servings of fruits and vegetables. A yearlong community food assessment shows that knowledge of the importance of eating better, coupled with a desire for more healthy foods exists widely among UMM students. When asked, nine out of ten students agreed that if they ate more fruits and vegetables, they would reduce their risk for some chronic diseases and cancers. Eight out of ten had started making changes to eat a healthier diet or planned to in the next three months. The desire to eat more healthy food, and especially fresh fruits and vegetables, exists outside the University as well. Nearly nine out of ten Pomme de Terre Food Co-op (PDT) customers stated that they would purchase fresh fruits and vegetables at PDT, especially locally grown and organic produce including apples, bananas, greens, tomatoes, peppers, broccoli, and potatoes. A full 85 percent of employees at the Stevens Community Medical Center agreed that they would eat healthier if healthy food options they liked were served at the hospital cafeteria. A survey completed by 350 Morris residents found that nutrition is their highest priority when choosing foods to purchase. Eighty percent would purchase locally grown food if it were available in the grocery store. But while the desire to eat better exists among UMM students and the community at large, this community assessment found that there are significant barriers. There is limited access to fresh fruits and vegetables, especially locally grown produce, exacerbated by Minnesota's short growing season. As this assessment was being assembled, Morris' only 24-hour grocery store closed. The costs associated with healthy foods, especially fresh fruits and vegetables, are a concern for many consumers. People would like to cook healthy meals, but stress, time, and limited cooking skills get in the way. More people would like to garden but need access to land and other resources. More residents want to find foods raised close to home in our rural community. Today nearly 300 of west central Minnesota's 10,000 farm families sell foods directly to consumers, with sales nearing $1 million annually. While this is significant, west central Minnesota residents spend more than $350 million buying food each year, foods raised largely outside of this rural farming region. Meanwhile, a recent report showed one-third of west central Minnesota's farms lost money on production costs. Farmers face barriers selling and distributing the foods they raise locally. People are asking for fresh, healthful local foods, but chefs and food buyers find it challenging to purchase outside the aggregated food distribution system. Morris Healthy Eating, one of eight initiatives throughout the state selected to work with Blue Cross to improve Minnesotans' food environment, is responding to these concerns by developing a model to foster healthy eating through environment and policy change. Rather than focus only on individual behavior change, the project will look at communitywide efforts that will support greater health for all residents. The project will help foster a community partnership, promotion, programs, policy changes, and the changing of the physical environment to support a healthier future for the University of Minnesota, Morris and the Morris community. Morris Healthy Eating's goal is increasing access to and consumption of fresh fruits and vegetables, especially those that are locally grown, and other healthy foods among UMM students and the population as a whole. MORRIS HEALTHY EATING INITIATIVE 3 The project will build on the strong and diverse food environment in Morris, with its abundance of food producing farmers and gardeners, locally owned and managed groceries and restaurants, food and nutrition resources, and interested residents. Morris Healthy Eating strategies will include: fostering a community dialog on the benefits of eating healthier; educating students and area residents in how to purchase and prepare healthier foods; serving more fresh fruits and vegetables on campus and in community based institutions such as restaurants, schools, and the hospital; overcoming barriers to accessing to healthier foods; and expanding gardening and farmers markets in the region. After completing this assessment, the Morris Healthy Eating team strongly believes that the environment and the attitude exists among UMM students, faculty, staff, and area residents to combat the obesity epidemic and thereby help to improve the long term health of our community. And if just 15 percent of our region's healthy foods came directly from west central Minnesota farmers, this shift would create $28 million in new local income and provide fresh foods 1,500 miles closer than the foods found on an average U.S. dinner plate. Thus, it is the vision of Morris Healthy Eating to make fresh fruits and vegetables and other healthy foods the easy choice for every meal every day for UMM students, as well as for the residents of Morris and Stevens County, no matter their income or age. Morris Healthy Eating is led by the University of Minnesota, Morris in partnership with the Pomme de Terre Food Co-op, the Pride of the Prairie Local Foods Initiative led by the University of Minnesota West Central Regional Sustainable Development Partnership, Sodexo--providers of campus dining services, and Stevens Community Medical Center. The program model connects leaders in education, healthcare, and the food system to improve the community food environment. Morris Healthy Eating community collaborators include Kadejan Inc., the Morris Area Farmers Market, Stevens County Human Services, Stevens Traverse Grant Public Health, University of Minnesota West Central Research and Outreach Center, and West Central Wellness--a regional Minnesota Statewide Health Improvement Program (SHIP) initiative. 4 COMMUNITY FOOD ASSESSMENT Table of Contents I. What if...We Changed Our Food Environment to Support Our Community's Health? .............................................................9 An Introduction to Morris Healthy Eating II. Creating the Team: Morris Healthy Eating Partners ...............................................................................................................13 University of Minnesota, Morris Sodexo Dining Services Pomme de Terre Food Co-op Stevens Community Medical Center Pride of the Prairie Community Collaborators The Morris Healthy Eating Coordinating Team III. Envisioning Healthy Eating in our Community ......................................................................................................................21 Mapping the Food Environment A Healthy Food Environment: What Will It Look Like? What is Healthy Eating? Morris Healthy Eating Circle Diagram IV. Historical Data: The Grassroots of Healthy Eating ...............................................................................................................27 UMM Rural Sociology Survey: Student Interest in Local and Organic Foods Pride of the Prairie Local Foods Community and Campus Consumer Survey Pride of the Prairie Local Foods Institutional Foodservice Polling West Central Minnesota Food and Farm Economy Study Morris Community Environmental Survey Minnesota College Student Health Survey University of Minnesota Employee Wellness Survey V. Food Assessment Research: Morris Community ....................................................................................................................33 Community Festivals and Events Cooking and Eating at Home Community Cooking Survey Gardens, Community Supported Agriculture Membership, and Farmers Markets Community Gardening Survey Morris City Ordinances--Gardening, Greenhouses, Chickens, and Compost Community Supported Agriculture Member Survey Farmers Market Survey Fruit and Vegetable Growers Survey on Consumer Interest in Growing Practices Grocery Stores Morris Grocery Stores Morris Healthy Eating partner: Pomme de Terre Food Co-op Pomme de Terre Co-op Customer Survey Pomme de Terre Co-op Local Fruit Retail Pilot Pomme de Terre Co-op Local Foods Purchasing Analysis Minnesota Food Co-op Survey Food from Our West Central Minnesota Farmers Morris Healthy Eating Partner: Pride of the Prairie Local Foods Initiative Exploring Distribution Systems for Fresh, Healthy Local Foods with Kadejan Inc. Providing Access to Healthy Foods for People with Low Incomes in Stevens County Dining Out and On the Go Morris Restaurants Morris Fast Food Restaurants Morris Convenience Stores MORRIS HEALTHY EATING INITIATIVE 5 Dining at Work Morris Healthy Eating Partner: Stevens Community Medical Center Cafeteria Survey Partnerships for Healthy Eating Minnesota's Statewide Health Improvement Program, West Central Wellness VI. Food Assessment Research: University of Minnesota, Morris ..............................................................................................51 Student, Faculty, and Staff Dining and Wellness: Morris Healthy Eating Student, Faculty, and Staff Survey Faculty, Staff, and Student Focus Groups UMM Master Plan: Implications for Healthy Eating 2009�13 Campus and Community Gardening Dining on Campus Dining Services Master Plan and Renovations to Support Healthy Eating New Students Lifestyle Preferences Residential Dining and Board Plans Dining Services Board Plan--Meals, Hours, and Locations Dining Dollars Community Dining in the Dining Hall Student Satisfaction with Residential Dining Residential Life Benchmarking Studies UMM Dining Satisfaction Survey--Fall 2009--Dining Hall Campus Dining--Numbers, Costs, and Comparisons with a Top Program Campus Dining Hall Food Waste Study Turtle Mountain Cafe UMM Dining Satisfaction Survey--Fall 2009--Turtle Mountain Cafe Menu Review A Partnership to Provide Healthful Food and Beverages on Campus UMM and Sodexo Contract Specifications Sodexo Wellness and Healthy Eating Programs Residential Diners--Insights on Healthy Eating Local Sourcing for Fresh Fruits and Vegetables and Other Healthy Foods Beverages and Vending Coca Cola Beverage Consumption Analysis Taher Nonbeverage Vending Analysis VII. Transforming Our Research into Action: Creating a Healthier Morris..................................................................................83 Transforming Our Research into Action A Model for Morris Healthy Eating--Program Logic Model Morris Healthy Eating 5P Community Action Plan The Vision for a Healthier Morris: Morris Healthy Eating Outcomes and Evaluation Plan Appendices .................................................................................................................................................................................91 A. Morris Healthy Eating Team Roster B. Morris Healthy Eating 5P Model for Community Change, with Supporting Data C. Resources for Healthy Eating 6 COMMUNITY FOOD ASSESSMENT I. What if... ...we changed our environment to support our community's health? I. What if...We Changed Our Food Environment to Support Our Community's Health? I. What if? ...a colorful, delicious array of fresh fruits and vegetables were easily accessible each school day? ...nutrient dense whole foods were as affordable as high calorie, highly processed foods? ...the rate of obesity and nutrition-related diseases was dropping instead of escalating? ...the healthy choice was the easy choice? In Minnesota today, two-thirds of citizens are overweight or obese, the highest percentage in our history. A combination of physical inactivity and unhealthy eating are now the second leading cause of death and disease in the United States, contributing to obesity, cancer, cardiovascular disease, and Type 2 diabetes. Adult obesity-related health conditions could cost Minnesota an additional $3.7 billion annually by 2020, if trends continue. The University of Minnesota, Morris (UMM) and the greater Morris region are not immune from the epidemic of unhealthy eating. How can our community reverse these trends? Research shows that increased physical activity, coupled with eating more fruits and vegetables (especially fresh fruits and vegetables) can help protect against heart disease and some cancers, help manage diabetes and weight, lower cholesterol and blood pressure, and reduce the likelihood of heart attack or stroke. Lets picture a future for Morris residents filled with physical activity, great food, and good health. Morris Healthy Eating links leaders from across the community's food, healthcare, and educational systems--three essential legs of the stool supporting healthy eating. This partnership has the expertise and resources needed to complete a comprehensive food assessment, engage a large portion of the community, and chart a path toward healthy eating. Leaders from a number of area organizations, agencies, and businesses are adding essential skills and expanding the project's reach. Morris Healthy Eating seeks partners to make a lasting difference in our campus, town, and county health and wellness. It is our hope that the Morris Healthy Eating vision will take root, supporting a model community for good health on the prairie. A Community Coalition Fostering communitywide access to fresh fruits, vegetables, and other healthy foods Education Healthcare Food System MORRIS HEALTHY EATING INITIATIVE 9 A community coalition Led by University of Minnesota, Morris In partnership with: Pride of the Prairie Local Foods Initiative University of Minnesota West Central Regional Sustainable Development Partnership Pomme de Terre Food Co-op Sodexo--campus dining services Stevens Community Medical Center With community collaborators: Kadejan Inc. Morris Area Farmers Market Stevens County Human Services Stevens Traverse Grant Public Health University of Minnesota, West Central Research and Outreach Center West Central Wellness--a regional Minnesota Statewide Health Improvement Program initiative The Morris Healthy Eating Community Food Assessment documents an engaged and enthusiastic community ready for greater access to affordable fresh fruits, vegetables, and other healthy foods. This publication serves three purposes. First, it summarizes the Morris Healthy Eating team's work from its founding in January 2009 through early 2010. Next it outlines significant community findings from a yearlong comprehensive community food assessment. This research shows a community with abundant resources and an interest in better health, while also illuminating some of today's barriers to healthy eating. And finally, it presents opportunities for change, with recommendations and a map to a healthier future for the University of Minnesota, Morris, the city of Morris, and Stevens County. HEALTHY EATING Our vision: Fresh fruits and vegetables and other healthy foods are the easy choice at the University of Minnesota, Morris, within greater Morris, and in Stevens County for people of all ages and incomes for every meal every day. Residents and visitors to our prairie community are making good choices from an increasing abundance of affordable healthy foods in home cooked meals sourced from campus and community gardens, farmers markets, and local farms and grocers; at restaurants; in on-campus, school, and workplace dining and gatherings; and at community events. 10 COMMUNITY FOOD ASSESSMENT II. Creating the Team: Morris Healthy Eating Partners II. Creating the Team: Morris Healthy Eating Partners II. Creating the Team: Morris Healthy Eating Partners The Morris Healthy Eating team was organized in 2009 to make fruits and vegetables and other healthy foods more available and accessible on the University of Minnesota, Morris campus, in Morris, and in Stevens County. The initiative is led by UMM's Office of Student Affairs, in partnership with Sodexo-- the campus dining services provider, Stevens Community Medical Center, Pomme de Terre Food Co-op, and the Pride of the Prairie Local Foods Initiative led by the University of Minnesota West Central Regional Sustainable Development Partnership. A number of campus and community groups with critical resources linked to the Morris Healthy Eating project vision are joining these founding lead partners as the project develops. Morris Healthy Eating is designed with 1,800 UMM students at its core. Efforts will also target 400 faculty and staff, as well as their families, most residing in Morris. The program will also impact 5,000 Morris residents as well as Stevens County and greater west central Minnesota residents who work, shop, and seek services in Morris, the county seat and one of the largest communities in the region. Information about Morris Healthy Eating partners and community collaborators follows. The Morris campus is a founding partner in the one of the longest running local foods efforts in Minnesota higher education, the Pride of the Prairie Local Foods Initiative. Local foods feasts and farmers markets have been held on campus each semester since fall 2001, serving from 500 to 800 enthusiastic campus and community diners at each meal. A celebration of good food, music, and community, the events showcase the benefits of eating fresh, locally produced foods and supporting local farmers. The chair of the U.S. House of Representatives Committee on Agriculture, Minnesota's U.S. Congressman Collin Peterson hosted his first Home Grown Economy Conference on campus in 2007, promoting local foods from the region's farms as an economic development opportunity for rural communities. The University of Minnesota, Morris is at the forefront of change. Our history is one of helping students reach their full potential as citizen leaders, and we're striving to create physical and educational transformation that emphasizes fair treatment of all people, respect for our natural resources, and financial stewardship. --Troy Goodnough, UMM sustainability coordinator University of Minnesota, Morris-- a founding Morris Healthy Eating partner The University of Minnesota, Morris (UMM) is a public liberal arts college serving more than 1,800 students located on the western plains of Minnesota, in the rural community of Morris (population 5,000). UMM offers a rigorous undergraduate residential liberal arts education in the public sector, with a mission and program that is distinctive within the state of Minnesota and nationally. UMM's student body is talented, diverse, and engaged. In 2010, UMM celebrates its 50th year as well as the 100th anniversary of the founding of the West Central School of Agriculture and Experiment Station, which preceded UMM on the campus, and the first educational institution on the site-- an American Indian boarding school founded in the late 1800s. A tuition waiver for American Indian students mandated in federal laws and state statutes is honored today. This campus history informs and intersects in today's focus on building a healthy, sustainable campus with strong connections to the land and its people. UMM's sustainable, environmentally friendly initiatives have grown to levels of national leadership and now touch nearly all aspects of campus life--food and transportation; power, water, and waste reduction; academic study; and quality of life. UMM's Office of Student Affairs coordinates the Morris Healthy Eating initiative. Student Affairs programs develop student potential and extend UMM's liberal arts mission beyond the classroom. They work to support students' health, well being, academic and personal success; build community; and foster a healthy campus environment. UMM is recognized for its rich cocurricular and extra-curricular programs and engaged students. Many Student Affairs offices and programs are valued Morris Healthy Eating contributors, including: � Office of the Vice Chancellor for Student Affairs; � Health Service, wellness programs, and Peer Health Educators; � Dining Services (reporting jointly to Finance and Facilities); � Pride of the Prairie Local Foods Initiative and Local Foods Intern; MORRIS HEALTHY EATING INITIATIVE 13 � Residential Life--including the Healthy Lifestyles and Sustainability theme floors and the planners of a new campus residence hall, the Green Prairie Living and Learning Community, which will house 70�80 students in an eco-friendly model of sustainable living and learning, where residents cook meals together in community kitchens, using foods from on-site gardens and local farms; � Student organizations including student government, the Circle of Nations Indian Association, and the Student Organic Gardening Club; � Community engagement, service learning, and community service/volunteerism programs, (reporting jointly to Academic Affairs); and � Intercollegiate Athletics. Additional campus partners include: � Faculty teaching Human Nutrition, Public Health and Epidemiology, Health Psychology, and sociology courses and their students; and � U Plan Health Coach and faculty/staff wellness programs. The Morris Healthy Eating initiative office is located in UMM's Wellness Center adjacent to the campus Health Service in Clayton A. Gay Hall. the Student Center, a cash operation serving students, faculty, staff, and visitors. Sodexo also provides meals and refreshments via campus catering. Students living in campus residence halls are required to have dining plans. Sodexo's current multi-year contract with UMM included a significant capital investment to support a major Dining Hall facility renovation. The renovation, completed in summer 2009, dramatically increased the capacity for display cooking, made-to-order preparation, and the use of fresh, local ingredients. Sodexo is a strong Pride of the Prairie local foods partner, sourcing a growing menu from local, sustainable farms. To bring local foods to UMM, Sodexo formed a partnership with Food Alliance Midwest, a St. Paul, Minnesota based group expanding local foods markets and providing sustainable farm certification. The partnership has brought sustainably raised fruits, vegetables, and some meats into the institutional dining food distribution stream in Minnesota. Food Alliance Midwest recognized Sodexo with a Keeper of the Vision for a Sustainable Future award in 2005. UMM's chef presented a popular "Fresh Tastes Better" local foods demonstration at the West Central Research and Outreach Center Horticulture Night, and was the first college chef featured at the state fair in the Minnesota Cooks local foods calendar. We anticipate more innovation and success as we move forward to reach mutually held goals to increase healthy food choices on campus. Pomme de Terre Foods, Inc.-- a founding Morris Healthy Eating partner Sodexo Dining Services-- a founding Morris Healthy Eating partner Sodexo serves 9.3 million meals every day for 6,000 clients in North America. UMM and Sodexo have partnered to provide campus dining services since 2001. In July 2008, Sodexo was awarded a new 10-year management contract to provide resident dining, cafe operations, and catering, with an increasing focus on healthy foods and wellness. As a Morris Healthy Eating partner, Sodexo provides expertise in managing the campus food environment, including planning and implementing a contractmandated wellness plan that includes varied fruits and vegetables at all dining outlets as well as the possibility of discounts for healthful food items, calorie and fat content product labeling, and more. Sodexo manages two on-campus dining facilities: (1) Dining Hall, providing meals for students on meal plans and for purchase for faculty, staff, and students and (2) Turtle Mountain Cafe in The Pomme de Terre Food Co-op's (PDT) mission is to "provide our community with quality natural foods and local products, promoting care for the environment in a spirit of co-operation and volunteerism." The food co-op has grown considerably since it's founding as the Prairie Dog Store in Pine Hall on the UMM campus in 1971. The food co-op moved to downtown Morris and incorporated in 1975 as a nonprofit corporation, Pomme de Terre Foods, Inc. Today PDT provides many unique and healthful grocery items and products to Morris and the surrounding communities. PDT is the region's largest retail grocer of locally raised grains, meats, cheese, dairy, eggs, honey, and frozen vegetables. PDT also carries Native Harvest wild rice, maple syrup, and soups, as well as organic, vegan, and gluten-free foods. The co-op is a drop site for weekly vegetable deliveries from two Community Supported Agriculture (CSA) farms. PDT participates in UMM farmers markets, showcasing and selling a large selection of local and fair-trade foods that are a part of their regular inventory in downtown Morris. PDT provides a firm historical base for healthy eating in Morris, fostering a committed, knowledgeable, and active membership that has published two very popular cookbooks. 14 COMMUNITY FOOD ASSESSMENT II. Creating the Team: Morris Healthy Eating Partners Founded in 2001, Pride of the Prairie is a collaborative effort of the University of Minnesota, Sodexo Dining Services, Land Stewardship Project, Sustainable Farming Association of Minnesota, Pomme de Terre Food Co-op, Prairie Renaissance Cultural Alliance, area farmers, and the Upper Minnesota River Valley community. In 2007, Pride of the Prairie launched the Buy Fresh Buy Local campaign, a marketing strategy that promotes food production and consumption in the Upper Minnesota River Valley, while increasing access to sustainable locally produced foods in west central Minnesota. The campaign represents: � A brand that identifies the Upper Minnesota River Valley region and its abundant supply of local, sustainable, healthy foods; � A campaign that helps people understand food systems and to make ethical and sustainable choices; � A chapter with partners representing the various sectors of a local food system, working together to promote healthful, sustainable and ethical food choices. Pride of the Prairie, through the West Central Partnership, contributes expertise, convenes action teams, provides resources, and facilitates links to resources for Morris Healthy Eating. Partnership leaders assist Morris Healthy Eating by providing collaborative leadership for building capacity, addressing barriers, and advancing positive systems change. Stevens Community Medical Center-- a founding Morris Healthy Eating partner Stevens Community Medical Center's (SCMC), a comprehensive regional healthcare provider located in Morris, strives for excellence in the delivery of inpatient and outpatient care through co-operation with qualified healthcare providers; through the provision of appropriate facilities and technology; and through active promotion of health education among the public. SCMC provides comprehensive healthcare services to more than 15,000 west central Minnesota residents through its clinic and hospital. In a partnership spanning 15 years, SCMC provides health services to UMM students through an on-campus clinic. SCMC physicians serve as UMM students' primary care physicians through the UMM Health Service. Health Service has nearly 10,000 student contacts annually with extremely high levels of student satisfaction. As a respected healthcare provider, SCMC brings medical expertise, nutrition expertise, and valuable health-related resources to the Morris Healthy Eating initiative. Morris Healthy Eating Community Collaborators Pride of the Prairie Local Foods Initiative-- a founding Morris Healthy Eating partner The University of Minnesota West Central Regional Sustainable Development Partnership works with citizens in the watershed to create and sustain healthy ecosystems, strong local economies and vibrant, self-reliant communities. The West Central Partnership plays a crucial role as lead partner for the Pride of the Prairie local foods initiative. The initiative connects local farmers with local residents, providing healthful foods produced and raised much closer to home than the 1,500 to 2,000 miles most food travels to U.S. dinner plates. Local foods systems also work to increase the shrinking portion of U.S. food dollars that go to directly to farmers. U.S. Department of Agriculture data shows that for each dollar U.S. consumers spend on food the portion that goes to farmers dropped from 41 cents in 1950 to 19 cents in 2006. Residents who buy local foods directly from farmers provide a much greater investment in their community's family farms through a shorter supply and processing chain A number of community collaborators have added their critical expertise and resources to the founding lead partners. They include Stevens County Human Services, Stevens Traverse Grant Public Health, Kadejan Inc., the Morris Area Farmers Market, and West Central Wellness. West Central Wellness is a local community initiative within the Minnesota Statewide Health Improvement Program (SHIP), a landmark initiative advancing community change interventions to foster good health. Morris Healthy Eating seeks additional partners to positively impact the food environment for Morris, Stevens County, and beyond. MORRIS HEALTHY EATING INITIATIVE 15 Creating the Team: The Morris Healthy Eating Coordinating Team Each of the founding partners in the Morris Healthy Eating (MHE) initiative identified two representatives to provide leadership for the project and guide their organizations' work within it. The group first convened in January 2009. The team expanded in the spring with the hiring of a coordinator and student leadership team, as well as the addition of a number of community collaborators. See Appendix A. for a complete team roster. Morris Healthy Eating Coordinator The MHE team interviewed and hired a part-time coordinator in April 2009 to: � Create a focused team with a shared vision for Morris Healthy Eating; � Lead the Morris Healthy Eating community food assessment process; � Coordinate Morris Healthy Eating action planning and implementation; � Supervise the Morris Healthy Eating Student Leadership Team; � Coordinate, oversee, and participate in program evaluation efforts; � Oversee day-to-day activities to meet project work plan and schedule; Morris Healthy Eating Team Agendas and Accomplishments Through six team meetings in 2009, Morris Healthy Eating worked to build a productive team, identify a vision for a healthy community, develop and implement a community food assessment, review and analyze food assessment results, and use the results to create an action plan to support a healthier community. Local resources and Blue Cross technical assistance supported the team's work. A summary follows of Morris Healthy Eating team agendas and accomplishments for the first year of the initiative. � Participate in Prevention Minnesota program coordination and technical assistance meetings; and � Manage the Morris Healthy Eating budget with assistance from the UMM Office of Grants Development. Morris Healthy Eating Student Leadership Team The Morris Healthy Eating partners interviewed and hired UMM students to create a student leadership team. Students work closely with one of the MHE partners, providing project assistance to Pomme de Terre Food Co-op, Pride of the Prairie, Sodexo, Stevens Community Medical Center, and the MHE coordinator. The students also played key roles as research assistants in the community food assessment process and supported MHE community outreach work. Morris Healthy Eating Coordinating Team 16 COMMUNITY FOOD ASSESSMENT II. Creating the Team: Morris Healthy Eating Partners MHE Team Agendas and Accomplishments Month Topic/Accomplishments Month Topic/Accomplishments January Welcome and celebration, introductions with project roles Getting organized--introductions, team contact list review, schedule of meetings MHE coordinator search--search committee, recruiting candidates, timeframe Healthy Eating Minnesota orientation and networking reception Vision and hopes for the project Community food assessment process and goals June Community food assessment workday Determine community food assessment scope and reach Work team planning--goals, strategies and timeline for assessment September Community food assessment findings: What is becoming clear about our food environment? What do we mean by healthy eating? Self assessment and discussion Identifying compelling goals and strategies for enhancing the Morris food environment, rooted in the food assessment findings Update on the Minnesota Statewide Health Improvement Program (SHIP) April Morris Healthy Eating program coordinator introduction Healthy Eating Minnesota resources and materials Mapping the food environment; identify existing and needed data Introduce and discuss work teams Dreams and vision for Morris Healthy Eating November Creating a shared long-term vision for Morris Healthy Eating Reviewing and clarifying the Morris Health Eating 5P Community Action plan Reviewing the Morris Healthy Eating logic model May MHE student leadership team introductions Establish project work teams Overview of the 5P Community Action Model Preview June community food assessment workday Prioritizing Morris Healthy Eating environmental and policy change strategies MORRIS HEALTHY EATING INITIATIVE 17 Morris Healthy Eating team members offered these reflections on the process. "I learned how much of what we need we already have." "I continue to learn more about the community at each meeting. The students' data was very informative." "I like the variety of meeting styles--large group, medium group, small group. I liked that we had a chance to make some plans and hear from the students." "I liked meeting in small groups periodically with different people. It was useful in seeing all aspects of the project." 18 COMMUNITY FOOD ASSESSMENT III. Envisioning Healthy Eating in Our Community III. Envisioning Healthy Eating in Our Community Mapping the local food environment III. Envisioning Healthy Eating in Our Community Mapping the Food Environment At one of the first MHE team meetings in spring 2009, the group created a large map of Morris showing the community's collective sources of food. The map illustrated grocery stores, restaurants, convenience stores, school and college cafeterias, the hospital cafeteria, senior dining centers, and the Stevens County Food Shelf. Gardens were highlighted, ranging from the backyard variety to the on-campus Student Organic Garden, the West Central Research and Outreach Center's Children's Garden, and community gardening options. Drop off sites for Community Supported Agriculture (CSA) vegetable shares were noted, along with farmers markets and food deliveries directly from farmers. The Women, Infants and Children (WIC) program, the Supplemental Nutrition Assistance Program (formerly known as the food stamp program), and local Nutrition Education Assistants were mapped as important service providers and linkages. Community meals were mapped, including long-established traditional meals hosted by area churches and organizations as well as the recently established monthly Community Meals hosted by UMM and community partners. The team noted that the Morris food environment is quite rich in diversity, with a foundation of food producing farmers and gardeners; locally owned groceries and restaurants; resources for healthy eating, nutrition, and food preparation; and high potential for making positive changes in the food environment. A Healthy Food Environment: What will it look like? Team members shared visions of change they hoped to see as a result of the Morris Healthy Eating initiative. � "Education and communication about healthy options to help students, faculty, and our community make healthy choices." � "Expand the diversity and availability of locally grown fruits and vegetables, meats, dairy, and grains." � "Farmers and chefs paired in cooking demonstrations--a `Local Food Channel' live from Morris!" � "Cooking classes--the best tasting, healthiest multicultural foods and recipes from American Indian traditions, Middle Eastern, Asian, and more." � "A year-round farmers market, starting with more days per week during the growing season, and the capability to use Electronic Benefit Transfer cards so low income families can shop at the market too." � "Change policies so healthcare facilities can purchase more local foods and less pre-prepared foods." MORRIS HEALTHY EATING INITIATIVE 21 MHE Student Leadership Team � "Healthy eating `in a box' demonstrations so that community advisers can easily use them on UMM's residence hall floors." � "More visible, more productive, and better organized organic gardens on campus and in the community to provide food as well as education about growing, preparing, and eating your own healthy food." Student Leaders Envision a Healthy Food Future In May, MHE's student leadership team joined the partnership. They shared their vision for a healthy food environment in our community--on campus, in Morris, and in Stevens County. � "My hope is that there will be high quality, healthy food options of an appropriate price available at every meal, every day. I also hope that we can create a supportive culture of healthy eating on campus and in the community." --Phil Rudney, Campus Dining Services student leader � "My `wildest dream' for the Morris Healthy Eating project is that fruits and vegetables and other healthy food options become easy, accessible, and affordable for students and staff both on campus and in the Morris community. I also hope that students and staff at UMM become more curious and knowledgeable about how their food is produced, its nutritional value, and how it can affect their health and impact the environment." --Anne Krohmer, Stevens Community Medical Center student leader � "I envision Morris Healthy Eating creating a culture that fosters a broad consciousness of eating and an understanding that healthy eating is an outcome of a sustainable and healthy environment. I see a switch to more local and less processed foods. Teaching people how to cook and educating them about different foods will show that healthy eating can be tasty and affordable." --Jenna Sandoe, Pride of the Prairie and Pomme de Terre Food Co-op student leader � "I'd like to see a healthier Morris by changing our perspective of our food and eating habits. I'd love to see more fruits and veggies as you walk into grocery stores, offered at a reasonable price. I'd love to see more variety in UMM's Dining Service, and see more color on more students' plates, and local and organic foods offered at the restaurants in town and on campus. I'd love for new residents and visitors to come here and see something extraordinary--people conscious of the foods they are putting into their bodies, making healthier choices, and supporting their community. People will want to know what we did here and implement similar projects in their own communities." --Danielle Schatschneider, lead student coordinator What Is Healthy Eating? Through rich discussions, the MHE Team discovered that the term "healthy eating" has various components and meanings to individual team members. Team members explored these differences, and determined that personal definitions of healthy eating are changing and becoming more comprehensive, mirroring changes in our larger society. The group wrestled with a variety of big questions. Big Questions: "How do we define `healthy eating'?" "How do we change attitudes and strengthen commitments to eat more fruits and vegetables?" "How do healthy eating and localization really fit together?" "How do we balance the need for specific information regarding fruits and vegetables and things to increase access and consumption of them with bigger picture questions on local sourcing and growing?" "How does Morris Healthy Eating fit into UMM's Master Plan and sustainability goals?" "How do we engage our community in innovative ways?" --MHE Team members, June 2009 22 COMMUNITY FOOD ASSESSMENT III. Envisioning Healthy Eating in Our Community Team members considered and ranked a list of potential attributes of healthy food to better quantify and learn how the team collectively and individually viewed the term healthy eating. Team members were also encouraged to think about additional attributes they considered important in defining healthy eating. "Nutrient dense" and "fresh" mattered most to the greatest majority of team members, followed by "minimally processed" and "locally grown." Attributes ranking a "very high priority" are shown below. What does healthy eating mean to you (%)? MHE Team, September 2009 Morris Healthy Eating team member comments offer additional insights. � "Minimally processed is becoming more important to me, because it signifies local, fresh, less fat, and less sugar." � "Healthy eating is very complex and includes many aspects beyond single nutrients." � "Low calorie, low carbohydrate, and low fat are market driven terms that have only encouraged us to eat more and gain more weight!" � "Less packaging reflects more on global and sustainable issues than on eating." � "It's really interesting to see the diversity in answers, and all of the things people consider when they decide what constitutes healthy eating." MORRIS HEALTHY EATING INITIATIVE 23 A Targeted Focus for Morris Healthy Eating The team determined that its highest priority and central target for the Morris Healthy Eating initiative is to increase access to and availability of fruits, vegetables, and other healthy foods, a focus we share with the larger Healthy Eating Minnesota initiative. A secondary focus is to provide access to fresh, sustainably raised, and locally grown foods. Research shows that when choosing healthy foods, especially fruits and vegetables, many people prefer to eat fresh foods sourced locally. (Source: Blue Cross and Blue Shield of Minnesota's Prevention Minnesota Healthy Eating Promotion RFP #614) The diagram below illustrates this targeted focus. Morris Healthy Eating Our target: Increase Access to and availability of fruits, vegetables, and other healthy foods. Healthy Eating Minnesota goal � To increase fruit and vegetable consumption � For great health benefits (preventing cancer, reducing heart disease, etc.) Fruits, Healthy Foods, Vegetables Fresh, organic, and locally grown produce frequently tastes better and is preferred by many consumers. Fresh, Sustainable, Locally Grown From Blue Cross Blue Shield Prevention Minnesota Healthy Eating Promotion RFP #614 24 COMMUNITY FOOD ASSESSMENT IV. Historical Data: The Grassroots of Healthy Eating IV. Historical Data: The Grassroots of Healthy Eating IV. Historical Data: The Grassroots of Healthy Eating The Morris Healthy Eating team began the community food assessment with an inventory of existing research and information. Seven sources of data collected from 2000 to 2008 were foundational to the development of the Morris Healthy Eating initiative and are summarized in this section. Together with new research, this information was valuable to guide the team in developing strategies to make fruits, vegetables, and other healthy foods more accessible and affordable on campus and in our community. Pride of the Prairie Local Foods Community and Campus Consumer Survey This 2001 survey provides an historical benchmark of community attitudes about local foods, perceived barriers, benefits, and interest in purchasing local foods, and perceptions of the local foods movement. It provides a working definition for the term "local food" in the Morris area served by Pride of the Prairie. The purpose of the survey was to: UMM Rural Sociology Survey: Student Interest in Local and Organic Foods A survey conducted in spring 2000 by students in a rural sociology course measured UMM students' interest in having locally grown and organic foods offered on campus and explored student opinions on the environmental impacts of food production. Key finding-- Eighty percent of students believe UMM Dining Services should buy locally grown and organic foods. � Encourage consideration of a broad range of food-related issues and food system impacts; � Identify the most important factors in consumer food buying decisions related to food production; and � Gain consumer feedback and perspectives on the concept of "local food" and the Pride of the Prairie Local Foods Initiative. Key finding-- Pride of the Prairie defines local food as food produced on farms within 100 miles of Morris. Eighty community members from local community groups, a college biology class, and a University of Minnesota Extension home-study program were surveyed. The open-ended questions reveal goals and aspirations of the people involved in the local foods initiative, including 40 board members from three organizations: Pomme de Terre Co-op, West Central Regional Partnership, and Prairie Renaissance Cultural Alliance. Key finding-- When buying local foods, community members value: � Enhancing the local economy; � Supporting local farmers and producers; � Eating better tasting, fresher food; and � Knowing where the food is coming from and how it is grown. Key finding-- People would be more likely to buy local foods if they were: � Easily accessible and affordable; � Available year round; � Found at the grocery store; � Economical; � Available in a convenient form; and � Available for purchase at known locations. Additional findings from the year 2000 survey. � Ninety percent of students who buy organic or locally grown foods and seventy-one percent of students who do not buy these foods believe that UMM Dining Services should buy locally grown and organic foods. Students in UMM's Division of Science and Math were the most supportive of this practice. � Students from rural backgrounds are more likely to support small farmers. � Students from urban backgrounds are more likely than rural students to support Dining Services in buying local or organic foods. � Females are slightly more likely to support local farms (85 percent versus 80 percent for males) and small family farmers (59 percent versus 52 percent for males). � Males are slightly more concerned about the impacts of food production on environment (54 percent versus 48 percent for females). � Fifty-nine percent of students who buy organic foods believe that the environmental impact of food production is a concern. Thirty-four percent of students who do not buy organic and/or local foods believe this is a concern. MORRIS HEALTHY EATING INITIATIVE 27 About one fourth of survey respondents said they would be willing to pay $2 more for a restaurant meal valued at $8 if they were guaranteed that the food was produced locally. This was not the same across groups; respondents who were board members affiliated with one of the three organizations surveyed were more likely to be willing to pay more for locally produced restaurant meals. Students were the least likely to pay more for locally produced restaurant meals. Many respondents expressed desire to know how and where their food was produced, to preserve soil and water quality, conserve other natural resources, and provide fair compensation to farmers. In 2001, one-third of student respondents said they had given no thought to how and where their food was produced, and 40 percent said they gave it some thought, although not when making food choices. Comparatively, 35 percent of community members and 46 percent of organizational affiliates had begun to make food choices based on how and where food was produced. Pride of the Prairie Local Foods Institutional Foodservice Polling Survey Pride of the Prairie surveyed institutional foodservice operators within 60 miles of Morris to answer the question, "Is there enough interest in locally produced foods to pursue establishing a more formalized system or infrastructure to work with foodservice institutions?" Key finding-- Institutional interest in a community based food system and purchase of locally produced foods is motivated by two primary factors: � Institutional buying "makes sense" economically for the region; and � Locally sourced foods are expected to be fresher and higher in quality. This 2002 survey summarized responses from 25 institutional foodservice operators, including 11 restaurants, a bakery, a hospital, a nursing home, an assisted living facility, a group home organization, a senior meal site, a food shelf, two schools, two grocery stores, two caterers, and a retail food co-operative. The survey showed interest in purchasing local foods. Out of the 25 establishments interviewed, 11 (44 percent) served some local foods, while 14 did not. When the 14 foodservice operators who didn't purchases local foods were asked if they were interested in doing so, eight said they had thought about purchasing local foods, but had not pursued it. Questions and concerns were noted about regulations for serving local foods in institutions. Among the 14 respondents who were not serving local foods, 10 identified concerns regarding regulatory issues and inspection processes. Some foodservice operators were uncertain if purchasing local foods was permissible within their foodservice license, or within Minnesota Department of Agriculture, and/or Minnesota Department of Health policies. Despite interest in supporting local foods, others were uncomfortable with purchasing local foods due to perceived regulatory ambiguity. Institutions were asked how much more money they thought their customers would pay for an $8 meal if they could be guaranteed the meal was produced locally. Institutions that used locally produced foods responded approximately $1 to $2 more, while those who did not use locally produced foods indicated $0�1 more. These same institutions were asked how much more they would be willing to pay for locally produced foods. The majority of those who already use local foods responded that they would pay 5 percent more, while some would pay 10 percent more, and some 20 percent more for local foods. For those who do not use locally produced foods, more than half indicated they would not pay more for locally produced foods; the other respondents would pay 5 to 10 percent more for locally sourced foods. In this survey, institutional concerns about the availability and perceived regulatory ambiguity of purchasing local foods were more significant than the perceived cost of local foods. West Central Minnesota Food and Farm Economy Study A West Central Minnesota Regional Sustainable Development Partnership presentation by Ken Meter, Crossroads Resource Center (Minneapolis, Minnesota) in November 2005 provides an overview of west central Minnesota's food and farm economy. Ken has conducted similar studies in a number of regions in Minnesota, the Midwest, and beyond. Key Findings-- � West central Minnesota's 173,000 residents spend more than $350 million buying food each year, foods raised mostly from outside this rural farming region, while a recent report showed one-third of the 10,000 farm families in the region lost money. � The region includes 10,011 farm families, which comprise 12 percent of Minnesota farms and 17 percent of Minnesota farm acreage. � The region includes nearly 300 farms selling nearly one million dollars of foods directly to consumers. � The region's farms account for 20 percent of Minnesota's vegetable acreage, 7 percent of the state's orchards, and 7 percent of the state's organic production ($562,000). � If only 15 percent of west central Minnesota residents' food was purchased directly from farmers in the region, this shift would create $28 million in new local income. 28 COMMUNITY FOOD ASSESSMENT IV. Historical Data: The Grassroots of Healthy Eating The west central Minnesota region studied includes 12 counties-- Big Stone, Chippewa, Douglas, Grant, Kandiyohi, Lac Qui Parle, Pope, Renville, Stevens, Swift, Traverse, and Yellow Medicine. The region includes 173,000 residents who hold $ 3.1 billion in annual purchasing power. The region includes 10,011 farm families, which comprise 12 percent of Minnesota farms and 17 percent of Minnesota farm acreage. The region's farms raise 23 percent of state's corn, 22 percent of soybeans, 29 percent of sugar beets, 14 percent of livestock sales, 20 percent of vegetable acreage, 7 percent of the state's orchards, and 7 percent of Minnesota's organic production ($562,000). A growing number of farms in west central Minnesota sell food directly to consumers: the most recent farm study shows 271 farms in the region selling $871,000 of food directly to consumers. The region's farmers produce $1.44 billion of food per year (1993�2003 average), yet spend $1.59 billion to raise it, losing an average of $153 million in production costs each year since 1993. This is a total loss of $1.7 billion over the last 11 years. Thirty-four percent of the region's farms lost money in 2002. The region's consumers spend $354 million buying food each year, mostly from outside the region, while farmers lose $150 million each year. Farmers lose $150 million each year producing food commodities, and also spend $600 million buying outside inputs, while consumers spend $250 million buying food from outside. This is a total loss of $1 billion of potential wealth each year. This loss amounts to 70 percent of the value of all food commodities raised in the region. West Central Minnesota Markets for Food Meats, poultry, fish, and eggs Fruits and vegetables Cereals and bakery products Dairy products Other products including sweets, fats, and oils $29.7 million $48.3 million $21.9 million $33.5 million $67.1 million Economic Research Service farm income data: ers.usda.gov/Data/FarmIncome/finfidmu.htm. To view further analysis of farm and food economies in the U.S., see www. crcworks.org Morris Community Environmental Survey In spring 2008, Morris residents completed a survey to evaluate barriers to environmentally friendly household practices. Students in UMM's Economics 3501: Econometrics course conducted the survey as a service-learning project. Environmental Studies 1101: Environmental Problems and Policy students analyzed the data. The survey explored barriers to using renewable energy sources, recycling, water conservation and environmentally friendly transportation, the survey examined purchases of local foods, including the willingness and ability to pay more for locally grown and sustainably raised foods. Key Findings-- � Nutrition is the highest priority in people's food purchasing decisions, just ahead of cost. � Eight percent of respondents said they would purchase local foods if they were available in the grocery store. � Sixty-one percent of respondents would be willing to pay more for local foods. More than 350 Morris residents completed surveys. Women comprised 70 percent of respondents and residents over age 65 represented 28 percent of respondents. Food purchasing behavior responses indicated that: � Seventy-seven percent purchased "local foods," while 22 percent were "unsure." � Fifty-seven percent were unsure if they purchased "sustainably produced foods;" 20 percent said they were purchasers of these foods. In a July 2008 presentation on this data, Meter noted that if only 15 percent of west central Minnesota residents' food was purchased directly from farmers in the region, this shift would create $28 million in new local income. It would also provide fresh, local food for area residents, countering the average of 1,500 to 2,000 miles food typically travels from farm to dinner table in the U.S. This study drew from the following data sources: Bureau of Economic Analysis data on farm production balance, www.bea. doc.gov/bea/regional/reis; Food consumption estimates from Bureau of Labor Statistics Consumer Expenditure Survey, www.bls. gov/cex/home.htm; U.S. Census of Agriculture, www.nass.usda. gov/census; USDA/Economic Research Service food consumption data: www.ers.usda.gov/data/foodconsumption; and the USDA/ Comprehensive Minnesota College Student Health Survey UMM participated in the 2007 College Student Health Survey developed by the University of Minnesota, Twin Cities Boynton Health Service. Fourteen Minnesota colleges and universities including UMM were surveyed. The findings prompted UMM Student Affairs leaders to form a college student health coalition and seek a partnership with Blue Cross through their Healthy Eating Minnesota community initiative. A total of 838 Morris students (57 percent of the student body) completed the comprehensive student health survey, the highest response rate among participating colleges. The survey results showed some good news for college populations at UMM and MORRIS HEALTHY EATING INITIATIVE 29 statewide--three-fourths of students meet Center for Disease Control (CDC) recommendations for moderate to high levels of physical activity. However, like other campuses, only 16 percent of Morris students report eating fruits and vegetables five times per day. CDC Prevention studies, including the National College Health Risk Behavior Survey, show that young adults, ages 18�24, eat fewer fruits and vegetables than older adults. Key findings-- � Good news: Three-fourths of UMM students meet CDC requirements for moderate and high levels of physical activity. � Bad news: Only 16 percent of Morris students eat fruits and vegetables five times a day as recommended by the CDC. � More bad news: Two out of five UMM students (41 percent) are overweight, obese, or very obese-- nearly half of male students and more than one-third of female students. Students' calculated body mass index is troubling. Two out of five UMM students (41 percent) are overweight, obese, or very obese--nearly half of males and more than one-third of females. UMM data is comparable to, though slightly above, other Minnesota campuses. These statistics reflect a significant concern--for our college students and the state--given the links between unhealthy eating, obesity, and risk for heart disease, cancer, and other chronic diseases. Morris Healthy Eating is responding to these concerns by developing a populationlevel systems change model to foster healthy eating through environment and policy change. Additional findings � Forty-seven percent of male students and 37.6 percent of females are within the overweight, obese, or extremely obese categories based on self-reported height and weight (41 percent of students overall). � The average body mass index (BMI) for UMM's survey respondents is within the overweight category, with males averaging a 25.6 BMI and females averaging 25.0. Note: The BMI category overweight is 25 to 29.9. BMIs of 30 or above are categorized as obese. � UMM student BMIs show 25 percent in the overweight range and 16 percent in the obese/very obese range. � UMM students whose BMI places them within the obese or extremely obese categories report the highest rate of a) never eating breakfast within the past seven days, b) fast food consumption, and c) eating at a restaurant at least once per week within the past 12 months. � UMM students consume fruits and vegetables an average of 2.9 times per day. Students on University of Minnesota campuses will complete this comprehensive health survey every three years. The 2010 and 2013 surveys will provide comparative data for the Morris Healthy Eating team, including changes in cohort responses on measures of healthy eating for first-year students in 2010 to their junior year in 2013. University of Minnesota Employee Wellness Survey University of Minnesota faculty and staff are invited to complete an optional HealthPath� Health Risk Assessment each year as part of the University's health benefit package. The assessment measures health risks and related factors that participants can improve through changes in health behaviors. The results offer a picture of health risks for faculty and staff across the University system. In 2008, the four most prevalent health risks among the 10,103 participants across the University of Minnesota's campuses and programs were stress, weight, cholesterol, and eating. Each of the three health risks most closely aligned with Morris Healthy Eating work--weight, cholesterol and eating impacts approximately one out of two University employees who participated in the assessment. University of Minnesota Employees' Top Four Health Risks (%) Most prevalent health risk for more than 10,000 University faculty and staff 30 COMMUNITY FOOD ASSESSMENT V. Food Assessment Research: Morris Community V. Food Assessment Research: Morris Community V. Food Assessment Research: Morris Community The Morris community first learned about Morris Healthy Eating during spring and summer 2009 through newspaper articles, partner organizations' communications and newsletters, and booths and displays at community events. The MHE coordinator, student leadership team, and community partners led a variety of outreach activities, inviting citizens of all ages to provide ideas, perspectives, and information. Through the food assessment, the Morris Healthy Eating team gathered information to learn more about our food environment and people's access to healthy foods. At summer events, community members identified their favorite fruits and vegetables, provided information about their interest in cooking classes, and shared their passion for gardening. In the fall, targeted surveys with Community Supported Agriculture shareholders (families purchasing weekly vegetable shares from a local farm), farmers market vendors, food co-op customers, medical center staff members, and local restaurant managers provided more in-depth information about the community's interest in and access to fruits, vegetables, and other healthy foods. MHE also reviewed community grocery options, the growing number of local farms with foods available directly to consumers, and healthy food options at fast food restaurants and convenience stores. Community agencies provided information on Stevens County's nutrition programs for people with low incomes. Student leaders reviewed Morris city ordinances for specifications on raising and selling foods. While additional information is needed to create a fully comprehensive understanding of the Morris area community's access to fruits, vegetables, and other healthy foods, this publication offers the most in-depth picture of the Morris food environment to date. The 17 community assessment reports which follow, when added to the earlier assessments highlighted in the Section IV and the University of Minnesota, Morris specific information in Section VI provide a foundation for understanding the current resources and limitations in our food environment. The reports also illuminate opportunities for changes that would make it easier for the people of Morris to choose healthy foods. MORRIS HEALTHY EATING INITIATIVE 33 Community Festivals and Events Local festivals and events provided effective venues to spread the word about the Morris Healthy Eating initiative and to gather more information about the Morris community. MHE hosted information booths and displays at Prairie Pioneer Days, at Horticulture Night, and at the Stevens County Fair. At all venues, the MHE student leaders, project coordinator, and community partners raised awareness about healthy, in season, and locally grown foods, and surveyed the community to gain information about healthy eating opportunities and challenges. "I was encouraged by the level of interest expressed by many people who visited our informational booth. People seemed genuinely excited about opportunities to make the healthy choice the easy choice." -- Phil Rudney, Morris Healthy Eating student leader Prairie Pioneer Days is a major community event held each mid-summer in Morris. The MHE coordinator and student leaders developed a display, staffed an information booth, and distributed healthy eating information including the Pride of the Prairie Buy Fresh Buy Local Foods Guide. Prevention Minnesota "Every Helping Helps" bags were a very popular and visual way of promoting increasing fruit and vegetable servings. MHE leaders surveyed community members to determine their favorite fruits, favorite vegetables, and favorite in season fruits and vegetables, using interactive "dot" voting. Key findings from Prairie Pioneer Days favorite fruit and vegetables dot surveys-- � Asparagus placed first in the favorite vegetable category, potatoes placed second, and sweet corn placed third. � In the fruit category, strawberries were a hands-down favorite, with raspberries a distant second. � In the "fruits and vegetables in season" category, sweet corn won big, with strawberries and tomatoes placing second and third respectively. "We encourage people to choose fruits and vegetables in season, when they are at the peak of nutrition and taste," -- Mary Jo Forbord, Morris Healthy Eating coordinator. Horticulture Night draws more than a thousand people from the Morris area and beyond to the University of Minnesota's West Central Research and Outreach Center display gardens in Morris in late July each year. In 2009, "Hort Night" provided a great venue for raising awareness about Morris Healthy Eating and distributing a cooking survey. Attendees seemed particularly receptive and appreciated healthy eating resources. Student Leaders at Prairie Pioneer Days 34 COMMUNITY FOOD ASSESSMENT V. Food Assessment Research: Morris Community The Stevens County Fair runs for five days each August at the fairgrounds in Morris. Student leaders and coordinating team members staffed the MHE booth at the fair. Fair goers voted for their favorite fruits and vegetables and completed cooking and gardening surveys. A summary of survey responses follows. MHE Student Leader Anne Krohmer Cooking and Eating at Home Morris Community Cooking Survey Surveys were conducted at community festivals and events to gauge the Morris community's interest in cooking, cooking experience, and interest in taking cooking classes. Key findings: � Sixty-nine percent of survey respondents would be interested in taking cooking classes. � Interest is high for both multi-cultural and healthy meal cooking classes. Out of the 77 community residents who responded at the Stevens County Fair, most were women (78 percent). The average age of respondents was 39. Nearly all of respondents (96 percent) said that they cook. Most (61 percent) cook every day with another quarter cooking a few times a week. The majority of respondents rated their cooking ability as good (49 percent) or excellent (22 percent). About one in three rated their cooking ability as fair or minimal. There is strong interest in cooking classes. More than two-thirds of respondents would be interested in taking a cooking class or classes. Most would prefer intermediate-level cooking classes. Just more than one in four would like beginning level cooking classes; 30 percent are interested in advanced classes. People are particularly interested in multi-cultural cooking classes (70 percent) and classes on healthy cooking closely (69 percent). 35 MORRIS HEALTHY EATING INITIATIVE Are you interested in taking a cooking class or cooking classes? Key findings-- � More than 60 percent of survey respondents have a garden. o Four out of five gardeners do so to eat produce that is fresher and healthier than what they can purchase. More than half of gardeners raise more produce than they can use. No 31% o Yes 69% � For non-gardeners, 42 percent indicated that having access to land or other resources would help them start gardening. Respondents prefer UMM or the Morris Area High School as a location, with weeknights (67 percent) as the best day and time for classes. Thirty percent preferred Saturday classes. The average price respondents found reasonable to pay for a one hour cooking class is $10�15. Potential teachers are available in the community, with five respondents (7 percent) indicating that they are interested in teaching cooking classes. Gardens, Community Supported Agriculture Membership, and Farmers Markets Morris Gardening Survey Community members were surveyed at the Stevens County Fair to find out if they currently garden, and what barriers exist to more people having access to garden-grown vegetables and fruit. Sixty-two percent of the 56 respondents have a garden in which they grow a variety of fresh vegetables and a few varieties of fruit. The vast majority of gardeners (79 percent) do so to eat produce that is fresher and healthier than what they can purchase. A large majority also finds gardening to be an enjoyable hobby (70 percent). Most (62 percent) say it is a cheaper way of producing food, and 60 percent indicated that growing a garden assured the source of their food and how it was produced. More than half of respondents (55 percent) have more produce more than they can use. Many respondents said that they give extra produce to family, friends, and neighbors. Some are willing to donate their extra produce to people who cannot afford fresh fruits and vegetables. Of the respondents who do not currently garden, nearly half (48 percent) lack resources (i.e. soil, space, sunlight, etc). One out of three lack knowledge and time. About one in five (19 percent) lack physical ability. 36 COMMUNITY FOOD ASSESSMENT V. Food Assessment Research: Morris Community What prevents you from gardening? Non-gardeners were asked what would help them to start gardening. Forty-two percent indicated access to land or other resources, 32 percent would like classes on how to start and maintain a garden, 16 percent would like classes on how to cook using fresh produce, and 10 percent would need physical labor assistance. Twenty percent indicated that didn't have an interest in starting to garden. What would help you start gardening? During the community food assessment, a number of new rural and urban "community gardens" were in the news across the state of Minnesota. Some communities made individual garden spaces available to growers, others created a shared community plot raising foods for a local food shelf. Most offer access to water and a composting site, with some offering gardening tools and mulch. Two Morris property owners offer local residents the opportunity to garden on their land, in privately owned community gardens. More information is needed on these gardening opportunities and the resources provided. MORRIS HEALTHY EATING INITIATIVE 37 Morris City Ordinances--Gardening, Greenhouses, Chickens, and Compost Morris City Ordinances were reviewed in 2009 for opportunities and limitations related to food and healthy eating initiatives. City ordinances were last updated in 2005 and currently comprise 777 pages. A few ordinances applied directly to Morris Healthy Eating follow. � No restrictions on gardening were noted, except that multi-family buildings and apartments cannot make business, trade, or industry off of gardens or conservatories. � A straightforward procedure is outlined for obtaining a permit for a greenhouse or nursery. � The only animals that are permitted are cats, dogs, gerbils, hamsters, household birds, and horses that are affiliated with UMM Saddle Club. No farm animals or reptiles are permitted. While many cities are providing opportunities for backyard chicken co-ops where urban residents raise their own eggs, chicken co-ops are not allowed in Morris within the current ordinances. � All compost material must be stored in containers that are clean, rust-resistant, water tight, non- absorbent, washable, and closed. Key Findings-- � CSA members join to support local farmers, create connections in the community, and gain access to organic vegetables. � An average of 40 percent of members' food came from their CSA produce during the growing season. � CSA cost is not a barrier to individuals, especially if shares are split between families. � Greater advertising may result in more families having access to fresh vegetables from a CSA. Fifteen Easy Bean CSA members were surveyed when they picked up their CSA shares in August 2009. The average length of their CSA membership was six years. Members indicated that the biggest motivator for joining the CSA is supporting local farmers, followed by creating connections in the community, and gaining access to organic vegetables. The barriers to joining the CSA included getting to the pick-up location on time, the impact of the weather, and financial concerns about expense and value. In general, members indicated that they were satisfied with the pick-up times, location, and social environment, as well as the price, quality, and variety of the produce received. Access to fresh, high quality vegetables was the most often cited benefit. As noted in the key findings, CSA cost is not a barrier to individuals, especially if shares are split between families. The main dislikes cited were that individuals were not always able to use all of the produce in a week due to the large amount received, and a lack of control over the amount of certain items they received (some individuals wanted more or less of certain vegetables). CSA shares provided a significant amount of the members' food for the week: an average of 40 percent of members' food came from their CSA produce during the growing season. Nearly three out of four (70 percent) of the survey respondents indicated that they heard about the CSA through word of mouth. CSA advertising was perceived as very limited to non-existent. Additional advertising could generate greater interest and demand for CSA shares in the Morris area. Morris Community Supported Agriculture (CSA)--Easy Bean CSA Member Survey Easy Bean Farm is one of two Community Supported Agriculture (CSA) farms delivering a box of vegetables each week to families in Morris. Easy Bean provides summer deliveries (early June to mid-October) from their Montevideo, Minnesota farm, while Garden Goddess Produce offers winter shares from their Milan, Minnesota low-input greenhouse and stored root crops. Both local CSAs deliver through Pomme de Terre Food Co-op. The Pride of the Prairie directory lists additional CSAs in the region including Plentiful Visions Farm in Glenwood, Minnesota, and Ploughshare Farm in Alexandria, Minnesota. Easy Bean CSA participants were surveyed to better understand the benefits and barriers of the program. CSA members pay an annual fee before the growing season begins to buy a "subscription" in a farm. In return, they receive a weekly delivery of produce through the growing season. CSA members share the risk with the farmer and reap the benefits or misfortunes of the growing season. Most CSAs sell a full or half share. Easy Bean's weekly boxes usually contain 10�15 different vegetables in addition to herbs, heirlooms, and a few unusual varieties of vegetables. 38 COMMUNITY FOOD ASSESSMENT V. Food Assessment Research: Morris Community Morris Farmers Market--Vendor Survey Growers were surveyed through interviews at the Morris Farmers Market during the 2009 season. A Farmers Market has traditionally been held in Morris from mid-July until the first frost of the year. The market has been held Tuesdays and Fridays, 11 a.m. until 1 p.m. in the American Legion parking lot one block west of downtown on Fifth Street for a number of years. The market typically features from seven to fifteen local growers. Key findings-- � Morris Farmers Market growers live within 10 miles of the market. � Many growers believe the market needs more advertising to make it more visible and accessible to the community. � Lack of shade or shelter on a paved surface make heat and rain significant problems during the summer. Fruit and Vegetable Growers Survey on Consumer Interest in Growing Practices A survey of 35 growers attending the 2008 Upper Midwest Regional Fruit and Vegetable Growers Conference held in St. Cloud, Minnesota, provided valuable information on perceived consumer interest in how fruits and vegetables are grown. All of the producers surveyed sell directly to consumers through farm markets or operate a "pick-your-own" operation. Seventy percent of the respondents agreed that their customers ask about pesticide use occasionally or often. Moreover, 45 percent stated that they are asked many times per season if their produce is grown organically, while 27 percent are asked this same question occasionally. A majority (63 percent) of respondents said they feel moderate to extreme pressure from customers to use fewer pesticides on their farm. This survey provides direction to the UMM campus garden and farmers market vendors regarding production methods likely to be in demand by potential customers. Morris Grocery Stores Additional findings � Most of the growers at the Morris Farmers Market had been coming to the market for three years or less. Morris is the only farmer's market most of the growers attend; a few growers also attend markets in Benson, Glenwood, and the bi-annual Pride of the Prairie farmers market on campus. All survey respondents traveled 10 miles or less to sell at the market. � The majority of the items sold at the market are vegetables, including tomatoes, sweet corn, cucumbers, potatoes, zucchini, squash, and peppers. Individual growers also sell watermelon, apples, baked goods, and jams. � The most common reason growers participate in the Morris Farmers Market was that they grow too much produce in their own gardens so it provides an opportunity to "get rid of extra vegetables." They also mentioned it was a good way to meet new people and connect to the community, and that the market provides a good educational opportunity for their children. � Market challenges included occasional disagreements on setting prices, the heat and lack of shade or shelter creating discomfort, and a lack of customers. � The Farmers Market is not a significant source of income for any of the growers surveyed. Most growers made less than $100 during a typical day at the market, with most making $25 to 50. Morris is home to three locally owned grocery stores: Willies Super Valu, the Pomme de Terre Food Co-op (a MHE partner described in more detail in the following section), and La Tienda. Coborns, a fourth grocery, closed while the community food assessment was being conducted. Willie's Super Valu, Morris's longtime family owned grocery store is a large full service grocery store that prides itself on friendliness and good service. Willie's carries a wide variety of foods, including a full aisle of fresh fruits and vegetables, with organic produce and other organic products. Willie's moved to a new, larger store about 10 years ago, adding a variety of foods to meet customer requests and serve an increasingly diverse community. Willie's also caters and will deliver groceries to homes in Morris upon request. Willie's is located at 25 East Seventh Street. La Tienda opened in 2007. The grocery selection includes a variety of food products that are popular with the Hispanic community, including limited fresh produce. La Tienda is becoming well-known among students and the larger community. La Tienda is located at 707 Atlantic Avenue. A Coborns grocery store in Morris closed in October 2009. It was the only 24-hour grocery store and one of the two largest grocery stories in Morris. The building at the junction of Minnesota Highways 28 and 9 is currently vacant. Surveys related to access, affordability, and barriers to fresh fruits, vegetables, and other healthy foods, like the customer survey completed at Pomme de Terre Food Co-op and described below, could be replicated at the other grocers in Morris for a more comprehensive understanding of the community food environment. MORRIS HEALTHY EATING INITIATIVE 39 Morris Healthy Eating Partner: Pomme de Terre Food Co-op Pomme de Terre Co-op Customer Survey: As a partner in Morris Healthy Eating, Pomme de Terre Food Co-op (PDT) surveyed its customers during summer and fall 2009 to identify the reasons why customers shop at the co-op, how frequently they shop, and to gauge interest in fresh produce. PDT currently carries a variety of canned, frozen, and dried fruits and vegetables, but currently no fresh produce. A total of 84 PDT customers completed the survey. Four out of five customers (82 percent) shop at PDT at least once a week; with one in three shopping at PDT two or three times a week. About one in five (18 percent) shop at the co-op just a few times a year. The co-op offers two opportunities for shoppers to become affiliated with the store and receive purchase discounts. The vast majority of the respondents (71 percent) were not members of PDT, an option where shoppers join the co-op for an annual fee and receive a 5 percent discount on purchases. About one-third (35 percent) were PDT volunteers, contributing their time to the store's operations. Volunteers receive discounts on their purchases at levels that vary with the hours and amount of responsibility the volunteer assumes. Key Findings-- � Four out of five PDT customers (82 percent) shop weekly seeking healthier options; local, organic, and natural products; and to support the community. � Nearly nine out of ten PDT customers (87 percent) would purchase fresh fruits and vegetables at PDT, especially locally grown and organic produce. Percent of PDT shoppers who would buy fresh fruits and vegetables No 13% Yes 87% Survey results indicate strong support for PDT to offer fresh produce, particularly if the produce is in season and/or organic. Many customers shop at PDT specifically because it offers local, organic, and natural food options. Additional Pomme de Terre Food Co-op Research Key Findings-- � The vast majority of Minnesota food co-ops now offer fresh produce year-round. � A total of 161 pounds of local, organically raised Haralson, Connell Red, and Macintosh applies were sold at PDT in a fresh produce pilot in fall 2009. � The Pomme de Terre Food Co-op offers the greatest variety of locally raised foods of any stores in Stevens County and a large portion of west Central Minnesota. � In 2009, 13 percent of PDT's inventory purchasing dollars were directed to local, Minnesota, and Wisconsin farmers/producers, with half of these purchases within the Pride of the Prairie region. Additional findings � Two out of three shoppers indicated they would buy produce raised by a local grower; more than half would buy organic produce; and half would buy seasonal fruits and vegetables. � Respondents were interested in purchasing a wide variety of fruits and vegetables. The most requested produce items were apples, bananas, greens, tomatoes, peppers, broccoli, and potatoes. � Customers' top reasons for shopping at PDT included: healthier options; local, organic, and natural options; to support the community; to support the co-op; buy items in bulk; and specialty items. Pomme de Terre Food Co-op--Local Fruit Retail Pilot: Organically grown apples from Honey and Herbs Farm, Benson, Minnesota, were made available to co-op shoppers during fall 2009 as a fresh produce pilot project. The original order sold quickly and was followed by three additional orders. A total of 161 pounds of Haralson, Connell Red, and Macintosh applies were sold at PDT. Each pound had traveled less than 30 miles from where they were grown rather than the 1,500 mile average for most U.S. fruits and vegetables. These results support customer interest in buying fresh, local, organically grown produce at PDT Foods. 40 COMMUNITY FOOD ASSESSMENT V. Food Assessment Research: Morris Community PDT shoppers' preferences for fresh fruits and vegetables Pomme de Terre Food Co-op--Local Foods Purchasing Analysis: The Pomme de Terre Food Co-op offers the greatest variety of locally raised foods of any stores in Stevens County and a large portion of west Central Minnesota. Pride of the Prairie, Minnesota, and Wisconsin farm partners provide dairy products, eggs, meats, grains and flour, frozen vegetables, honey, maple syrup, and snack foods. In 2009, 13 percent of PDT's inventory purchasing dollars were directed to local, Minnesota, and Wisconsin farmers/producers, with half of these purchases within the Pride of the Prairie region. Pomme de Terre Food Co-op--Minnesota Food Co-op Survey: A survey of Minnesota food co-ops found that a large percentage of co-ops carry fresh fruits and vegetables. Twenty food co-ops carry fresh produce year-round, including rural co-ops in Litchfield, Brainerd, and Bemidji. Five additional co-ops carry seasonal or limited produce. Only four, including Pomme de Terre Foods, do not carry any fresh fruits and vegetables. Nearly 7,500 copies of the current 2009 directory have been distributed. Morris Healthy Eating provides directories at all campus and community outreach activities. Electronic copies are available at www.prideoftheprairie.org/localfoodsguide The fourth edition of the Pride of the Prairie Local Foods Guide was reviewed to determine the number of area farms offering foods to the community. Key Findings-- � The Pride of the Prairie directory features 15 farms in Stevens County and the five adjacent counties selling virtually all of the foods needed for a healthy, balanced meal directly to west central Minnesota residents, including a wide range of fruits, vegetables, grains and legumes, poultry, meats, and prepared foods. � An additional 58 farms in the Pride of the Prairie region add diverse local products. � The region's 25 farmers markets, 12 retail operations that feature local foods, and seven Community Supported Agriculture farms make fresh local products more accessible to families. Food from our West Central Minnesota Farmers Morris Healthy Eating Partner: Pride of the Prairie local foods initiative The fourth edition of the Pride of the Prairie Local Foods Guide offers a directory of the local farms raising foods for people in west central Minnesota's Upper Minnesota River Valley. It also provides an up-to-date resource for learning about local foods and how they are produced. The publication is part of the Pride of the Prairie's Buy Fresh Buy Local campaign, supported by the University of Minnesota West Central Partnership. MORRIS HEALTHY EATING INITIATIVE 41 The 2009 directory includes 73 farms raising products for direct sales to individuals and institutions. The directory lists nine farms in the Morris area (a five county area including Stevens, Grant, Traverse, Big Stone, and the western half of Swift), with another six farms just to the east in Pope County. Foods available from the 13 farms in Stevens County and the five adjacent counties include: � Fruit--rhubarb, strawberries, raspberries, and apples; � Vegetables--salad greens, head lettuce, eggplant, radishes, turnips, carrots, beets, onions, cabbage, garlic, turnips, tomatoes, sweet corn, potatoes, summer and winter squash, and pumpkins; � Grains and legumes--flax, oats, rye, soybeans, sunflower seeds, wheat, whole wheat flour; � Poultry--free-range chickens and eggs; � Meats--beef, pork, and goat meat; and � Prepared foods--jelly, salsa and relish. Beyond the Morris area, the directory includes 19 additional farms in the northern Lakes sub-region, 26 farms in the Montevideo area, and 13 in the Willmar area. These farmers offer some additional locally raised products including bedding plants and seedlings; bison and lamb; butter and cheese; ducks and turkeys; a variety of flours, pancake, and biscuit mixes; flowers; blueberries and melons; herbs; honey and maple syrup, mushrooms, vinegar, and wine. While many people buy products directly from farmers, the region's 25 farmers markets and 12 retail operations (grocers, restaurants, schools, etc.) that sell local foods make it easier for area residents to find fresh local products. In addition, seven farms in the region provide Community Supported Agriculture deliveries of weekly food shares for members. The most current roster of farmers/growers is available on line. Steve's Strawberries, a very popular pick your own strawberry farm on the edge of Morris for 25 years, had its last season in 2009. And a number of new farms have joined the local Buy Fresh Buy Local chapter since the directory was printed. Exploring distribution systems for fresh, healthy local foods with Kadejan Inc. During fall 2009 and spring 2010, a series of discussions on local foods were held with Kadejan Inc. a United States Department of Agriculture (USDA) processing plant, a food retailer through their new Kadejan Market, and an emerging institutional sales distributor of locally produced foods. Located 30 miles east of Morris in Glenwood, Minnesota, Kadejan has processed freerange chickens raised on local farms that follow the Kadejan quality assurance protocol for 20 years. Their chickens are available primarily at Twin Cities restaurants and grocers featuring local foods including Lucia's restaurant, Kowalski's Markets, and a number of large food co-ops. Kadejan is working with Morris Healthy Eating to explore ways to strengthen a weak link in the local foods procurement chain in greater Minnesota: food distribution for sales to grocers, restaurants, schools, and healthcare facilities. Kadejan's goal is "healthy food for a healthier community" through sourcing the healthiest whole foods available, with a commitment to work with local companies and individuals that support this goal. Kadejan recognizes the need for a distributing company that markets and carries local, sustainably raised products to co-ops, grocery stores, and institutions. Building on their work as an established distributor of their own products, Kadejan has established a distributor relationship with six other Minnesota local foods companies and is in the process of establishing a distributor relationship with others. Kadejan is also interested in distributing products from and for local farmers. Key findings-- � Work is needed to strengthen a weak link in the local foods procurement chain in greater Minnesota--food distribution for sales to grocers, restaurants, schools, and healthcare facilities. � A strong business model for procurement and distribution of local sustainably raised products will require co-operation and commitments from local farmers, growers, retail, and institutional partners; local food aggregation and distribution infrastructure; and a process for addressing food quality and safety assurances. � Additional challenges and opportunities include citizen education to better understand the availability, healthfulness, and other benefits of locally produced foods and innovative practices to extend to Minnesota growing season. 42 COMMUNITY FOOD ASSESSMENT V. Food Assessment Research: Morris Community As part of the MHE Community Food Assessment, Kadejan's owner and manager identified the following barriers to bringing local foods to institutions. 1. It is difficult for institutional food buyers to maintain relationships with individual farmers and growers to source the volume of foods needed for local foods to be more than a specialty item. A business model is needed to determine a procurement and distribution processes that will assure delivery of more high quality local products to the campus and Morris area grocers and restaurants. Costs will be incurred for planning and development. 2. Food distribution is complex, particularly in emerging local food markets which value farm identified products raised through sustainable practices and distributed within a foodshed. Among the requirements: entrepreneurial acumen, advanced organization, space planning, facilities and other capital investment, communication, trust, co-operation, and commitment among multiple partners. 3. Local food aggregation is also complex, and has been cited as the most persistent and substantial "bottleneck" for developing local and regional food systems. Inspections and standards to ensure food quality and safety must be built in and comprehensive for all growers and suppliers, including growing practices, packaging, invoicing, and audits. 4. As the largest institutional food provider in the region, the University of Minnesota, Morris and its food provider, Sodexo, offers one of the greatest potential markets as well as one of the highest barriers to entry. a. Sodexo's liability insurance requirement of $5 million is significant. Most local food providers carry $1 to $2 million in liability coverage and meet USDA inspection requirements for processing for grocery, retail, and restaurant sales. Additional coverage adds costs for insurance premiums. b. Sodexo's procurement process requires a third party audit beyond the certifications and inspections in place to meet USDA standards. Costs for a third party audit are substantial and would need to be offset by increased sales volume. Questions remain about audit requirement compatibility with USDA requirements and differences between processor and distributor requirements. Additional challenges and opportunities identified were a strong need for citizen education to better understand the availability, healthfulness, and other benefits of locally produced foods; a need to build strong relationships with local farmers and growers; and a need to engage in innovative practices to extend to Minnesota growing season. Providing Access to Healthy Foods for People with Low Incomes in Stevens County About the county: Stevens County's 2009 estimated population is 9,629 with 17 percent age 65 and older. Due to the University of Minnesota, Morris college population (more than 1,800 students, ages 18 to 24 for the 2010�11 academic year), the percentage of the senior citizen population is less than many neighboring counties. The county includes a growing Hispanic/ Latino community, connected largely to the agricultural/ dairy industry. With 1.6 percent of Stevens County population of Hispanic or Latino origin, this population is of growing significance in comparison to most neighboring counties. Median income is $49,847 compared to the state's median income of $57,318. While the county's median income is higher than some neighboring counties, the below poverty rate is 12.3 percent, a higher percentage than the same neighboring counties. Higher incomes connected to Stevens County's higher education institution, regional medical center, larger commodity/dairy farms, and regional research and government agencies raise the overall median income, while college students, agriculture, and service employees comprise a larger low-income population than is found in surrounding counties. Fruit and vegetable consumption for low-income families: On average, Americans consumed just more than 1 cup of fruits and 1.6 cups of vegetables per day in 2004, compared with the recommended 1.8 cups of fruits and 2.6 cups of vegetables. Individuals eligible for benefits through the Supplemental Nutrition Assistance Program, a program supporting low-income families, ate even smaller amounts of fruits and vegetables--less than 1 cup of fruits and 1.5 cups of vegetables ( www.ers.usda. gov 2009). At the national level, subsidizing the consumption of healthful foods, such as fruits and vegetables, or taxing the consumption of less healthful foods, is under consideration. Stevens County nutrition support programs: In Stevens County, a number of programs are active to improve nutrition among low-income residents. MORRIS HEALTHY EATING INITIATIVE 43 Key Findings-- � One out of four students (26 percent) in Morris Public Schools qualified for free and reduced lunch rates, with 16 percent of students receiving free lunches and 10 percent receiving reduced lunch rates in 2009. � Seven percent of children (122 children) in Stevens County were enrolled in Food Support in 2007. � The Women, Infants, and Children (WIC) Program provided nutrition education and counseling, nutritious foods, and referrals to health services and other social services for 560 new mothers, pregnant women, babies, and young children from low-income families in Stevens County in 2008. � University of Minnesota Nutrition Education Assistants worked directly with more than 5,000 Stevens County residents at food shelves, WIC sites, senior citizen centers, day-care centers, and other community sites in 2008. � The Supplemental Nutrition Assistance Program (SNAP), formerly known as food stamps, helped 3,700 lowincome people (more than 2,000 adults and nearly 1,700 children) in Stevens County buy the food they need for good health in 2009. This is more than one-third of Stevens County's 9,629 residents. � The Stevens County Food Shelf provided five-day emergency or supplemental food to more than 2,500 Stevens County residents in 2009, an average of nearly 50 people each week. The U.S. Department of Education Food and Nutrition Services administers the free/reduced School Lunch Program. It offers free or reduced cost school lunch for children in families below the 185th percentile of the federal poverty level, or $40,792 per year for a household of four (2010 guidelines). In 2009, one out of four students (26 percent) in Morris Public Schools qualified for free and reduced lunch rates, with 16 percent of students receiving free lunches and 10 percent receiving reduced lunch rates (Minnesota Department of Education Web site statistics, www.fns.usda.gov/cnd/Lunch). Free lunches are automatically supplied to children who are enrolled in Food Support programs or Minnesota Family Investment Program (MFIP) and children in foster care. In 2007, 122 children, or seven percent of children in Stevens County, were enrolled in Food Support (The Children's Defense Fund statistics). The Women, Infants, and Children Program (WIC) is a supplemental nutrition program administered by the Minnesota Department of Health. WIC provides nutrition education and counseling, nutritious foods, and referrals to health services and other social services. Groups targeted for WIC assistance include low-income new mothers, pregnant women, babies, and young children. Eligible applicants must meet the low income requirements of 185 percent or less of the federal poverty level, and have a medical or nutritional need. A "medical need" means that a mother or her child has health-based risks such as high or low weight, anemia, or a history of having low birth weight or premature babies. A "nutrition need" means that a mother or her child may have poor eating habits, lack variety in the foods eaten daily, or are lacking in consumption of targeted nutrients (calcium, iron, or protein). In 2008, 560 women and children enrolled in the Women, Infants, and Children (WIC) Program in Stevens County. The Stevens County WIC Clinic is held at the Mid-State Community Health Services, 621 Pacific Avenue in Morris. WIC provides important and comprehensive data to measure progress in healthy eating for key population groups. Body Mass Indicator (BMI) statistics are calculated for women and children enrolled in the program. Participants are classified as underweight, normal weight, at risk for being overweight, overweight, and obese, according to their BMI score. From June 2008 to June 2009, the percentage of Stevens County children over the age of 2 with BMI scores putting them at risk for becoming overweight averaged 16 percent. Children who were overweight decreased from about 15 percent in the previous year to just more than 10 percent. Women in the overweight category increased dramatically from 9 percent in June 2008 to 22 percent one year later. The percentage of obese women increased by 3 percent. (WIC statistics, www.health.state.mn.us/divs/fh/wic) The Nutrition Education Programs (NEP) provided through University of Minnesota Extension teaches individuals and families the necessary information and skills to maintain healthy diets by working with other programs funded by the USDA. Curriculum topics include the importance of eating breakfast, balanced meals, planning low-cost meals, and stretching food budgets. Programs are held in a wide range of community settings, including food shelves, WIC sites, senior citizen centers, and daycare centers. The NEP staff provides training and support for Nutrition Education Assistants (NEAs). In 2008, NEAs from the Morris area worked directly with 5,698 county residents. By age group, 1,042 preschool children, 3,567 5�17 year-old children, 819 adults (aged 18�59) and 249 seniors (over age 60) were reached through direct contact programming (www3.extension.umn.edu/Nutrition/index.html) A number of other programs provide food resources for eligible residents of Stevens County. The USDA's Commodity Supplemental Food Program (CSFP) provides free healthy commodity food products to individuals who meet income guidelines. Financial Workers at Stevens County Human Services determine applicant eligibility. The Mothers and Children Program (MAC) and the Nutrition Assistance Program (NAPS) support low-income populations. To qualify for MAC or NAPS, individuals must be children ages five to six, women who are not breastfeeding and have a baby between six months and one year of age, and men and women who are older than 60 years. Income eligibility requirements vary for MAC and NAPS. Canned fruits, vegetables, and juices, dry and canned milk, cheese, canned 44 COMMUNITY FOOD ASSESSMENT V. Food Assessment Research: Morris Community meat, peanut butter or dry beans, cereal, and rice or pasta are provided at no charge each month at designated sites (www.fns.usda.gov/fdd/programs/csfp.) The Supplemental Nutrition Assistance Program (SNAP), formerly known as food stamps, helps low-income people and families buy the food they need for good health. Coordinated by Stevens County Human Services, SNAP benefits are provided on an electronic card that is used like an ATM card and accepted at most grocery stores including Willie's Super Valu and Pomme de Terre Food Co-op in Morris. Through nutrition education partners, SNAP helps clients learn to make healthy eating and active lifestyle choices. In 2009, 3,696 Stevens County residents received SNAP benefits (2,018 adults and 1,678 children.) This is more than one-third (38 percent) of the county's 9,629 residents (U.S. Department of Commerce from U.S. Census Bureau 2009, www.fns.usda.gov/snap, research.stlouisfed.org/fred2/series/ MNSTEV9POP?rid=119). The Stevens County Food Shelf provides five-day emergency or supplemental food support to county residents. There is no fee for this service. Clients must provide proof of residency. In 2009, the Food Shelf served 2,534 individuals, almost one-fourth of the county's population, an average of nearly 50 people each week. The Food Shelf, located at 701 Iowa Avenue in Morris, 320-589-7436, is open for an hour each weekday. Food Shelf Hours Monday 2:30 until 3:30 p.m. Tuesday 10:30 until 11:30 a.m. Wednesday 10:30 until 11:30 a.m. Thursday 5:30 until 6:30 p.m. Friday 10:30 until 11:30 a.m. Dining Out and On the Go Morris Restaurants Morris is home to seven locally owned restaurants: Bello Cucina, Common Cup, DeToy's, Don's Cafe, Jose's Burritos, Old # 1, and the Prairie Inn Ranchhouse as well as six regional/national fast food franchised restaurants: Subway, McDonald's, Pizza Hut, Pizza Ranch, Taco John's, and Dairy Queen. The Morris Healthy Eating team delivered paper surveys with stamped addressed return envelopes to these Morris restaurants in fall 2009 to assess interest in healthy foods initiatives. After follow-up calls, MHE team members conducted in person interviews with the managers of two restaurants. Only the restaurants interviewed in-person completed the survey. Additional in person work is needed with the remaining restaurants. A menu analysis for the franchised restaurants was completed using on-line information; results are summarized below. The owner/chef of Bello Cucina and the manager of the Common Cup were interviewed separately to gauge interest in expanding menu offerings of fruits, vegetables, and local foods. Both Bello Cucina and Common Cup provide menu items containing fruits and vegetables. They each reported that customers do not ask for healthier food options, but both indicated that customers are interested in local foods. Key findings-- � Customers do not ask for healthier food options at the two restaurants interviewed. They do however ask about local foods. � Barriers to serving local foods include uncertainty about where to buy local foods, convenient bulk delivery, and price. � Mail-in surveys are not an effective way to obtain information from local restaurants. Each restaurant uses some locally produced food without providing this information to customers. Barriers to serving locally grown foods included uncertainty about where to buy local foods, concerns about affordable pricing, and concerns about convenient bulk delivery. MORRIS HEALTHY EATING INITIATIVE 45 Morris Fast Food Restaurants In spring 2009, UMM's Biology 1002 Human Nutrition class, taught by Rich Hardy, teaching specialist, analyzed fast food restaurant menus in Morris for nutrition composition and to identify the healthiest options available. Six menus were reviewed: Subway, McDonald's, Pizza Hut, Pizza Ranch, Taco John's, and Dairy Queen. Analysis was based on total fat, saturated fat, trans-fat, sodium, and total caloric content. Most menus are currently available on the restaurants' Web sites and some are posted onsite. New legislation summarized below will provide greater access to this information onsite at chain restaurants in the future. Key findings-- � Fast food menus currently offer a few healthy food options. � Subway offers the greatest flexibility to choose healthy foods. Subway customers may order "the works" for any sandwich, which adds a variety of different vegetables, though in relatively small quantities. Apple slices are offered as a side order. Students suggested that Subway could improve its menu by adding more fruit options, increasing the size of vegetable servings, providing a low fat cheese option, and offering a low carbohydrate or low calorie bread option. The McDonald's menu includes some lower calorie options and salads. Fruits are available in yogurt and fruit parfaits. Students indicated that McDonald's could improve its menu by adding more fruit and vegetable options, adding a low fat cheese option, baked potatoes, and fruit as a side or dessert. Pizza Hut offers peppers, mushrooms, and onions on different kinds of pizzas, but not much variety on the menu. Pizza Ranch offers more variety, including tomatoes, lettuce, onions, peppers, and mushrooms on pizzas or in wraps. The buffet offers more fresh vegetable and canned fruit options, but also selections that are higher in fat and calories. Buffet portions are unlimited. Students concluded that Pizza Hut and Pizza Ranch could improve their menus by adding salads to the delivery menu, providing a low fat cheese option, a lower carbohydrate pizza crust, and offering fruit as a side or desserts. Taco Johns offers tomatoes and lettuce on tacos and burritos. To increase healthy options, students recommended that Taco John's offer salads, baked taco chips, a greater variety of vegetables, and more fruit. Dairy Queen offers a few salad options. Fruit is found only in banana splits, ice cream parfaits, and blizzards. Healthier options that student suggested were to include dinner salads, sorbet, ice, and menu items that emphasize fresh fruit in season without large amounts of added calories. Access to nutrition information at chain restaurants will be easier in the future. In March 2010, U.S. President Barack Obama signed into law federal health reform legislation with prevention and public health provisions including "nutrition labeling of standard menu items at chain restaurants with 20 or more locations doing business under the same name.... This includes disclosing calories on menu boards and in written form, available on request, additional information about total calories and calories from fat, amounts of fat and saturated fat, cholesterol, sodium, total and complex carbohydrates, sugars, dietary fiber, and protein. The bill exempts small businesses and does not apply to daily or temporary specials and customized orders." Proposed regulations to implement the law are due by March 2011 (National Conference of State Legislatures Web site, updated May 2010, www.ncsl.org/IssuesResearch/Health/ TransFatandMenuLabelingLegislation/tabid/14362/Default.aspx). Morris Convenience Stores Research was conducted in spring 2009 by students in UMM's Biology 1002 Human Nutrition class to assess the availability of healthy meals and snacks "on the go." All four convenience stores in Morris were included in the study: BP Amoco, Casey's General Store, Jerry's U-Save, and Cenex. The research groups analyzed each store's food and drink selections to determine healthy items based on criteria chosen by the students. Key findings-- � The number of healthy choices provided by convenience stores in Morris is limited. � Few offerings of fruits or vegetables or healthy snack options are available with a greater selection of healthy drinks. � Only one convenience store offered a fresh fruit or vegetable option at the time of the survey. Additional findings � Healthy beverage choices offered at most convenience stores include: water, milk, vegetable juice, dilute vitamin and electrolyte beverages, and 100 percent fruit juices. � Healthy snack and food items widely available include: a cereal-based snack mix, trail mix, peanuts, beef jerky, granola bars, and sandwiches. � Approximately 15 to 20 percent of the food choices, and 25 to 50 percent of the drink choices were considered to be healthy, according to student criteria. � Only one convenience store offered a fresh fruit or vegetable option at the time of the survey, with bananas available for purchase at Casey's General Store. 46 COMMUNITY FOOD ASSESSMENT V. Food Assessment Research: Morris Community Dining At Work Morris Healthy Eating Partner-- Stevens Community Medical Center Cafeteria Survey As a Morris Healthy Eating health care partner, the Stevens Community Medical Center (SCMC) conducted a cafeteria survey in August 2009. The survey assessed SCMC staff members' attitudes toward food served in the cafeteria as well as possible changes that could be made to make healthy foods easier to access. Employees were asked about current cafeteria options, their attitudes about healthy food options, and actions that SCMC could take to make it easy for employees to eat healthy in the cafeteria. More than 100 staff members completed the survey, with most (78 percent) eating at the SCMC cafeteria three to five times per week or more. Key findings-- Menu enhancements, nutrition information, and a "healthy option of the day" would be welcomed by employees at the SCMC cafeteria and may increase healthy eating at SCMC. Additional findings � Eight-five percent agreed that they would eat healthier if healthy food options they liked were served. � Eight percent indicated that they are in favor of a "healthy option of the day" served at the cafeteria. � Fifty-three percent thought that they would eat healthier if nutrition information was provided. � Fifty-seven percent disagreed that "meatless" options would help them toward healthier eating. � In response to the statement "I would eat healthier foods in the SCMC cafeteria if healthy food options were local and organic," 26 percent agreed, 38 percent disagreed, and 36 percent were undecided. Overall results indicated that employees are satisfied SCMC's food offerings and affordability. Nearly all staff members provided narrative comments offering valuable direction for future food options. The most frequent comments included appreciation for the great food and good benefit it provides to SCMC employees; appreciation for fresh fruits being offered regularly; requests for more salads and a salad bar; requests for more fruits, vegetables, and fresh foods; and suggestions for healthier options (such as more salads with lighter vinegar and oil based dressings rather than creamy dressings), and variety in meat offerings. MORRIS HEALTHY EATING INITIATIVE 47 Partnerships for Healthy Eating Minnesota Statewide Health Improvement Program and West Central Wellness In 2009, Douglas, Pope, Stevens, Traverse, and Grant Counties joined together to form West Central Wellness (westcentralwellness.org), a regional effort to promote community policies and environmental changes that will improve the health of residents and reduce health care costs. The effort, led through county public health offices, is funded by the Minnesota Department of Health as part of the Statewide Health Improvement Program (SHIP). West Central Wellness received an allocation of $210,000 for July 2009 to June 2010 and $469,000 for July 2010 to June 2011. Community groups in Stevens County and across the region are receiving mini-grants to implement community health improvement efforts. West Central Wellness selected the following health improvement strategies centered on improving nutrition and increasing physical activity, to create healthier environments in communities, schools, workplaces, and healthcare institutions. Mini-grants align with each strategy area. � Healthy Schools Healthy Kids works to improve nutrition policies and create more opportunities for physical activity within schools in order to reduce the risk of obesity and teach healthy habits early on. � Healthy Communities for Healthy Living works to increase the availability of nutritious foods and provide access to non-motorized transportation within communities in order to reduce the risk of obesity and chronic disease. � Healthy Worksites for Healthy Employees works to implement wellness initiatives that promote healthy choices and lifestyles for employees. � Resources for Healthy Living works to develop relationships among healthcare providers and community leaders that facilitate the referral of patients to local resources including: access to nutritious foods, opportunities for physical activity, and tobacco use cessation. Morris Healthy Eating is working closely with West Central Wellness, as the programs' goals are complimentary and overlapping. Stevens Traverse Grant Public Health leaders are active on the MHE leadership team and a number of MHE team members participate in West Central Wellness community and regional leadership teams. 48 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris VI. Food Assessment Research: University of Minnesota, Morris VI. Food Assessment Research: University of Minnesota, Morris In addition to the community-focused assessments summarized in the previous section, a variety of assessment work was completed on the University of Minnesota, Morris campus. With UMM students a primary target population for Morris Healthy Eating, the work understanding their food environment, barriers to healthy eating, and opportunities for change is most extensive. UMM faculty and staff access and barriers to healthy eating are also reported. MHE work will support healthy eating for faculty and staff, as well as their families, most of who reside in Morris. About University of Minnesota, Morris students UMM students are talented and motivated, with an average college entrance ACT test score of 25. Consistent with UMM's mission as a public liberal arts college, the student body includes a high portion of first-generation students, students with high financial need, and one of the most racially and ethnically diverse student populations in the state. Fall 2009 student demographic data follows. � Most UMM students are traditional aged college students, ages 18�22. � More than 80 percent of students are from Minnesota. � American Indian students comprise 12 percent of the population, compared to one percent in Minnesota and national four-year colleges and universities; U.S. students of color total 19 percent. � International students, many from China, comprise four percent of the student body. � Nine of ten students receive financial aid. One out of three qualify for federal grants supporting college students with high financial need, one of the highest levels in Minnesota higher education. � More than 40 percent of entering students will be the first in their family to graduate from a four-year college or university. � More than 90 percent of first-year students and half of all students live on campus and are required to have dining plans. Ninety-five percent of students live within two miles of UMM. � Approximately 40 students are parents, impacting an additional 100 children and family members. MORRIS HEALTHY EATING INITIATIVE 51 Campus based community food assessment activities UMM students, faculty, and staff played key roles in the MHE community food assessment. In addition to offering their ideas and perspectives through a variety of surveys, faculty and students were engaged in planning and implementing portions of the assessment through service learning projects in three spring 2009 courses. A Public Health and Epidemiology professor and students created, implemented, and analyzed Morris Healthy Eating's comprehensive student, faculty, and staff survey. Sociology students conducted focus groups with key populations to glean information about healthy eating barriers and opportunities. And as noted earlier, Human Nutrition students examined healthy food options in Morris fast food restaurants and convenience stores. During fall 2009, the MHE coordinator and student leadership team worked with campus partners to complete a student dining preference survey, a dining services waste study, a survey of student organizations' interest in healthy eating activities. The team also reviewed a variety of vending and dining assessments and plans. In total, MHE assessments gathered information and ideas from more than 1,800 individual respondents from the campus community. While some individuals likely completed more than one of the surveys, it is clear that the MHE community food assessment process engaged a significant portion of the campus community. Morris Healthy Eating on-campus communication The spring 2009 announcement of the MHE project and opportunities to provide input were met with great enthusiasm and high participation on campus. In fall 2009, new students were introduced to MHE at the Student Activities Fair during New Student Orientation. MHE tables at the Pride of the Prairie Farmers Market, Faculty and Staff Wellness Fair, and other events throughout the year offered program information and updates. In addition, MHE student leaders wrote a Morris Healthy Eating column in the University Register, the campus student-run newspaper. Morris Healthy Eating topics in the University Register newspaper April May September Student, Faculty, and Staff Healthy Eating Survey Morris Healthy Eating Overview and Coordinator Introduction Health Statistics for Diet-Related Diseases and MHE Progress MHE Student Leadership Team and Community Food Assessment Dining Services Student Opinion Survey and Food Waste Study October Healthy Eating Events on Campus and in the Community Sourcing Locally Grown, Affordable Foods November Pride of Prairie Farmers Market and Local Foods Feast on Campus Student Opinion Survey Results and Food Waste Study Results Healthy Cooking and Reducing Stress December Top Healthy Foods 52 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris Student, Faculty, and Staff Dining and Wellness UMM Morris Healthy Eating Student, Faculty, and Staff Survey A comprehensive Morris Healthy Eating survey was conducted as a service learning project in collaboration with the spring 2009 Biology 4004: Principles of Public Health and Epidemiology class taught by Karen Mumford, assistant professor of biology and environmental studies. Survey questions were gleaned from Center for Disease Control (CDC) instruments and the University of Minnesota, Twin Cities Boynton Health Service's College Student Health Survey, and then customized to our target populations of students, faculty, and staff. The survey assessed food consumption and buying habits, barriers to healthy eating, and attitudes toward policy changes to increase fruit and vegetable consumption on campus. The Web-based survey was disseminated through an e-mail invitation to all students, faculty, and staff. A total of 575 students, faculty, and staff completed the survey, 30 percent of the total population. The survey sample reflected the total population in the proportion of students, faculty, and staff, with 414 students completing the survey and 161 faculty and staff. Within UMM's employee groups, 64 civil service/ bargaining unit staff (United Staff Association--USA), 59 faculty, and 38 academic professional/ administrative staff (P&A) completed the survey, more than half of all faculty and about one-third of USA and P&A staff. Students in the sample reflected the total population in key demographic areas including year in college; race/ethnicity; income status; residence on and off campus; and participation in campus dining. Female students were somewhat overrepresented among respondents. Respondents body mass index (BMI) was calculated from selfreported weight and height using the Center for Disease Control (CDC) formula. The results show reasons to be concerned. While most student respondents (60 percent) calculated BMIs fall into the normal weight range, four percent fall below normal weight, and one in three students is overweight or obese. More than one in ten students have BMIs in the obese range. Morris faculty and staff respondents show higher BMIs than students. More than half of faculty, 60 percent of P&A staff, and nearly 70 percent of USA staff respondents are overweight or obese. About one in five faculty and P& A staff respondents and nearly one in three USA staff respondents had BMIs in the obese range. Percent of students, faculty, and staff by BMI weight categories MORRIS HEALTHY EATING INITIATIVE 53 Key findings-- � Nearly nine of ten UMM students, faculty, and staff see healthy eating as important. � Faculty, staff, and students are making choices toward better health and have plans to do more. Nearly half had made changes to eat a healthier diet, with another one in three planning to do so in the next six months. � Respondents clearly see personal benefits in eating more fruits and vegetables. Approximately nine out of ten (89 percent) agreed that if they ate more fruits and vegetables they would reduce their risk of some chronic diseases such as stroke, heart disease, and some cancers. � A vast majority of respondents indicated that eating more fruits and vegetables would improve their sense of well being, improve their self esteem, and contribute to their doing better at work and school. Value of Healthy Eating: Nearly nine of ten University of Minnesota, Morris students, faculty, and staff respondents (87 percent) indicated that healthy eating was important to them. Only six percent said healthy eating was not important, with seven percent neither agreeing nor disagreeing. More than half state that they are already eating a healthy diet. Making changes toward better health: More than eight of ten students, faculty, and staff had already made or planned to make positive changes in their diets and in exercise. Just under half of the survey respondents had made changes in the last six months or prior to eat a healthier diet and to get more exercise. An additional 30�35 percent planned to start making positive changes in diet and exercise in the next 30 days to six months. Only 19 percent (one in five) had no plans to eat a healthier diet, and only 14 percent stated no plans to get more exercise. More than one in three had started on a plan to lose weight in the last six months or prior, with another third planning to do so in the next 30 days to six months. About one-third had made changes to handle stress better, with another third planning to do so in the next 30 days to six months. Healthy eating is important to me Neutral, somewhat/strongly disagree 13% Strongly/somewhat agree 87% 54 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris Making changes toward better health: I plan to... Benefits of eating fruits and vegetables: Respondents clearly see personal benefits in eating more fruits and vegetables. Approximately nine of ten (89 percent) agreed that if they ate more fruits and vegetables they would reduce their risk of some chronic diseases such as stroke, heart disease, and some cancers. Eighty-two percent believed they would maintain or lose weight. A vast majority indicated that eating more fruits and vegetables would improve their sense of well being, improve their self esteem, and contribute to their doing better at work and school. If I consume more fruits and vegetables, I will... MORRIS HEALTHY EATING INITIATIVE 55 Barriers to Healthy Eating: UMM students, faculty, and staff agree on the four greatest barriers to healthy eating: the cost of healthy foods, stress, lack of time, and fatigue. However, the impact of each barrier varies among campus populations. Key findings-- � Students, faculty, and staff identify cost, stress, time constraints, and fatigue as the main barriers to healthy eating. � For students, cost is the most frequently named barrier to healthy foods, identified by two of three students. (Nearly one in four strongly agree that healthy food is too expensive.) Stress is a close second. � Stress and fatigue are the top barriers for faculty and staff. Professional and administrative staff were most likely to see barriers to healthy eating followed by faculty. Civil service and bargaining unit staff were much less likely to report barriers to healthy eating. � Lack of support from family and friends, access, knowledge, taste, or quality of healthy foods are not identified as significant barriers to healthy eating for respondents overall. For most students (67 percent of respondents), the cost of healthy foods is the greatest barrier to healthy eating. Nearly one in four students strongly agree that cost is a barrier to their choosing healthy foods. The impact of stress is the second greatest barrier, identified by 57 percent of respondents. Just more than 40 percent of students indicated that they: a) were too tired to eat healthy at the end of the day and b) didn't have time to eat healthy. In general, UMM students did not rate lack of support from family and friends, access, knowledge, taste, or quality of healthy foods as significant barriers to healthy eating. Student survey responses: barriers to healthy Eating Student Survey Responses Barriers to Healthy eating In the chart following, the barriers to health eating are compared for UMM's three employee groups. In general, faculty, and staff agreed with students on the four most common barriers to healthy eating, however stress and fatigue posed the greatest barriers followed by cost and lack of time. Response levels for these barriers varied across UMM's different employment groups. Overall, more of UMM's faculty and academic professional/administrative staff (P&A) reported barriers to healthy eating than United Staff Association (USA) members-- those staff with civil service and bargaining unit appointments. Approximately 70 percent of P&A staff and 60 percent of faculty indicated that it is hard to eat healthy when they are stressed and they are too tired to eat healthy at the end of the day. Nearly half of USA respondents indicated that these issues are barriers to healthy eating, as is the cost of healthy foods. Cost was also cited as a barrier for a majority of P&A staff. As is the case for students, support from family and friends, access, knowledge, taste, and quality of healthy foods are not considered significant barriers to healthy eating. 56 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris UMM Staff survey (strongly agree and somewhat agree combined): UMM staff Survey (Strongly agree and somewhat agree combined) Barriers to Healthy Eating barriers to healthy eating Physical Environment and Policy Changes to support Healthy Eating: Most students, faculty, and staff identified potential changes in the food environment that could make fruits, vegetables, and other healthy foods an easier choice. Environment and Policy Changes key findings-- � Nearly three of four UMM students, faculty, and staff agree that these changes in the campus environment would contribute to their eating a healthier diet: - making healthy foods, fruits and vegetables less expensive; - offering the healthy foods, fruits, and vegetables that individuals like and prefer; and - including more fruits and vegetables in the menu items served and at campus gatherings and events. � Nearly three of four students, faculty, and staff would eat more fruits and vegetables at home if they were less expensive and those that they like were more available. Half would eat more fruits and vegetables if they had a garden and access to more local and organic produce. � More on-campus farmers markets would make a difference for most students, faculty, and staff. � A garden to grow their own fruits and vegetables would contribute positively to most students and some staff eating more fruits and vegetables (one in three students agree strongly). Nearly three of four students, faculty, and staff support a number of potential environment and policy changes to support healthy eating on campus: � making healthy foods, fruits, and vegetables less expensive; � offering the healthy foods, fruits, and vegetables that individuals like and prefer; and � including more fruits and vegetables in the menu items served and at campus gatherings and events. More than half of respondents (60 percent) strongly agree that they would eat healthier on campus if healthy foods were less expensive. And nearly half (46 percent) strongly agreed that they would eat more fruits and vegetables on campus if they were less expensive. More than 40 percent strongly agreed that they would eat healthier on campus if the healthy foods they liked were offered. Nearly three of four students, faculty, and staff would eat more fruits and vegetables at their homes if they were less expensive (74 percent) and those that they like were more available on campus and in the community (69 percent). Nearly half (49 percent) would eat more fruits and vegetables at home if they had a garden to grown their own or if more local and organic fruits and vegetables were available. MORRIS HEALTHY EATING INITIATIVE 57 The top three opportunities to increase consumption of fruits and vegetables on campus center on providing more fruits and vegetables at campus events and gatherings, including more fruits and vegetables in the menu items served, and making fruits and vegetables more affordable. Most students, faculty, and staff indicated support for more on-campus farmers markets. In addition, most students indicated that access to gardens to grow their own fruits and vegetables could contribute to their eating more fruits and vegetables. As illustrated in the table below, students showed the highest levels of support (strongly agreeing) for three policy and environmental changes that would make a difference in their eating more fruits and vegetables: offering more fruits and vegetables at campus events and gatherings, including more fruits and vegetables in the menu items served in on-campus dining venues, and making fruits and vegetables less expensive. Nearly half of all students strongly agree that these actions would make a difference, with nearly three of four offering some level of support. In addition, most students agree that more on-campus farmers markets and access to a garden to grow their own fruits and vegetables would contribute positively to their eating more fruits and vegetables, with one in three agreeing strongly. Student Survey Responses "I would eat more fruits and vegetables if..." Faculty and staff support for policy and environmental changes to support healthy eating are compared by employee groups in the chart below, showing those who agreed either strongly or somewhat for each potential action area. Faculty and staff agreed with students on the top three change areas that would support their eating more fruits and vegetables, though response levels varied across employment groups--increasing fruits and vegetables at campus events and gatherings, making fruits and vegetables less expensive, and including more fruits and vegetables in menu items served. P& A staff and faculty showed the greatest potential impact in having more fruits and vegetables at campus events, while USA staff would most value more affordable fruits and vegetables. A majority of faculty and P&A staff agreed that access to more on-campus farmers markets would contribute positively to their eating more fruits and vegetables. Faculty and staff were less likely than students to see access to a garden of their own as an important factor for healthy eating. P&A staff (one in three) reported the greatest potential benefit from gardening. UMM staff survey responses (strongly agree and somewhat agree combined) "I would eat more fruits and vegetables if..." 58 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris Dietary Choices Key findings-- � Most Morris students eat breakfast six or seven days a week. � Half of Morris students choose vegetarian or vegan options with almost one in five (17 percent) usually or always engaging in a vegetarian or vegan diet. Eating breakfast: More than half of UMM respondents (51 percent) eat breakfast six or seven days in a typical week. Thirty percent eat breakfast three to five days a week and 12 percent eat breakfast one or two days a week. Seven percent never eat breakfast. Vegetarian Choices: Half of UMM respondents choose vegetarian and vegan options, with nearly one in five respondents (17 percent) usually or always engaging in a vegetarian or vegan diet. Half of respondents report that they never engage in a vegan or vegetarian diet. Dining on campus and at home Key findings-- � Nearly half of student respondents participated in residential dining meal plans and 84 percent eat most of the meals available to them. � Four of five students who live off campus bring a meal or food from home to campus, where 80 percent have access to a microwave to heat their food but only 20 percent have access to a refrigerator. � Almost all respondents shop for groceries at a grocery store weekly or once to twice a month. About one in three respondents shop at a food co-op once to twice/ month or more; and about one in three travel to a large retail store (e.g. Pamida, Target, Walmart) once to twice/month or more. � Most respondents (60 percent) said it was important that food is produced locally. About four of five faculty and professional/administrative staff members are interested in local foods, with one in three P&A staff and one in four faculty indicating that local foods were very important in their food choices. Two of three USA staff value locally produced foods, with one in five rating local foods as very important. Just more than half of UMM students value local foods, with one in ten rating locally raised products as very important. � About half of students, faculty, and staff value organically raised foods when making food or grocery purchases. Faculty are significantly more likely to place importance on organic food (78 percent). � Nearly three-fourths of respondents enjoyed fruits and vegetables from a garden or from a farmer (from a farmers market, community supported agriculture share, or direct sales) in the past year. � Nearly 40 percent enjoyed vegetables from their own garden. On campus dining: Nearly half of student respondents (47 percent) participated in residential dining meal plans. Of these students, 84 percent report that they eat most of the meals available through their dining plan, with half report eating more than 75 percent of the meals available on their plan. Sixteen percent report eating less than half of their dining plan meals. Off-campus students: Of the students who live off-campus, four of five (79 percent) at times bring a meal or food from home that they plan to eat while on campus. Of the students who bring a meal or food to campus, 80 percent have access to a microwave or appliance to heat their food, however only 20 percent have access to a refrigerator. Nearly 60 percent, three of five off-campus students, usually walk or bike to campus, with the remaining two out of five usually using cars. One percent reports other means of travel to campus such as the Morris Transit. Shopping for Groceries: The vast majority of respondents (86 percent) shop for groceries for themselves and others. Almost all respondents shop for their groceries at a grocery store (e.g. Willie's, Coborns, La Tienda), either weekly (66 percent) or once to twice a month (31 percent). About one in three shop at a food co-op weekly (8 percent) or once to twice a month (23 percent). Most respondents shop at large retail stores (e.g. Pamida, Target, or Walmart) less than once a month (32 percent), or one to two times per month (31 percent), with 5 percent doing so weekly. Just more than one in ten shops at a convenience store once to twice a month or more. How often do you shop at these types of stores? MORRIS HEALTHY EATING INITIATIVE 59 Local and sustainably raised foods: When purchasing food or groceries, 60 percent of all campus respondents said it was important that food is produced locally. Four out of five faculty respondents (81 percent) were interested in purchasing foods or groceries produced locally, the highest of all response groups, with one of four faculty members indicating that local foods were very important in their food choices. P&A staff also value local foods, with 78 percent seeing locally produced foods as important, and one in three rating local foods as very important. Two of three USA staff value locally produced foods in their purchasing decisions, with one in five viewing it as very important. Just more than half of students place importance on local foods with one in ten rating it as very important. Overall, 50 percent of respondents placed importance on foods being produced organically when making food or grocery purchases. Faculty were significantly more likely than other groups to value organic foods, with 78 percent rating organic practices as somewhat or very important, nearly 30 percent above P&A and USA respondents, and more than 40 percent above students. Organic foods are rated as very important by 16 percent of faculty, 11 percent of P&A staff and students, and 7 percent of USA staff. Importance when purchasing food or groceries Sources of Locally Grown Fruits and Vegetables: During the past year, nearly three-fourths of respondents (72 percent) had obtained a portion of their fruits and vegetables from a garden (their own, a friends, or a neighbors) or from a farmer through a farmers market, direct sales, or a community supported agriculture (CSA) share. They were most likely to have enjoyed fruits and vegetables from friends and neighbors gardens (43 percent), followed by farmers markets (40 percent), and their own gardens (39 percent). Thirteen percent (n=66) had purchased or consumed foods from a Community Supported Agriculture farm. Respondents may have also purchased locally raised fruits and vegetables at area grocery stores when local sweet corn, squash, and other in season produce are offered. Sources of fruits and vegetables, past 12 months Sources of fruits and vegetables, past 12 months 60 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris Dining Out and On the Go Key findings-- � UMM students, faculty, and staff report rarely eating foods from restaurants--fast food or otherwise. For four of five respondents, eating food from a fast food restaurant happens once a week or less. Sit-down restaurants show similar patterns. About one in twenty eats fast food three or more times in a typical week. � About one in four respondents watch television or sit at a computer during dinner five or more times a week. � Few respondents are regular campus vending machine diners. Dining at Sit-down Restaurants: Most campus respondents dine out at a sit down restaurant once a week or less (82 percent). Of these, 43 percent report that they never or almost never eat lunch or dinner at a restaurant in a typical week. Seventeen percent eat lunch or dinner out one to four times/week in a typical week. And less than one percent do so five or more times per week. Dining at sit-down restaurants in a typical week Eating out or take out meals from fast food restaurants: In a typically week, the majority of UMM respondents (52 percent) report that they rarely or never eat out or take food out from fast food restaurants. Another 29 percent eat fast food once/week or less on average. Only five percent eat fast food three or more times in a typical week. Less than one percent of respondents eat fast food five or more times in a week. Meals from fast food restaurants in a typical week TV and Computers and Dining: Most respondents watch television or sit at a computer during dinner time at least once a week, with nearly a quarter (24 percent) doing so five or more times a week. Campus Vending Machines: Nearly two-thirds of respondents (62 percent) say that they do not eat foods from campus vending machines. Of those who do eat foods from vending machines, 80 percent report doing so one or fewer times in a typical week. Sixteen percent frequent vending machines two to three times a week. Four percent use vending machines four or more times/week. Summary: Survey results related to healthy eating barriers and policy preferences of the UMM population have important implications for future changes in the food environment at UMM. While barriers such as time constraints, stress, and fatigue, are difficult to address, environmental changes can be made to make healthy eating an easier choice on campus and in the Morris community. Potential environmental policy and practice changes showing the greatest support include exploring ways to address the perceived high costs of healthy foods, expanding the amount of fruits, vegetables, local and organic foods served at events and available to the community, and creating more access to garden space and on-campus farmer's markets. MORRIS HEALTHY EATING INITIATIVE 61 Survey Results for Targeted Student Sub-populations In addition to reviewing the overall perspectives of UMM students, faculty, and staff, several key student populations were examined to determine their specific needs. Morris Healthy Eating identified student athletes, students of color, and students with high financial need as target populations for further study as these populations may face differing barriers to healthy eating and place different levels of value on possible policy and environmental change initiatives. Student Athletes As a liberal arts college, UMM values broad student participation in a variety of co-curricular programs including athletics. A focus on scholar athletes is one of the hallmarks of the National Collegiate Athletic Association (NCAA) Division III athletics philosophy, where athletics is a valued part of students' educational experiences. At Morris, approximately one in every five students is a Cougar athlete. For comparison, on the University of Minnesota, Twin Cities campus, a Division I athletic program at a large research university, approximately one in every twenty-five students is a Gopher athlete. While health and wellness matters for students in general, student athletes could be expected to have a greater focus on healthy eating as they train to improve their physical ability and sports performance for competition throughout a major portion of each academic year. Since sports teams eat together during pre-season practice and while traveling for competition, the opportunity to change their food environment is greater than for students as a whole. Key finding-- There is little difference between athletes and non-athletes in eating behaviors, barriers to healthy eating, or attitudes toward policy changes. Athletes and non-athletes differed significantly in only three areas-- consumption of green salads, red meat, and potatoes. red meat one to three times per day compared to 16 percent of non-athletes. Student athletes were also significantly more likely to consume potatoes in a given week than non-athletes, although the difference was not as great as with red meat and green salad. These were the only significant differences in eating behaviors that were found between student athletes and non-athletes on campus. Student Responses Varied Among UMM's Racial and Ethnic Populations UMM's student body is one of the most racially and ethnically diverse in the state. At the time the survey was completed, American Indian students comprised 11 percent of the population (only one percent of college students in Minnesota and nationally are American Indian) and U.S. students of color totaled 18 percent of students. International students comprised four percent of the student body. Researchers examined differences in survey responses among racial and ethnic groups in terms of eating behaviors, barriers to healthy eating, and attitudes toward possible policy changes at UMM. Responses from students involved in intercollegiate athletics were compared to other students. Analysis of the data showed no statistically significant difference in their responses regarding barriers to healthy eating or attitudes toward policy and environmental changes that would support their eating more healthy foods and more fruits and vegetables. Further analyses investigated the frequency of the consumption of certain foods by student athletes and other students. Athletes and non-athletes differed significantly in only three areas-- consumption of green salads, red meat, and potatoes. More than one-third (38 percent) of student athletes consume green salad one to three times per day, compared to only 20 percent of nonathletes. Similarly, 34 percent of student athletes consume Key findings-- � The vast majority of students across all racial and ethnic groups agree that healthy eating is important. � White students were 10 percent more likely to report that they already eat a healthy diet than American Indian students or students from other racial and ethnic groups. � The data, with just more than one in ten students strongly agreeing that they eat a healthy diet overall, suggests room for improvement for all. 62 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris Healthy Eating is important to all groups: Most UMM students strongly agree that healthy eating is important to them across all racial and ethnic groups. When those who somewhat agree that healthy eating is important are included 88 percent of white students, 84 percent of American Indian students, and 81 percent of students from other racial and ethnic groups view healthy eating as important. Healthy eating is important to me White students were most likely to report that they already eat a healthy diet (57 percent, with 14 percent strongly agreeing), followed by students from other racial and ethnic groups (47 percent with 12 percent strongly agreeing) and American Indian students (47 percent with 6 percent strongly agreeing.) The data, with just more than only one in ten students strongly agreeing that they eat a healthy diet overall, suggests room for improvement for all. Barriers to healthy eating: Students identify cost as the biggest barrier to healthy food choices reported all racial and ethnic groups. However, more students of color are impacted by the barrier than white students. 77 percent of American Indian students agree that the cost of healthy food is a barrier, compared to 71 percent from other student of color populations and 58 percent of white students. One in three American Indian students strongly agree that healthy food choices are too expensive, compared to one in four students from other student of color populations and one in five white students. Key findings-- barriers to healthy eating for racial and ethnic groups � Cost is the biggest barrier to healthy food choices across all racial and ethnic groups, with more students of color impacted by the barrier than white students. One in three American Indian students strongly agree that healthy food choices are too expensive, compared to one in four for students from other student of color populations and one in five for white students. � American Indian students report the most barriers to healthy eating. A majority of Native students agree that cost (77 percent), stress (72 percent), being too tired after school and work (69 percent), lack of time (56 percent) and difficulty staying committed (56 percent) are barriers to healthy eating. � A majority of other students of color identify cost (72 percent), being too tired after school and work (53 percent) and stress (51 percent) as barriers to healthy eating. � By contrast, the majority of white students identified only two barriers to healthy eating: cost (58 percent) and stress (57 percent). MORRIS HEALTHY EATING INITIATIVE 63 American Indian students report the most barriers to healthy eating. Most Native students agree that cost (77 percent), stress (72 percent), being too tired after school and work (69 percent), lack of time (56 percent) and difficulty staying committed (56 percent) are barriers to healthy eating. They also agree most strongly on key barriers: one out of three Native students strongly agree that cost (35 percent) and stress (34 percent) are barriers to healthy eating. More than one in four Native students (28 percent) strongly agree that they were too tired after work, school, or the end of the day to eat healthy foods and one in five (19 percent) strongly agree that lack of time is a barrier to healthy eating. Barriers to healthy eating: American Indian students For other student of color populations, cost (72 percent), being too tired after school and work (53 percent) and stress (51 percent) as the major barriers to healthy eating. One out of four (26 percent) strongly agree that healthy foods are too expensive and almost one in five strongly agree that they were too tired after work, school, or the end of the day to eat healthy foods. Barriers to healthy eating: other students of color 64 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris By contrast, fewer white students identify barriers to healthy eating. Only cost (58 percent) and stress (57 percent) pose barriers for a majority of white students. Fewer than one in five white students strongly agree on any of the suggested barriers; 18 percent strongly agree that cost is a barrier and 16 percent strongly agree that stress is a barrier to healthy eating. Barriers to healthy eating: white students Some of the barriers cited by fewer respondents show potentially important differences among racial and ethnic populations. More Native students and other students of color report that they do not have access to healthy food choices (38 percent and 36 percent respectively) than white students (31 percent). One out of three (34 percent) American Indian survey respondents indicated that they do not know enough about healthy eating, compared to 21 percent of students from other ethnic groups of color and 14 percent of white students. One in three Native students responded that there were not enough meatless healthy food choices (34 percent), compared to just more than one in four for white students and students from other student of color populations. One in five Native students cited a lack of support from friends and family to eat healthy compared to one in ten for other student populations. No student population identified the quality or taste of healthy foods as a significant barrier. Further investigation is needed to determine how different racial and ethnic populations define healthy eating. Policy and Environmental Changes to Support Healthy Eating: Key findings--environmental changes supported by racial and ethnic groups � All student groups share support for these top changes to support more healthy eating: making healthy foods, fruits, and vegetables less expensive; offering healthy foods, fruits, and vegetables that I like; and offering more fruits and vegetables at campus gatherings and in menu items. � American Indian students show the highest levels of support for these changes with more than four out of five students supporting each strategy and a majority strongly agreeing. � American Indian students are particularly interested in gardening, with two of three students agreeing that they would eat more fruits and vegetables if they had a garden to grow their own. More than half of those from other student of color populations and 41 percent of white students also see having a garden as a good contributor to healthy eating. � Nearly two-thirds of American Indian survey respondents indicated they would eat healthier on campus if provided with nutrition information, compared to just under half of other students. MORRIS HEALTHY EATING INITIATIVE 65 While American Indian students identify the significant barriers to healthy eating, they are also most likely to strongly agree that potential changes in the campus food environmental would contribute to their eating more healthy foods in general and also more fruits and vegetables specifically. A majority of Native students indicated very strong support for a number of potential changes: making healthy foods, fruits and vegetables less expensive; offering healthy foods, fruits, and vegetables that I like; and offering more fruits and vegetables at campus gatherings and in menu items. As illustrated in the charts below, these items reflect the top six priorities are shared by other students of color and white students, although the prevalence of support is a bit lower. I would eat healthier foods on campus if... American Indian Students Strongly Agree 77% 59% 56% 53% 55% 50% Other Students of Color Strongly Agree 65% 47% 47% 53% 35% 40% White Students Strongly Agree 53% 41% 42% 45% 35% 35% Agree 94% 91% 88% 84% 81% 81% Agree 81% 79% 79% 74% 79% 72% Agree 74% 74% 74% 71% 72% 71% Healthy food options were less expensive Healthy foods I liked were offered More fruits and veggies at campus gatherings Fruits and veggies were less expensive More fruits and veggies in menu items Fruits and veggies I like offered Shaded areas indicate 50 percent or more strongly agree. The percentage agreeing includes those who strongly agree and somewhat agree. American Indian student responses: I would eat healthier foods on campus if: 66 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris Other student of color responses: I would eat healthier foods on campus if: White student responses: I would eat healthier foods on campus if: MORRIS HEALTHY EATING INITIATIVE 67 In addition, as noted in the above charts, two of three American Indian students (68 percent) agreed that they would eat more fruits and vegetables on-campus if they had a garden to grow their own vegetables, with 41 percent agreeing strongly. More than half of students from other student of color populations see gardening as a key to healthy eating, compared to 41 percent of white students. Nearly two out of three American Indian survey respondents indicated they would eat healthier on campus if provided with nutrition information, compared to less than half of respondents from other student populations. On-campus farmers market were most supported by students of color, with 34 percent of American Indian students and 40 percent of other students of color strongly agreeing that farmers markets would contribute to their eating more fruits and vegetables, compared to 29 percent for white students. Other students of color were most likely to support organic and local fruits and vegetables as keys to healthier eating, with 31 percent strongly agreeing, compared to 24 percent of white students and 19 percent of American Indian students. One in three American Indian students and students of color overall strongly agree that they would eat more fruits and vegetables if they had access to them or could purchase them 24-hours a day, compared to one in four white students. One in four students from American Indian and other students of color populations strongly agree that they would eat more fruits and vegetables on campus if they were available in vending machines, compared to 16 percent of white students. Further investigation will be necessary to understand the food preferences, cultural practices related to healthy food, and keys to successful systems change to best serve students from the many cultural backgrounds represented on campus. Students with high financial need: Approximately one in three UMM students receive Pell grants, the federal funding support provided to college students from families with the greatest financial need. UMM's student population has a higher portion of Pell eligible students than most Minnesota colleges and universities. Further analysis is needed to determine barriers to healthy eating for students with high financial need as well as potential environmental change strategies to provide greater access to fruits, vegetables, and other healthy foods. Faculty, Staff, and Student Focus Groups In spring 2009, students in Associate Professor of Sociology Jennifer Rothchild's Sociology 3121 class conducted focus groups with UMM faculty, staff, and students. Students analyzed the data using sociological qualitative data analysis methods and shared executive summaries of their findings with the Morris Healthy Eating team. Focus group populations included the following. � � � � � � � Healthy Lifestyles theme floor residents Student parents Athletes American Indian students On-campus students Off-campus students UMM clerical and technical staff More than 40 people participated in the process. Interviews were conducted for some populations where a focus group proved ineffective. Healthy Lifestyles floor Residential Life's Healthy Lifestyles floor is dedicated to "a healthy, balanced lifestyle." Students living on this residence hall floor also pledge to abstain from using tobacco, alcohol, or drugs while living in this community. Students were able to identify clearly what foods they shouldn't be eating, but had a harder time identifying healthy foods that they should be eating. Participants strongly linked exercise with healthy eating. Exercising more to compensate for excess calories was common for Healthy Lifestyles floor residents. Gender differences and stereotypes were noted, i.e. "men have `bottomless pit' stomachs and do not care about the nutritional value of the foods they eat," and "women are more conscious of eating healthy, but will also starve themselves to look good," and "women associate eating with emotions and eat `comfort foods' to alleviate stress." Participants commented that the Healthy Lifestyles floor is a motivator for healthier eating choices because less junk food was available. They appreciated the policy of no alcohol, drugs, and less junk food, and felt it helped them to stay motivated. American Indian Students Participants stated that foods such as wild rice, corn, squash, vegetables, bison, squirrel, rabbit, nuts, berries, and various roots were traditional in their culture. Participants considered organic foods and foods harvested in the wild to be healthier choices than foods found in supermarkets. Participants stated that many elders never buy foods from the supermarket, and some elders don't eat food from a box. Sit-down family meals were common 68 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris among participants, with an expectation that all food should be eaten and not wasted. Giving food to others is considered a common courtesy, and for some the practice extends from their native hunter-gatherer culture. A great variety and quantity of food is traditional at social gatherings. Fast food restaurants are increasingly more common on American Indian reservations, especially near casinos, and small towns tend to be overwhelmed with a high number of fast food restaurants. According to participants, diabetes and heart disease are major health problems on American Indian reservations. Diabetes can occur at a very young age, and heart attacks are common. The average life expectancy for South Dakota American Indian male is 58 years. Poverty is prevalent on reservations. Healthy foods are more expensive and spoil quickly compared to processed foods with preservatives. Government commodity foods provided to Native families have typically included blocks of cheese, canned peanut butter, high sugar drinks, and canned chicken. meal plans wanted Dining Hall hours to be changed or expanded so that they would be more able to eat regularly. Students with a means of transportation cited economic barriers to purchasing healthy food in the grocery store, but considered the grocery store more affordable than on-campus options. Participants who were able to afford healthy food options were willing to buy them. Off-campus students Off-campus students stated that they eat the vast majority of their meals at home, because it is cheaper and easier. The participants felt that they ate healthfully as they could, citing fruits and vegetables, whole grain foods, lean proteins, and foods with no trans-fats as contributors to a healthy diet. Popular meal choices included a variety of stir-fries, chicken, eggs, pasta, and soup. Typically sandwiches and snacks are brought to eat on-campus. Students most often shopped at Willie's and felt that Morris grocery stores had healthy food options, but many complained about the lack of produce variety. Two interviewees said that they shopped in Alexandria or the metro area because the prices were cheaper. All of the interviewees said that it was important to have a healthy body and that eating healthfully was essential. All participants stated repeatedly that a lack of money prevented them from eating as healthfully as they would like. Individuals indicated that grocery prices, specifically for produce, are too high, and that prices of on-campus food options are also far too expensive. Many participants said that cheap and convenient food is sometimes the only option for busy college students, despite its unhealthiness. Student athletes Both male and female athletes indicated a pressure to look good, stay fit and healthy, and eat well-balanced meals to ensure performance. Some mentioned societal pressures to be thin enough to look good in uniforms while performing in front of large crowds of their peers. Men commented on a desire for strong muscles and "six packs," while the women said they wanted to look thin. Games, workouts, meetings, practices, and classes contribute to the lack of time that student athletes have to spend on preparing well-balanced meals. Convenience often takes precedence over health. Most student athlete participants eat fewer fruits and vegetables than desired, and some suggested cost as a barrier. All participants expressed a need to be eating healthier, well-balanced meals. Athletes said they usually ate a buffet, pizza, or hamburgers after out-of-town games or meets, as it is easier, faster, and cheaper to stop at a fast food restaurant than at a healthier restaurant. Student athletes have no direct control over money spent on food at athletic outings, as they do not set the budget or determine where they will eat. Student parents Students who are also parents have tight time constraints due to balancing classes, studying, occupations, and family time. These students reported choosing fast food or pre-packaged options, skipping meals during the day, and eating a larger meal later in the evening. Some participants were single parents with one source of limited income. Some participants reported driving 30 minutes to Wal-Mart in Alexandria to buy cheaper food. Some participants indicated that they could not afford to buy meals on campus when they don't have time to cook. The stress of balancing a busy life can leave parents too drained to "fight" children to eat healthy meals, so "kid-friendly" options, like pre-packaged foods or fast-foods are used, yet concern for their children's health led many participants to strive toward healthy options. Some participants thought that the lack of healthy ingredients available in Morris limited their ability to make healthy meals. Participants expressed an appreciation for the Pomme de Terre Food Co-op, as it offers some organic and ethnic foods, but also expressed a concern about prices. Student parents value the Morris Farmers Market and many are eager to have a greater number of markets so they can access more local and fresh foods. 69 On-campus students Many students expressed concerns about high prices at Turtle Mountain Cafe and at the Dining Hall, the financial burden of food plans, and that food was not accessible at all times throughout the day. They spent additional money on alternatives not covered by their food plans, whether it was healthier (for example, the food co-op for its variety) or unhealthy food (such as cheaper junk food). Students interviewed did not feel that they had the same flexibility as other on-campus individuals, often skipping meals due to class scheduling conflicts. Students on MORRIS HEALTHY EATING INITIATIVE USA staff The United Staff Association (USA) includes approximately 250 members of the American Federation of State, County, and Municipal Employees (AFSCME), Civil Service employees, and the local Teamsters. Participants said they have little time to eat properly during lunch breaks. Snacks, both healthy and unhealthy, are a large part of daily food intake. Breakfast is often eaten "on the run" and dinner was often purchased and cooked by a spouse. Some participants ate lunch at their desks in order to attend yoga or other classes at the Regional Fitness Center during the lunch period. Healthy eating was more prevalent when supported by friends and coworkers. Unhealthy eating was more prevalent when snacking or eating alone. According to participants, Turtle Mountain Cafe and Dining Services provided some healthy, yet expensive options. They noted difficulty navigating the Dining Services Web site for nutrition information. Though participants were not concerned about cost in off-campus restaurants, healthy options were thought to be limited to fat-free salad dressings, smaller portions, and lower fat pasta dishes. Subway was cited as one of the healthier Morris restaurants. College Food System Lifecycle Carbon Impact Storage and preparation Packaging Processing Transportation Agricultural Production Total 35% 7% 17% 16% 25% 100% UMM Master Plan, Kandiyohi Development Partners, Adapted from Heller and Keoleian, U.S. food system lifecycle impact study, University of Michigan, 2000. Key recommendations to reduce UMM's foodservice carbon footprint, with an impact on healthy eating-- � Research procurement and carbon foot-printing data, including specific food items � Eat a more seasonal menu plan, based on availability of local ingredients � Identify sources of local, grass fed, and organic beef, pork, chicken, vegetables � Target 50 percent locally sourced and organic foods by 2013. UMM Master Plan: Implications for Healthy Eating The University of Minnesota, Morris Campus Master Plan's 2009 update aligns space use and infrastructure planning with campus sustainability and national historic district goals. Oslund and Associates and Kandiyohi Development Partners provided planning and design expertise. After close review by UMM's Campus Resources and Planning Committee and endorsement by Campus Assembly, the University of Minnesota Board of Regents approved the plan in early 2010. The plan's food procurement recommendations are most relevant to Morris Healthy Eating. Key recommendation-- Change UMM's food procurement, consumption, and waste management patterns to reduce UMM's campus carbon footprint. Food systems are a major contributor to a college campus's carbon footprint. Kandiyohi Development Partners notes that campus food systems are not sustainable, with the average U.S. food calorie requiring 10 equivalent food calories of energy to transport food to our tables. A typical college food system's carbon impact is summarized below. � Integrate an on-campus greenhouse into the campus food system; plant fruit and nut trees for year-round food production. Check. � Save energy by increasing the amount of fresh and minimally processed foods on the menu. The plan also includes food related waste management recommendations. � Minimize waste by shifting to a made-to-order food ordering system and reducing packaging � Expand campus education for recycling and waste reduction � Conduct a comprehensive waste composition and analysis study � Explore the feasibility of an industrial composting system with paper and meat based waste processing capability The master plan's preliminary analysis shows supplies of meat, dairy, eggs, and fresh fruits and vegetables available locally. An on-campus greenhouse would supplement and complement local food procurement and visibly demonstrate the campus' commitment to sustainability. The plan's recommendations appear to be consistent with the Morris Healthy Eating vision of making fruits, vegetables, and other healthy foods more affordable and accessible on campus. 70 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris UMM Campus and Community Gardening A student-led Organic Gardening Club began in 2008 with a University of Minnesota Institute on the Environment grant; UMM Student Activities support, and University of Minnesota West Central Research and Outreach Center provided garden space. Students and community members supply leadership, labor, and enthusiasm. The garden's vegetables are featured at the Student Activities Fair during New Student Orientation. Morris Healthy Eating convened interested students, staff, faculty, and community members in November 2009 to discuss challenges and opportunities for on-campus gardening. Key findings-- � Student interest in the Organic Gardening club is high. � University faculty, staff, and community interest in gardening is high. � A more structured organization is needed to plan, coordinate volunteers, increase knowledge, and ensure continuity from year to year. Gardening Opportunities Interest is high in fostering a "gardening culture" in Morris, to raise more fresh, healthy, and affordable food on campus and in the community. Approximately two acres of land is available for the garden, with water and composting onsite. Master Gardeners are potential gardening mentors, though some focus on flowers and ornamental plants rather than edibles, and not all Master Gardeners employ organic production methods, as would be required to meet student and emerging market needs. The Sustainability Floor in David C. Johnson Independence Hall has offered to supply some labor for the garden during the growing season. On-campus gardening could be a step toward an oncampus greenhouse, as encouraged by the Campus Master Plan. The Regional Fitness Center would like to work with MHE to develop a campus garden that links with the community. The West Central Research and Outreach Center conducts horticultural, high tunnel, season extension, and grazing research and has essential expertise and resources that will assist in developing a productive campus garden. An October 2009 Community Food Security Coalition conference presentation noted that successful campus gardens are supported through an ongoing structure and connected to the work of the institution. A formalized structure may be needed to effectively move forward, and assure continuity with student and volunteer turnover. Models of successful gardens on other college campuses are being gathered and considered. Dining Services may be interested in purchasing produce from a campus garden and has provided their quality assurance guidelines. Gardening Challenges: The Student Organic Garden Club lacks formal organization and a means of passing on institutional knowledge. Contacting club leaders is challenging. Interested volunteers are not scheduled or trained; they would welcome more guidance and mentoring. UMM staff and community members want to get more involved but don't want to overstep student leadership. Fewer students and staff are available in the summer to tend to the garden. Only limited outreach is conducted to first-year students, with no activities to maintain interest beyond the growing season. Desired Outcomes: A single model of gardening on campus is not likely to address all of the students' needs, levels of commitment, or desired outcomes as stated at the November meeting. � Learning how to garden � Teaching others how to garden � Growing healthy organic food � Supplying food to people with low-incomes and those without garden access, perhaps at the Stevens County Food Shelf in Morris � Supplying campus Dining Services with fresh produce � Community-building and linking campus and community MORRIS HEALTHY EATING INITIATIVE 71 Dining on Campus Key findings-- � UMM Dining Services provided more than 100,000 meals to students on residential dining plans in fall 2009, nearly 7,000 meals each week. � In fall 2009, nearly nine of ten (88 percent) students on dining plans rated their overall satisfaction as good to excellent. � Sodexo Lifestyling models show more than half (54 percent) of new UMM students prefer an "ethnic and global food" profile with nearly half (46 percent) preferring "traditional meat and potatoes" offerings, a daily challenge for a foodservice provider. Four of five new students are price sensitive. management proposal, supporting UMM in completing much needed facility renovation in summer 2009. In fall 2009, nearly nine out of ten (88 percent) students on dining plans rated their overall satisfaction as good to excellent. Eighty-four percent gave similarly positive ratings to the healthy menu options provided. Dining Services Master Plan and Renovations to Support Healthy Eating A Dining Services master plan, completed in September 2008, outlines five facility renovation projects to support a more contemporary campus dining experience. Dining Hall phase one renovations were completed in summer 2009, with a beautiful full renovation of the servery, new furnishings on the first two floors, and greater accessibility. The renovation allows more cooking on the main floor of the dining area, rather than all meals being fully prepared in the lower level kitchen. Dining Hall Phase I renovation supports more display cooking with fresh ingredients to improve students' dining experiences, providing higher quality foods and greater variety in daily menu options. New dining platforms created more made to order and "before your eyes" food preparation, as recommended in the UMM master plan. New dining options include: a Stir-fry Station--usually made to order with a wide variety of vegetables, a Deli Station--with sandwiches and wraps made to order, a Pizza/Pasta Station--with fresh made pizza and a variety of pasta and sauces, a Vegetarian/Vegan Station--with a variety of stirfries, casseroles, and specialty items, Mex to the Max--with true Mexican cuisine, a Full Soup and Salad Bar--with homemade soups and expanded fresh greens, vegetables, and salad items, and the Grill--with favorite grill classics and new inspirations. Dining Hall Phase II renovations will upgrade the third and fourth floors, creating "My Kitchen," an interactive cooking area combining the popularity of the Food Network's culinary education with a social setting to build community. My Kitchen will support cooking demonstrations, cooking classes and Iron Chef competitions. This renovation will also provide sound control Efforts have been underway to enhance student dining at the University of Minnesota, Morris over the last decade. Students, faculty, and staff at UMM and nationally expect healthy, tasty, diverse, and affordable foods to be available on campus. A team from Student Affairs and Finance and Facilities works in partnership with Sodexo, a contracted dining services management company to coordinate UMM Dining Services-- resident dining, cafe operations, catering, and a small student operated late-night convenience store that opened in spring 2010. UMM Dining Services provided more than 100,000 meals to students on residential dining plans in fall 2009, nearly 7,000 meals each week. Within the Dining Services partnership, Sodexo provides expertise in managing the campus food environment and the campus provides dining facilities, equipment, staffing, and program expectations. UMM's first contract with Sodexo in 2001 established the campus commitment to local foods. The current 10-year contract, valued at $25 million dollars, began July 2008 and includes an increasing focus on healthful foods. Sodexo provided a significant first-year capital investment fund in their 72 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris between Dining Hall floors to support expanded programming and special events, and add an elevator for full accessibility. Dining Hall Phase III renovates the lower level kitchen and preparation areas. The master plan also includes two Student Center dining renovations--enhancing the Turtle Mountain Cafe serving area and creating a coffee shop at the Information Center. Sodexo and Student Activities would jointly manage the coffee shop. This project may begin in summer 2011. New Students Lifestyle Preferences Sodexo regularly uses LifeSTYLING TM demographic and geographic analysis and modeling to identify general patterns that guide college student dining choices on the campuses it serves, using internal and external research. For fall 2009, models show more than half (54 percent) of new UMM students prefer an "ethnic and global food" profile with nearly half (46 percent) preferring "traditional meat and potatoes" offerings, a daily challenge for a foodservice provider. A vast majority, 79 percent of UMM's new students are "price sensitive," predicting that food budgets are a very prevalent concern on the campus. This analysis is consistent with survey data reporting increasing student satisfaction with the variety and quality of foods served and a continuing high level of concern about price and value in their dining plans. � 14 meals per week and 100 Dining Dollars: provides access to any 14 of the 19 meals served on campus-- breakfast, lunch, and dinner on weekdays and brunch and dinner on weekends plus $100 per semester to be spent in campus dining at $1,795.50/semester � 160 meals per semester and 200 Dining Dollars: provides access to 160 of the meals served on campus in the semester (15 weeks of classes plus finals) plus $200 per semester to be spent in campus dining at $1,811.25/semester � 80 meals per semester and 400 Dining Dollars: provides access to 80 of the meals served on campus each semester plus $400 to be spent in campus dining. This plan is available to juniors and seniors living on campus and anyone living in campus apartments or off campus at $1,596/semester Dining Services Board Plan--meals, hours, and locations Monday to Friday Hours Breakfast Lunch Dinner Weekends Hours Brunch 11:15 a.m.�2:30 p.m. 4:45 p.m.�8 p.m., Sunday Location Dining Hall Dining Hall 7:15 a.m.�10 a.m. 11:15 a.m.�1:15 p.m. 4:45 p.m.�7 p.m. Location Turtle Mountain Cafe Dining Hall Dining Hall Residential Dining and Board Plans More than 90 percent of first-year students, and half of all students, live on campus. Students living in UMM's residence halls are required to have one of the three primary meal plans during their first two years on campus. Juniors, seniors, and any students living in campus apartments or off-campus may select a reduced meal plan. Most board plan meals are provided in the Dining Hall, with weekday breakfasts provided in Turtle Mountain Cafe. Meals are not provided during University breaks. In the 2009�10 academic year, four dining plan options provided buffet meals for breakfast, lunch, and dinner each weekday, and brunch and dinner on weekends. � 19 meals per week and 50 Dining Dollars: provides access to all meals served on campus-- breakfast, lunch, and dinner on weekdays and brunch and dinner on weekends plus $50 per semester to be spent in campus dining at $1879.50/semester Dinner 4:45 p.m.�6:30 p.m., Saturday Dining Hall Dining Dollars: The Dining Dollars included in student meal plans provide discounted cash-free purchases in Turtle Mountain Cafe, in the new late night weekend convenience store, or for family and friends at the Dining Hall. U-Cards are scanned to access the Dining Dollars on student accounts. Students, faculty, and staff can purchase additional Dining Dollars throughout the year. Community Dining in the Dining Hall: Faculty, staff, other students, and community members also enjoy meals in the Dining Hall. They pay a walk in price to dine at each meal or put Dining Dollars on U-cards for a discount on purchases. More faculty and staff are taking advantage of a Friday lunch discount program in the Dining Hall since the facility's renovation in summer 2009. MORRIS HEALTHY EATING INITIATIVE 73 Student Satisfaction with Residential Dining Residential Life Benchmarking Studies: Students living on campus complete a national educational benchmarking survey at the end of each academic year. The study includes student satisfaction with campus dining. Results are compared to previous years responses, to other liberal arts colleges and to all institutions surveyed. From the 1999�00 to the 2009�10 academic year, significant changes were made in the dining services program to better meet student needs. Overall satisfaction with dining services rose significantly from 3.36 to 4.49, on a seven-point scale where seven is very satisfied. Key Finding-- UMM student satisfaction with Dining Services is increasing with improvements to the program. Dining Services fall 2009 When mean scores for each question were compared over time, satisfaction levels increased for every question. Three areas consistently received good ratings: service provided by dining staff, dining environment, and cleanliness of the dining area. These areas are followed by dining service hours, variety of dining plan options, and quality of food. Students are least satisfied with the value of their dining plan, providing a poor rating in each administration of the survey. The greatest gains in satisfaction over the past two years are in quality of food and variety of dining plan options. The greatest gains in the last 10 years are in value of your dining plan, service provided by dining staff, quality of food, and variety of dining plan options. Each of these four items improved by .75 or more from 2000 to 2010. UMM Dining Satisfaction Survey--fall 2009--Dining Hall: Of the 182 students who completed Sodexo's fall satisfaction survey in the Dining Hall, nearly nine of ten (88 percent) rated their overall satisfaction as good to excellent. Eighty-four percent gave similarly positive ratings to the healthy menu options provided. Nearly one in five (18 percent) rate healthy menu options as excellent. As might be expected given UMM's students proclivity for price sensitivity, price and value received lower ratings. Just half of students rated the value of their dining plan as good to excellent and only one in three provided positive ratings for price. Nearly one in five students (17 percent) offered poor marks for price. Campus Dining--Numbers, Costs, and Comparisons with a Top Program: In fall 2009, 685 Morris students had dining plans, approximately 40 percent of the student body. These student diners ate 7,000 meals a week, a total of more than 100,000 meals during fall 2009. On average Morris students paid $1,803 for their fall meal plan, about $3,600/year. St. Olaf College in Northfield, Minnesota, a college that consistently makes the top 10 in Princeton Review's "best campus dining" lists offers an interesting comparison. St. Olaf enrolls 3,000 students with nearly everyone living and dining on campus. The campus serves about 30,000 meals a week during the school year. According to the Princeton Review, St. Olaf's average meal plan costs $4,440 per year. The additional $840 per meal plan above UMM's board rate allows a greater margin for higher cost, healthy choice options. In addition, with more than four times the number of students participating in the meal plan, each St. Olaf student pays a smaller percentage of the annual fixed costs for campus dining. Innovative and creative strategies will be necessary to offer affordable healthy options on campus and encourage UMM's budget conscious, price sensitive students (including a significant population of students from families with low-incomes) to adopt more healthful eating patterns. Dining Services Fall 2009 N=182 Overall Satisfaction Price Value Providing Healthy Menu Options Excellent 9% 2% 4% 18% Very Good 26% 10% 12% 28% Good 53% 26% 34% 38% Fair 11% 45% 37% 13% Poor 2% 17% 13% 2% 74 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris Brynn Stember, MHE student leader, sets up the Dining Services Food Waste Study Campus Dining Hall Food Waste Study: UMM eliminated Dining Hall trays in 2009 following the major dining services facility renovation. This change was part of a strategy to reduce food waste and overconsumption following the example of successful tray-less pilots at universities across the country. MHE student leaders and Dining Services leaders launched a food waste study during the last six weeks of fall semester to analyze expenditures for food discarded by students and encourage a further reduction in food waste. Edible food waste from the Dining Hall was weighed and recorded after each meal. Sodexo determined a dollar value of $3.30 per pound of edible food discarded. Food waste study results were posted at the end of fall semester. A total of 6,483 pounds of edible foods were discarded. At $3.30 per pound, the discarded food had a total value of $22,582 for the six-week time period of the study. The average weekly food waste was $3,764. Morris Healthy Eating and Dining Services will continue food waste tracking in 2010. As the amount of edible food waste decreases, Dining Services will use the savings to provide a greater variety of fresh fruit in the Dining Hall. Turtle Mountain Cafe Turtle Mountain Cafe (TMC), in UMM's Student Center serves students, faculty, staff, and community members. The cafe offers made to order meals, daily specials, and a variety of a la carte items, snacks, and beverages. The cafe also provides board plan breakfast buffets on weekdays. Students, faculty, and staff can purchase Dining Dollars for discounted cash-free TMC purchases through their U-Cards. Turtle Mountain Cafe Hours Monday to Thursday Friday Saturday and Sunday Key findings-- � Four of five Turtle Mountain Cafe diners rate their overall satisfaction as good to excellent, with the largest group offering a rating of very good. � Four out of five rate TMC's healthy menu options as good to excellent. � Price is the biggest area of concern for TMC respondents. Only one in three rate TMC pricing as good to excellent; a similar number rate pricing as poor. 7:15 a.m. to 10 p.m. 7:30 a.m. to 7 p.m. Closed MORRIS HEALTHY EATING INITIATIVE 75 UMM Dining Satisfaction Survey--fall 2009--Turtle Mountain Cafe: Four of five Turtle Mountain Cafe diners (81 percent) rate their overall satisfaction as good to excellent, with the largest group (nearly 50 percent) offering a rating of very good. Price was the biggest area of concern for TMC respondents with only one in TMC Fall 2009 N=171 Overall Satisfaction Price Value Providing Healthy Menu Options Excellent 12% 1% 4% 20% three rating TMC pricing as good to excellent. Nearly one in three rated TMC pricing as poor. Healthy menu options received the most excellent ratings. Overall, four out of five diners rated TMC's healthy menu options good to excellent. Very Good 49% 11% 11% 30% Good 30% 19% 32% 32% Fair 8% 37% 37% 14% Poor 1% 32% 6% 4% Turtle Mountain Cafe fall 2009 Menu Review: Dining Services leaders have been adding healthy food options to TMC menus over the past three years. Initiatives include adding a healthy combo-meal option for grilled items with a lettuce salad or fresh fruit in place of fries, right sizing of beverage glasses to reflect recommended serving sizes rather than super-sizing, and offering organic and sustainably raised products. A Morris Healthy Eating intern reviewed Turtle Mountain Cafe food and beverage options, evaluating various foods' nutritional value. Nutrients considered included protein, fat, simple and complex carbohydrates, vitamins, and minerals. Other food attributes considered included low calorie, low fat, low carbohydrate, low saturated fat, low sodium, low cholesterol, and high fiber. Determinations of healthy food options were subjective, with no definitive criteria adopted. Key Findings-- Approximately one-third of the foods offered at TMC had nutritional attributes that could be considered a healthy option. More research is needed to determine exact criteria for and affordability of healthy options. Approximately 110 food and beverage options are offered at TMC. Nutrition information is printed on some packaged items and available upon request for food from the grill. Deli foods were the least likely to nutrition information available. Some of the healthiest options at TMC during the time of the review included an eggplant burger with lettuce and tomato, grilled chicken sandwiches, packaged salads, yogurt, fruit, and vegetable juices. A healthy meal combination option was available for foods from the grill. Food Alliance Midwest certified fries and grilled cheese were labeled as sustainably produced. Overall, approximately one-third of the options were considered healthy by subjective nutritional evaluation. 76 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris A Partnership to Provide Healthful Food and Beverages on Campus UMM and Sodexo Contract Specifications: The Dining Services contract includes an expectation that a variety of healthful food and beverages will be served on campus. UMM's dining service contract administrators and Sodexo campus dining leaders are working together to implement the health and wellness priorities that will best support healthy eating on the Morris campus. The contract details practices to encourage the purchase of healthful foods, food procurement expectations, wellness initiatives, and menu item nutritional criteria, including: a) Practices to encourage and track healthful foods purchases, including: � Developing pricing strategies and discounts for healthful food items; and � Tracking and reporting the healthful food items offered and purchased annually. b)Food procurement expectations including: � Providing products from local farms that promote production of food in environmentally and socially responsible ways, with purchases documented and increased annually; � Providing a variety of fruits, vegetables, whole grains, vegetarian, vegan, low fat, and heart healthy options at all food outlets; and � Purchasing UMM produced food products when feasible. c) Wellness initiatives and programming, including as agreed upon by campus leaders: � Development of a Wellness Plan, with participation in work groups; � Providing nutrition and menu information and awareness, including point of purchase labeling; � Offering presentations to students and parents; � Documenting significantly increased awareness and participation in wellness initiatives in annual reports; � Making a registered dietitian available for menu planning, developing pricing strategies for healthful food items, highly visible placement of healthful food items, developing and implementing educational campaigns, and nutrition information programs. d)and, Nutritional criteria for foods served on campus, as follows: Menu Item Includes items with beef, cheese, eggs, lunchmeat, mixed dishes, pork, poultry, seafood, fish, sandwiches, and vegetarian entrees. if two sizes of soup or salad are offered, the larger size is considered an entree. Maximum Calories Per Portion Maximum Fat Per Portion 17 grams 500 calories (i.e. no more than 30% of the item's calories are from fat) 8 grams 5 grams 7 grams Entrees Side dishes Snacks Desserts Miscellaneous Beverages Boxed lunches or "meal deals" appetizers, bread, cereal, potatoes, rice, salad, soup, and vegetables. chips, crackers, nuts, seeds, pretzels, specially formulated bars, popcorn, and granola bars. cake, candy, puddings, pies, ice cream, yogurt, fruit, and sherbet condiments, dips, dressings, sauces that are sold separately, and other items. coffee, tea, dairy drinks, fruit drinks, soda, and specially formulated drinks. 150 calories 150 calories 200 calories 40 calories 150 calories less than 750 calories with each item meeting the criteria specified above 5 grams Portion sizes: For packaged items, a portion is based on the total size of the package. For pre-plated or served items, the portion is estimated as served. For self-serve items, a portion is the typical amount of one spoonful, ladleful, etc. Maximum fat per portion: There are nine calories in each gram of fat. MORRIS HEALTHY EATING INITIATIVE 77 Residential Diners--Insights on Healthy Eating: In late September 2009, Morris Healthy Eating and Dining Services surveyed students to gather their perspectives on healthy eating. During an evening meal in the Dining Hall, nearly 300 UMM students provided insights on their food choices and preferences, definitions of healthy foods, and desired changes in the dining program. This response represents the views of 42 percent of the 685 students participating in residential dining meal plans in fall 2009. Key Findings-- � Students requested a greater variety of fruits and prefer them to be fresh. Sodexo Wellness and Healthy Eating programs: UMM has implemented elements of Sodexo's Balanced Way and Mind, Body, and Soul programs providing guidance for healthy eating and holistic health. The Balanced Way, a food-focused, pointof-service program with specific nutrition criteria, was recently revised and should be available in 2010. The revision aligned the program with current student needs and style preferences for nutrition information and guidance as well as changing perceptions of desirable food attributes. Key findings-- Updated health and wellness dining service programs have been created by Sodexo and are available for use at UMM. Students are "asking for culinary demonstrations. They want to know where their food comes from, and how to `design their plates' for a healthy and satisfying meal." The over-riding most sought-after food attribute is "fresh." The revised Balanced Way reflects emerging elements in students' perceptions of healthy eating. According to Sodexo's national wellness director, students are "asking Sodexo to be less prescriptive in telling them what to eat. They prefer to be guided to healthy choices. They are asking for culinary demonstrations. They want to know where their food comes from, and how to `design their plates' for a healthy and satisfying meal." MHE team ratings of terms that describe healthy eating were of interest to Sodexo, and provided to the wellness director for inclusion in a Sodexo wellness presentation. UMM appears to be "ground-truthing" a national, if not global, experience in the changing food requests and perceptions of college students. Future directions for Sodexo may include carbon footprint analysis of food choices and procurement processes, a direction that would be very consistent with UMM's master plan. � Nine of ten students would be willing to substitute fruit for dessert at one meal per week if a wider variety of fruits were served. � Students prefer fresh fruit and vegetables that are served raw/fresh or steamed. What form of fruit do you prefer? How do you prefer your vegetables prepared? 78 COMMUNITY FOOD ASSESSMENT VI. Food Assessment Research: University of Minnesota, Morris Additional findings � Carrots are students' favorite vegetable, followed by corn, broccoli, potatoes, and peas. � Strawberries are students' favorite fruit, followed by apples, bananas, grapes, and raspberries. � When asked, "What does the phrase `healthy eating' mean to you?" 66 percent selected "eating more fruits and vegetables," 58 percent selected "limiting fat and calorie intake," and 27 percent said "eating locally and sustainably grown foods." Forty-two additional and varied narrative answers were offered. "That would be delicious, nutritious, and amazing!" "I honestly love fruit and while chocolate/ice cream is good most of the time, fruit is always delish!" "Yes please! Too much dessert and not always much fruit selection!" "I believe this is a wonderful idea." "This would be a terrific, healthy, and easy way to have healthier eating." "I would eat fruit everyday, because I like them better than cake and cookies." Students also suggested fruit desserts (i.e. strawberry shortcake), fruit salads, and keeping ice cream or whipped cream available. Students mentioned fresh strawberries, pineapple, kiwis, watermelon, and pomegranates, as well as more applesauce. A number suggested fewer desserts or a mix of fruits and other desserts offered regularly. What does healthy eating mean to you? Local Sourcing for Fresh Fruits and Vegetables and Other Healthy Foods on Campus Campus Dining leaders are working to increase the locally sourced foods served on campus. Greater planning with Sodexo sustainability and procurement leaders, local farmers, and potential food distributors will be needed to achieve the local foods sourcing goals articulated in the Campus Master Plan. A top priority will be given to foods sourced from Pride of the Prairie local foods initiative partners--sustainably raised foods from within 100 miles of Morris. The second priority focuses on Food Alliance Midwest certified or organically certified foods grown within 250 miles of the campus (e.g. grown in Minnesota or bordering states.) The third tier is sustainably or organically certified food from within the U.S. The fourth tier is regionally grown within 250 miles of campus, without sustainable or organic certification. University of Minnesota raised products from the Student Organic Garden and West Central Research and Outreach Center are also available for campus dining. Sodexo has participated in developing student gardens on other campuses, and has provided MHE with quality assurance guidelines for sourcing food from campus gardens and university food programs. Students offered many good suggestions in their written comments and expressed appreciation for the recent changes and redesign of foodservice. Nearly 200 students provided written responses to the question "In what ways, if any, can foodservice help you achieve your healthy eating goals?" Students were most likely to suggest greater access to fruits and vegetables. Overall, fruit was mentioned most frequently (77 times). Students requested more fresh fruit, a wider variety (including strawberries, grapes, different varieties of apples, and locally grown cut up fruit), and a fruit bar like the salad bar. Students mentioned vegetables 35 times, with requests to offer more vegetables, including in entrees and cooked vegetable side dishes. Fat content was mentioned only nine times. A few students commented on the value of nutritional information available in Dining Services. Students were asked, "If there were a wider variety of fruits, would you be willing to substitute dessert with fruit one meal a week (for example: Strawberries and raspberries are served instead of dessert every Thursday for lunch)?" Ninety percent of students said yes. Most comments were very positive. MORRIS HEALTHY EATING INITIATIVE 79 UMM Coca Cola Beverage Consumption Analysis In the 2008�09 academic year, Morris students were more likely than students on other University of Minnesota campuses to purchase healthy Coca Cola beverages. Non-carbonated drinks and waters comprised 39 percent of the Coca Cola product consumption for Morris. The top non-soda beverage products consumed on campus (in order) were: Powerade, Dasani water, Minute Maid juices, Nestea, V8 vegetable juice/Fuze, and Vitamin Water. Key finding-- Products identified by Coca Cola as "health and wellness" beverages comprised 39 percent of the total volume of Coca Cola products purchased at UMM. UMM Taher Non-beverage Vending Analysis The University of Minnesota contracts with Taher, a contracted foodservice management company based in Minnetonka, to provide non-beverage vending machine products on University campuses. The contract specifies "healthful choices." "In each Approved Vending Machine, Taher shall ensure that Approved Vending Products are locally produced (where feasible) and that at least 25 percent of the Approved Vending Products in each Approved Vending Machine are Healthful Choice Options. Taher shall provide labels and other consumer information that (i) identify those products that are Healthful Choice Options (i.e., "low-fat," "low-calorie," "low-carbohydrate") and (ii) communicate the meaning of the Healthful Choice Options in information located on the Approved Vending Machines." Healthful food criteria in the Taher vending contract is consistent with food criteria in the University's dining services contract with Sodexo. UMM Consumption of Coca Cola Beverages (bottles, cans, postmix) Carbonated soft drinks Non-carbonated drinks (Powerade, tea, fruit/vegetable juice) Waters (bottled waters, vitamin water Additional findings % of total beverage sales volume 61% 29% 10% Key finding-- Vending machines at UMM will contain at least 25 percent approved vending products that are designated are "healthful choice options," according the vending services contract. � The top five beverages in terms of growth during the 2008�09 academic year over the previous academic year were, in order: Minute Maid Juice, Powerade, V8 fusion, V8 splash, and Vitamin Water. 80 COMMUNITY FOOD ASSESSMENT VII. Transforming Our Research into Action--Creating a Healthier Morris VII. Transforming Our Research into Action--Creating a Healthier Morris VII. Transforming Our Research into Action--Creating a Healthier Morris During fall 2009, the Morris Healthy Eating team reviewed and analyzed the food assessment data summarized in this report. As the team developed a shared picture of the Morris area food environment, work groups used the food assessment data to determine the most compelling goals and strategies that would make healthy eating easier in the Morris community. As the team worked together, they creating a shared long-term vision for Morris Healthy Eating, drafted a logic model for the project, and prioritized strategies for creating a healthy community all rooted in broad community feedback. Morris Healthy Eating used the foundational research conducted by Blue Cross and the Minnesota Department of Health as a starting point. � Two-thirds of Minnesotans are overweight or obese, the highest percentage in our history. � A combination of physical inactivity and unhealthy eating is now the second leading cause of death and disease in the U.S., contributing to obesity, cancer, cardiovascular disease, and Type 2 diabetes. � Adult obesity-related health conditions could cost Minnesota an additional $3.7 billion annually by 2020, if trends continue. Morris Healthy Eating data shows that the University of Minnesota, Morris (UMM) and the greater Morris region are not immune from the epidemic of unhealthy eating. A 2007 Comprehensive College Student Health Survey showed that two of five UMM students are overweight, obese, or very obese-- nearly half of male students and over one-third of female students. Our community action plan to reverse these trends is rooted in national research that shows that increased physical activity, coupled with eating more fruits and vegetables, especially fresh fruits and vegetables, can help protect against heart disease and some cancers, help manage diabetes and weight, lower cholesterol and blood pressure, and reduce the likelihood of heart attack or stroke. While UMM students do well on physical activity, only 16 percent of students eat the five servings of fruits and vegetables recommended daily. The Morris Healthy Eating community food assessment shows that the knowledge of the importance of eating better, coupled with a desire for more healthy foods, exists widely among UMM students, faculty, and staff. When asked, nine of ten students, faculty, and staff agreed that if they ate more fruits and vegetables, they would reduce their risk for some chronic diseases and cancers. Eight of ten had started making changes to eat a healthier diet or planned to in the next three months. The desire to eat more healthy food, and especially fresh fruits and vegetables exists outside the University as well. For example, nearly nine of ten Pomme de Terre Food Co-op (PDT) customers stated that they would purchase fresh fruits and vegetables at PDT, especially locally grown and organic produce. A full 85 percent of employees at the Stevens Community Medical Center agreed that they would eat healthier if healthy food options they liked were served at the hospital cafeteria. A survey completed by 350 Morris residents found that nutrition is their highest priority when choosing foods to purchase. Eighty percent would purchase locally grown food if it were available in the grocery store. But while the desire to eat better exists on campus and in the community at large, this community assessment found that there are significant barriers. There is limited access to fresh fruits and vegetables, especially locally grown produce, exacerbated by Minnesota's short growing season. As this assessment was being assembled, Morris's only 24-hour grocery store closed. The costs associated with healthy foods, especially fresh fruits and vegetables, are a concern for many consumers. People would like to cook healthy meals but stress, time, and limited cooking skills get in the way. More people would like to garden but need access to land and other resources. More residents want to find fresh, healthful foods raised close to home in our rural community. Today nearly 300 of west central Minnesota's10,000 farm families sell foods directly to consumers, with sales nearing $1 million annually. While this is significant, west central Minnesota residents spend more than $350 million buying food each year, foods raised largely outside of this rural farming region. Meanwhile, a recent report showed one-third of west central Minnesota's farms lost money on production costs. Farmers face barriers selling and distributing the foods they raise locally. Chefs and food buyers find it challenging to purchase outside the aggregated food distribution system. While individual choice plays a role in making healthy food choices, national research shows that the more comprehensive changes in the food environment are needed to have an impact on healthy food choices for a whole community. How can we make fresh fruits, vegetables, and other healthy foods as convenient and readily available as other foods? What kinds of foods are available at work, at our schools, and at our community gatherings and celebrations? Are healthy foods as affordable as less healthy alternatives? How can we make the healthy choice the easy choice for people in Morris? Morris Healthy Eating offers a series of recommendations for program, environment, and policy changes to create a healthier community. The plan is rooted in the extensive data from our community summarized in this report, the expertise of community partners, and successful community models from across the country. It presents a map to a healthier future for the University of MORRIS HEALTHY EATING INITIATIVE 83 Minnesota, Morris, the city of Morris, and Stevens County. Morris Healthy Eating's goal is increasing access to and consumption of fresh fruits and vegetables, especially those that are locally grown, and other healthy foods among UMM students and the population as a whole. The project will build on the strong, diverse food environment in Morris, with its abundance of food producing farmers and gardeners, locally owned and managed groceries and restaurants, food and nutrition resources, and interested residents. Morris Healthy Eating strategies will include: fostering a community dialog on the benefits of eating healthier; educating students and area residents in how to purchase and prepare healthier foods; serving more fresh fruits and vegetables on campus and in community based institutions such as restaurants, schools, and the hospital; overcoming barriers to accessing to healthier foods; and expanding gardening and farmers markets in the region. After completing this Community Food Assessment, the Morris Healthy Eating team strongly believes that the environment and the attitude exists among UMM students, faculty, staff, and Morris area residents to combat the obesity epidemic and thereby help to improve the long-term health of our community. Thus, it is the vision of the project to make fresh fruits and vegetables and other healthy foods the easy choice for every meal every day for UMM students, as well as for the residents of Morris and Stevens County no matter their income or age. 84 COMMUNITY FOOD ASSESSMENT VII. Transforming Our Research into Action--Creating a Healthier Morris A Model for Morris Healthy Eating--Program Logic Model The Morris Healthy Eating Logic Model presents a visual snapshot of resources, action steps, and anticipated outcomes for the five-year initiative, including desired intermediate and long-term changes in the Morris food environment. A dynamic and changing document, the logic model will be updated as the project unfolds. Inputs Blue Cross and Blue Shield of Minnesota Center for Prevention Funding Technical Assistance Vision for Change Complete a Community Food Assessment University of Minnesota, Morris and Community Partners In a model linking education, health care, and food providers with interested community partners and resources Create a Strategic Implementation Plan Activities Outputs Change Strategies Promotion � Communication campaign Programs � Healthcare referrals and project messages � Education--healthy choices, cooking, gardening Policy � Pomme de Terre Foods--Fresh fruit and vegetables � SCMC food plan--fresh fruits and vegetables � Morris K�12 Schools Farm to School and nutrition policy � Workplace healthy eating � UMM dining wellness policy Physical Changes � Campus/community gardens with support for food shelf � Enhanced farmers markets � UMM dining wellness plan environment changes � Healthy food stands � Healthy foods menu choices Other factors � Individual/community health messages � Local SHIP partnership: West Central Wellness Outcomes Intermediate Outcomes Changes in food � Access � Availability � Affordability for fruits, vegetables, and other healthy, sustainably raised foods Long Term Outcomes � Sustained change in food environments � Healthier eating habits (i.e. more fruits and vegetables) � Fewer overweight/ obese/very obese BMIs � More fresh, local, sustainably raised foods produced and consumed � A healthier campus � A model for other communities Develop Morris Healthy Eating Team Create Evaluation Plans An Engaged Community � Pride of the Prairie � Healthy Lifestyles Floor � UPlan Wellness � Community Supported Agriculture Farms (CSAs) � Sustainability efforts Morris Healthy Eating-- Initiative Logic Model Morris Healthy Eating 5P Community Action Plan The Morris Healthy Eating team used the 5P Community Action model created by Active Living by Design to capture the team's vision for long-term community level changes to support healthy eating. The model focuses on preparation, promotion, programs, policy, and the physical environment. Healthy Eating Minnesota and Morris Healthy Eating place the greatest emphasis on policy and physical environment change as the keys to long-term community change. The 5P Community Action Model frames the Morris Healthy Eating plan for increasing access to and affordability of fruits, vegetables, and other healthy foods on campus and in the community. The team's selection of key action steps for the campus and Morris community was informed by food assessment data and best practices in healthy food environments. The MHE team will seek partnerships across the campus, the city of Morris, and Stevens County communities to make the healthy choice the easy choice. See Appendix B for a detailed Morris Healthy Eating 5P Community Action Plan linking each of the action items with supporting data from the community food assessment. 85 MORRIS HEALTHY EATING INITIATIVE HEALTHY EATING Our vision: Fresh fruits and vegetables and other healthy foods are the easy choice at the University of Minnesota, Morris, within greater Morris, and in Stevens County for people of all ages and incomes, for every meal every day. Residents and visitors to our prairie community are making good choices from an increasing abundance of affordable healthy foods in home cooked meals sourced from campus and community gardens, farmers markets, and local farms and grocers; at restaurants; in on-campus, school and workplace dining and gatherings; and at community events. Preparation Develop a strong community partnership Complete a comprehensive Community Food Assessment Promotion Implement a broad, coordinated Morris Healthy Eating communications plan Programs Provide education for all ages on healthy choices Provide visual messages at UMM Health Service and Stevens Community Medical Center on Morris Healthy Eating initiatives; facilitate patient referrals to increase access to high quality nutritious food Policy Adopt campus and community work place healthy eating policies and practices Add fresh fruits and vegetables to Pomme de Terre Food Co-op product offerings At Stevens Community Medical Center, serve more fruits and vegetables and create a food plan Support the Morris Area Schools farm-to-school program Implement a campus dining wellness plan with key policy initiatives supporting healthy eating Physical Environment Changes Expand access to on-campus and community vegetable gardens Increase farmers markets and invest in their future in the community and on campus Host healthy food stands and feature "today's healthy food choices" at Morris farmers markets, groceries, and restaurants. Implement a campus dining wellness plan with key physical environment projects, including the food recommendations from UMM's new Campus Master Plan. VII. Transforming Our Research into Action--Creating a Healthier Morris The Vision for a Healthier Morris: Morris Healthy Eating Outcomes The Morris Healthy Eating project is designed to make longterm changes in our community's food environment, making the healthy choice the easy choice for people of all ages and incomes. With a strong partnership and creative changes in our programs, policies, practices, and physical environment, we can make a difference in our community's health and quality of life. Here are the outcomes we're working toward for the University of Minnesota, Morris, the Morris community, and Stevens County. Intermediate Outcomes We will create positive changes in food access, availability, and affordability for fresh fruits, vegetables, and other healthy sustainably raised foods on the University of Minnesota, Morris campus, in the city of Morris, and in Stevens County. Long-term Outcomes A successful Morris Healthy Eating project will support the following long-term outcomes. � Positive changes that make the healthy choice the easy choice in our Morris food environment are lasting and sustained. � People are adopting healthier diets communitywide-- eating more fresh fruits, vegetables, and other healthy foods. � More fresh, local, sustainably raised foods are produced and consumed in west central Minnesota. � The city of Morris and Stevens County are healthy communities filled with people who eat well. Fewer Morris residents have Body Mass Indexes falling in the overweight and obese ranges. � The University of Minnesota, Morris is a healthy campus filled with people who eat well. Fewer students, faculty, and staff have Body Mass Indexes falling in the overweight and obese ranges. � The Morris Healthy Eating model for community health will inspire other Minnesota communities to make the healthy choice the easy choice. Measuring Our Success Morris Healthy Eating will use an outcomes-focused evaluation to determine if the project is achieving the communitywide changes summarized in the project logic model and detailed above. The team will assess a variety of information on the project's outputs and outcomes over the four years of project implementation. � To what extent have policies and practices to support the increase in access and availability of fruits and vegetables and other healthy foods at the University of Minnesota, Morris campus been developed and implemented? � To what extent has the availability of fruits and vegetables and other healthy foods increased on University of Minnesota, Morris campus? To what extent has there been an increase in student, faculty, and staff consumption of fresh fruits and vegetables? � To what extent is the Morris community aware of and supportive of Morris Healthy Eating objectives? To what extent is the Stevens County community aware and supportive? � To what extent have policies and practices to support the increase in access and availability of fruits and vegetables and other healthy foods, within greater Morris, and Stevens County been developed and implemented? � To what extent have Morris Healthy Eating programs been implemented, such as campus and community healthcare providers developing nutrition education materials and fostering patient referrals for high quality nutritious foods? The Morris Healthy Eating team will gather and analyze a wide variety of data in the assessment, including the number and scope of healthy eating policies/practices developed and implemented on campus and in the community; the number of wellness plan initiatives implemented; the amount of fresh fruits and vegetables provided on campus and at community partner locations; and the number of menu changes to include more fruits and vegetables. The team will also review the availability of farmers markets, gardens, hoop houses, and greenhouses for local fruits, vegetables, and other healthy foods as well as resident survey data on healthy food choices. And finally, the team will assess community engagement with the project including use of the project Web site. MORRIS HEALTHY EATING INITIATIVE 87 Appendices Appendix A Appendix A: Morris Healthy Eating Team Roster University of Minnesota, Morris partners 600 E. 4th Street, Morris, MN 56267; Phone: 320-589-6123 Sandy Olson-Loy Mary Jo Forbord Henry Fulda Dave Swenson Karen Mumford Argie Manolis Ashley Gaschk Anne Krohmer Nhia Vang Jenna Sandoe Brynn Stember Phil Rudney Kelly Herzberg Danielle Schatschneider Tom Mahoney Roger Wareham TJ Ross Corrine Larson Bridget Joos Lisa Harris Sarah Mattson Angie Berlinger Rich Hardy Jeff Ratliff-Crain Jennifer Rothchild Dorothy Rosemeier Kate Newland Steve Johnson Donna Bauck Trish Arndt Josh O'Brien Vice Chancellor for Student Affairs; program oversight Morris Healthy Eating Coordinator Assistant Vice Chancellor for Student Life Student Activities Director, Dining Services Contract Adm. Assistant Professor, Public Health, Biology & Env. Studies Community Engagement Coordinator Morris Campus Student Association--spring 2009 MHE Student Research Assistant MHE Service Learning Student Assistant MHE Student Leader Student Local Foods Intern MHE Student Lead Coordinator--fall 2009 MHE Student Intern for Research and Communications MHE Student Lead Coordinator--summer 2009 Director, Grants Development--spring 2009 Director, Grants Development Assoc Director, Residential Life Health Service RN, Supervisor Program Coordinator Dining Services Contract Administration Human Resources Director UPlan Health Coach, Faculty and Staff Athletic Trainer, Human Nutrition Instructor Professor, Psychology; Assistant Dean Assistant Professor, Sociology Executive Director, Lead representative January 2009�May 2010 Student Affairs Student Affairs Residential Life Student Activities Division of Science and Mathematics Community Engagement Founding Student Leader Student and Faculty Health Survey Service Learning Pomme de Terre/Pride of the Prairie UMM Local Foods Market and Feast Dining Services/Sodexo Peer Health Educators Grants Development Grants Development Residential Life Health Service Wellness & Violence Prevention Finance and Facilities Human Resources Human Resources Intercollegiate Athletics Division of Social Sciences Division of Social Sciences U of M West Central Partnership Pride of the Prairie Local Foods Initiative WCROC, 46352 State Hwy 329, Morris, MN 56267, Phone: 320-589-1700 Sodexo/UMM Dining Services Mailing address: 600 E. 4th St. Morris, MN 56267; Phone: 320-589-6130 UMM Dining Services Director, Spring 2010; Operations and Catering Manager, 2009 UMM Interim Dining Services Director, Fall 2009 - Spring 2010 UMM Dining Services Director, through Summer 2009 Turtle Mountain Cafe Manager, through Spring 2010 Chef Manager, through Spring 2010 Stevens Community Medical Center 400 E. 1st Street, PO Box 660, Morris, MN 56267, Phone: 320-589-1313 Joan Goering, MD Project Medical Director, Lead representative Sue Dudding Registered Dietitian, Lead representative Linda Knutson Health Information and Marketing Assistant John Rau Chief Executive Officer Pomme de Terre Food Co-op 613 Atlantic Ave, Morris, MN 56267, Phone: 320-589-4332 Evy Rodne-Cole Nancy Sparby Patti Wente Connie Bullock Joanie Murphy Pete Thorfinnson Board of Directors, Lead representative Board of Directors, Lead representative Co-op Manager Supervisor and Public Health Nurse, Stevens Traverse Grant Public Health Director, Stevens County Human Services; Board of Directors, Stevens County Food Shelf Kadejan Market Community Collaborators Blue Cross and Blue Shield of Minnesota Project Manager Marguerite Zauner Health Improvement Project Manager, Blue Cross Center for Prevention Shaded boxes = Morris Healthy Eating founding lead partners MORRIS HEALTHY EATING INITIATIVE 91 Appendix B: Morris Healthy Eating 5P Model for Community Change, with supporting data HEALTHY EATING OUR VISION Fresh fruits and vegetables and other healthy foods are the easy choice at the University of Minnesota, Morris, within greater Morris, and in Stevens County for people of all ages and incomes for every meal every day. Residents and visitors to our prairie community are making good choices from an increasing abundance of affordable healthy foods in home cooked meals sourced from campus and community gardens, farmers markets, and local farms and grocers; at restaurants; in on-campus, school, and workplace dining and gatherings; and at community events. PREPARATION Develop a strong partnership Complete a Community Food Assessment PROMOTION Implement a broad, coordinated MHE communications plan Use a logo to connect all programs, policy, and physical environment changes visually to MHE; project Web site, with a comprehensive calendar of events and resources; vision statements, photos of partners, cool links; make community food assessment results and implementation plans/progress easily accessible to community members--visual, comprehensible, and clear; generate regular media coverage; weekly healthy eating newspaper column--University Register; Morris Sun Tribune articles written by different team members; articles in partners newsletters and on Web sites. PROGRAMS Create positive visual messages for UMM Health Service and Stevens Community Medical Center (SCMC), advancing policy/ environmental changes and reinforcing the creation of a healthy eating environment; facilitate patient referrals to increase access to high quality nutritious food Education for all ages on healthy choices, such as preparing healthy foods in a tasty way; healthy cooking classes using more fruits/ veggies and local/seasonal foods; affordable shopping/meal planning/recipes; gardening; canning/freezing food; theme floors cooking foods from farmers markets; develop summer course like College of St. Benedict's Hands on the Land gardening etc. course Supporting data � SCMC//UMM Health Service contract includes student health promotion and wellness programs each semester. � Surveys show only 15 percent of students eat the recommended five servings of fruits/veggies per day; the average is two per day. � Align with West Central Wellness initiative: comprehensive employee wellness program with ongoing health education (SHIP #C-HWHB-W1). 92 COMMUNITY FOOD ASSESSMENT Appendix B POLICY Create a Stevens Community Medical Center food plan--serve more fresh fruits and vegetables; create consistent nutrition education tools to use at SCMC and UMM Health Service Supporting data Aligns with West Central Wellness initiative: comprehensive employee wellness program with health assessment, coaching; policies and environment that promote healthy weight/behaviors (SHIP #C-HWHB-W1). Support Morris Area Schools farm-to-school program; work with West Central Wellness (SHIP) to create a comprehensive school nutrition policy Supporting data Aligns with West Central Wellness initiative: breakfast promotion, healthy lunch/snacks, including classroom celebrations and incentives, fundraising, concessions, vending; school gardens; farm-to-school initiative (SHIP #C-N-S1) Adopt work place healthy eating policy/practices--healthy options available at gatherings with food; at UMM/area businesses w/ W.C. Wellness (SHIP) comprehensive wellness program Supporting data � Nearly 80 percent of students, 85 percent of P&A staff, 65 percent of faculty, and 50 percent of USA staff would eat more fruits/ veggies on campus if more were offered at campus gatherings/events. � American Indian students and other students of color were 15 percent more likely than white students to strongly agree (56.3 percent versus 41.8 percent). � Aligns with West Central Wellness initiatives: comprehensive employee wellness program with health assessment, coaching, policies and environment that promote healthy weight/behaviors (SHIP #C-HWHB-W1) Develop and implement a campus dining wellness plan with policy initiatives aligned with community food assessment priorities and new UMM Campus Master Plan, for example: � affordable pricing for healthy food inc fruits/veggies; � right sizing of portions and healthy menu options designated; � incorporate seasonal menu planning; � grass fed beef; � address partnership barriers regarding sourcing, distribution and procurement to increase sourcing of fresh, local, and sustainably raised fruits/ vegetables/ healthy foods for campus dining; � increase amount of healthy foods served/consumed in Dining Services; � update contract menu specifications to reflect new healthy menu priorities (i.e. substitute berries, melon, and less common fresh fruit for dessert one day per week, offer seasonal fruit desserts, etc.) � offer diverse, culturally appropriate foods for student populations; � collect food preference info, inc student/faculty/staff recipes; � define local foods; establish a baseline of fruits, veggies, and local foods consumed to measure progress. Supporting data � Sixty-five percent of students identify affordable pricing of healthy foods as a barrier to healthy eating; more than 70 percent of students and 60�80 percent of staff and faculty would eat more fruits and vegetables on campus if they were less expensive (MHE Survey). � Seasonal menu planning recommended in Campus Master Plan, in Sodexo contract excerpts/corporate slide show � Grass fed beef is recommended in Campus Master Plan. � More fruits (especially) and veggies desired (Dining Services Student Opinion Survey) � Ninety-five percent of American Indian students would eat more healthy foods if they tasted better and 81 percent would eat more fruits/veggies if those they liked were offered (Morris HE Survey). � Fifty percent of students say they would eat healthier foods on campus if healthy food options were local and organic (Morris HE Survey). This recommendation is also in the Campus Master Plan. � Eighty percent of students and 60 percent of faculty/staff would eat healthier foods on campus if healthy foods they liked were offered (Morris HE Survey). � Ninety percent of students support substituting a fun fruit (strawberries, raspberries) for dessert one day per week (Dining Services Student Opinion Survey). � Sodexo contract includes health food pricing. p.17.F. Discounts for Healthful Food Items. Sodexo shall provide discounts on Healthful Food Items at rates acceptable to the University, e.g. Sodexo shall provide combo meals containing healthy options at prices comparable to other offerings. MORRIS HEALTHY EATING INITIATIVE 93 PHYSICAL ENVIRONMENT Expand access to on-campus and community vegetable gardens, with some produce served to students /shared with low income people through the Food Shelf (student led, team led, connect with West Central Research and Outreach Center and Pomme de Terre Garden Club). Supporting data � Fifty percent of students would eat more fruits and veggies on campus if they had access to a garden to grow their own fruits/veggies. � American Indian students and other students of color showed higher interest in gardening access than students as a whole. � Aligns with West Central Wellness initiatives: implement policies, practices, environmental changes to improve access to nutritious foods, e.g. fruits/ veggies; zoning ordinances for community/backyard gardens (SHIP #C-N-C1) Develop and implement a campus dining wellness plan with physical environment projects aligned with community food assessment priorities and new UMM Campus Master Plan (e.g. food nutrition information easily available; "today's healthy meal choices are...;" consistent practice of healthy food in foodservice; food nutrition info easily available; more fruits/veggies in menu items). Supporting data � Fifty percent of students said they would eat healthier on campus if nutrition information was provided (MHE survey). � Seventy-five percent of students and P&A staff, 65 percent of faculty, and 50 percent of USA staff would eat more fruits and veggies if more were in the menu items served. (MHE Survey) Increase farmers markets and invest in their future in the community (explore the possibility of a nice area in East Side Park) and on campus; develop creative ways to bring farmers market fruits and veggies to WIC clients. Supporting data � Fifty-five percent of students and 55�65 percent of P&A staff and faculty would eat more fruits and vegetables on campus if there were more on-campus farmers markets (MHE Survey). (Intentional to not include USA?) � Aligns with West Central Wellness initiatives: implement policies, practices, and environmental changes to improve access to nutritious foods e.g. fruits/ veggies; facilitate development of new farmers markets; promote their use (SHIP #C-N-C1) Implement UMM Campus Master Plan recommendations regarding food, e.g. grass fed meats in dining; locally sourced/organic foods; greenhouses for raising food; Green Prairie Living and Learning Community with student gardens/community kitchens, fruit trees, etc. Supporting data UMM Campus Master Plan recommendations, accepted by UMM Campus Resources and Planning Committee and University of Minnesota Board of Regents. Host "healthy foods stands" at grocery stores featuring healthy food recipes and samples; healthy recipes throughout store; and "today's healthy food choices" at local restaurants Supporting data Aligns with West Central Wellness: implement policies, practices, environmental changes to improve access to nutritious foods in grocery stores and other food vendors (SHIP #C-N-C1) 94 COMMUNITY FOOD ASSESSMENT Appendix C APPENDIX C. Morris Healthy Eating Partners and Resources Morris Healthy Eating initiative www.morris.umn.edu/stu_affairs/HealthyEating Morris Healthy Eating initiative Founding Partners University of Minnesota, Morris www.morris.umn.edu University of Minnesota West Central Partnership www.regionalpartnerships.umn.edu/westcentral Pomme de Terre Food Co-op www.pdtfoods.org Pride of the Prairie Local Foods Initiative www.prideoftheprairie.org Sodexo, UMM's partner in providing campus dining services www.sodexousa.com www.morris.umn.edu/services/dining_services/ Stevens Community Medical Center www.scmcinc.org Morris Healthy Eating Community Collaborators Stevens County Human Services www.co.stevens.mn.us/docs/departments/human_services Stevens County Public Health www.co.stevens.mn.us/docs/departments/public_health Kadejan Inc www.kadejan.com West Central Wellness www.westcentralwellness.org Minnesota Statewide Health Improvement Program www.health.state.mn.us/healthreform Healthy Eating Minnesota Prevention Minnesota www.preventionminnesota.com MORRIS HEALTHY EATING INITIATIVE 95 Pomme de Terre Food Co-op