{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T07:28:15Z","timestamp":1793604495419,"version":"4.5.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"U.S. Centers for Disease Control and Prevention","award":["NU58DP006594"],"award-info":[{"award-number":["NU58DP006594"]}],"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institute On Minority Health And Health Disparities of the National Institutes of Health","award":["R01MD013352"],"award-info":[{"award-number":["R01MD013352"]}],"id":[{"id":"https:\/\/ror.org\/0493hgw16","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institute On Minority Health And Health Disparities of the National Institutes of Health","award":["U54MD012388"],"award-info":[{"award-number":["U54MD012388"]}],"id":[{"id":"https:\/\/ror.org\/0493hgw16","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:p>\n                    Background. Unhealthy food and beverage taxes are gaining global momentum, but implementation complexities at the retailer level are poorly understood. The only such policy in the United States, a 2014 Navajo Nation legislation, applies a 2% tax to unhealthy foods and beverages, while exempting healthy foods and beverages from their 6% Navajo sales tax. In 2019, approximately half of small stores had not implemented both taxes correctly, primarily the tax exemption. Therefore, this study aimed to provide culturally-informed promotional materials to enhance implementation accuracy in these stores and test the impact. Methods. Stores (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 20) were randomly assigned to receive early promotional materials versus a waitlist group. Three to 6 months later, we visited all stores to purchase healthy and less healthy items, at which time waitlist stores received materials. Implementation accuracy of the junk food tax and exemption were tracked and compared. Results. Overall implementation accuracy of both taxes increased from 0% to 20% at follow-up (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .013). Tax waiver accuracy increased from 5% to 30% (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .065). Comparing intervention versus waitlist stores, we observed no difference in implementation of tax exemption and a non-significant increase in accuracy of added tax on unhealthy foods and beverages (90% vs. 70%,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .284). The study process revealed strengths and barriers to impactful store outreach. Discussion. Grounded in community partnership, we explored a promotional outreach strategy to enhance accurate implementation of Navajo Nation food and beverage taxes. Our findings suggest store outreach and promotional materials could address confusion issues, while barriers related to store capacity merit further exploration.\n                  <\/jats:p>","DOI":"10.1177\/15248399251357619","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T08:38:33Z","timestamp":1754383113000},"page":"1134-1143","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Community-Based Intervention to Promote Awareness and Implementation Accuracy of Food and Beverage Tax Policies in Stores on Navajo Nation"],"prefix":"10.1177","volume":"27","author":[{"given":"Carmen","family":"George","sequence":"first","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianna","family":"John","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Alsburg","sequence":"additional","affiliation":[{"name":"Community Outreach and Patient Empowerment Program, Gallup, NM, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renaldo","family":"Fowler","sequence":"additional","affiliation":[{"name":"Community Outreach and Patient Empowerment Program, Gallup, NM, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malyssa","family":"Egge","sequence":"additional","affiliation":[{"name":"Northern Arizona University, Flagstaff, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Sandman","sequence":"additional","affiliation":[{"name":"Northern Arizona University, Flagstaff, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Whitman","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"},{"name":"Northern Arizona University, Flagstaff, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Curley","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"},{"name":"Community Outreach and Patient Empowerment Program, Gallup, NM, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"de Heer","sequence":"additional","affiliation":[{"name":"Northern Arizona University, Flagstaff, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6465-6904","authenticated-orcid":false,"given":"Craig","family":"Manning","sequence":"additional","affiliation":[{"name":"Navajo Epidemiology Center, Window Rock, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2395-7361","authenticated-orcid":false,"given":"Caleigh","family":"Curley","sequence":"additional","affiliation":[{"name":"Northern Arizona University, Flagstaff, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Begay","sequence":"additional","affiliation":[{"name":"Din\u00e9 Food Sovereignty Alliance, Church Rock, NM, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Del","family":"Yazzie","sequence":"additional","affiliation":[{"name":"Navajo Epidemiology Center, Window Rock, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simental","family":"Francisco","sequence":"additional","affiliation":[{"name":"Navajo Epidemiology Center, Window Rock, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Shin","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Batis C. 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