Grocery, housing & utilities cooperatives
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Health factors shape the health of individuals and communities. Everything from our education to our environments impacts our health. Modifying these clinical, behavioral, social, economic, and environmental factors can influence how long and how well people live, now and in the future.
Grocery, housing, and utilities cooperatives typically follow a non-share capital cooperative model in which fee-paying members obtain the right to share the communal resources of a grocery, house, or utility cooperative. Cooperatives operate under a variety of different models and are formed by individuals working together for social, economic, or cultural benefits.
What could this strategy improve?
Expected Benefits
Our evidence rating is based on the likelihood of achieving these outcomes:
Increased social capital
Improved social skills
Increased community involvement
Potential Benefits
Our evidence rating is not based on these outcomes, but these benefits may also be possible:
Improved local economy
Increased access to affordable housing
Increased access to healthy food
What does the research say about effectiveness?
There is insufficient evidence to determine whether grocery, housing, or utilities cooperatives improve social capital, social skills, or community involvement. Available evidence suggests that limited equity housing cooperative residents may participate more in neighborhood organizations, have more extensive social networks, and higher social capital than non-participating peers1. By utilizing local resources and creating locally-based businesses, cooperatives may help develop and stabilize local economies2, 3, 4. Cooperatives may also improve access to affordable housing, healthy foods, and electricity, particularly in rural areas2. Theories suggest that grocery cooperatives can be financially successful in rural or low income areas where traditional grocery store models are often unsuccessful5, 6. However, additional evidence is needed to confirm effects.
How could this strategy impact health disparities? This strategy is rated no impact on disparities likely.
Implementation Examples
Implementation Resources
Food Co-op Toolkit - Food Co-ops. Food co-ops toolkit: A simple guide to setting up food co-ops.
CDI-Co-op 101 - Cooperative Development Institute (CDI). Co-op 101: A guide to starting a cooperative. 2015.
Footnotes
* Journal subscription may be required for access.
1 Saegert 2005 - Saegert S, Benitez L. Limited equity housing cooperatives: Defining a niche in the low-income housing market. Journal of Planning Literature. 2005;19(4):427–39.
2 Gordon Nembhard 2014 - Gordon Nembhard J. Benefits and impacts of cooperatives. Grassroots Economic Organizing (GEO) Newsletter. 2014; Volume II: Theme 18.
3 Zeuli 2005 - Zeuli K, Radel J. Cooperatives as a community development strategy: Linking theory and practice. Journal of Regional Analysis & Policy. 2005;35(1):43-54.
4 Lang 2011 - Lang R, Roessl D. The role of social capital in the development of community-based cooperatives. In: Tuunanen M, Windsperger J, Cliquet G, Hendrikse G, eds. New Developments in the Theory of Networks. Contributions to Management Science; 2011:353-70.
5 Bailey 2010 - Bailey JM. Rural grocery stores: Ownership models that work for rural communities. Lyons: Center for Rural Affairs (CFRA); 2010.
6 ISU-Brants 2012 - Brants N, Healy E, Kirchner R, el al. Food insecurity in Bloomington-Normal: How a grocery cooperative might help meet the needs of low-income residents. Normal: Steven Center for Community and Economic Development, Illinois State University (ISU); 2012.
7 NCBA - National Cooperative Business Association (NCBA). About Co-ops.
8 NAHC - National Association of Housing Cooperatives (NAHC). What is a housing cooperative?
9 NRECA - National Rural Electric Cooperative Association (NRECA). A touchstone energy cooperative.
Related What Works for Health Strategies
To see citations and implementation resources for this strategy, visit:
countyhealthrankings.org/strategies-and-solutions/what-works-for-health/strategies/grocery-housing-utilities-cooperatives
To see all strategies:
countyhealthrankings.org/whatworks