Impacts of a farmers’ market incentive programme on fruit and vegetable access, purchase and consumption

Olsho, Lauren; Payne, Gayle Holmes; Walker, Deborah Klein; Baronberg, Sabrina; Jernigan, Jan; Abrami, Alyson

doi:10.1017/s1368980015001056

Cited by 64 publications

(85 citation statements)

References 34 publications

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“…5,[29][30][31][32] A study of women in North Carolina found that women who shopped at farmers' markets were more likely to consume more fruits and vegetables 30 and the use of an incentive program in New York was shown to increase shopping at markets and self-reported fruit and vegetable consumption. 11,33 Another study that examined the impact of the introduction of fresh fruit and vegetable stands in an ethnically diverse and low-income neighborhood in Austin, Texas, found that simply providing fruit and vegetables alone without additional educational materials increased fruit and vegetable consumption among community members. 5 Researchers and city planners in New Orleans, Louisiana, have used the food deserts concept to better understand disparities in the city.…”

Section: Incentivizing Fruit and Vegetables Purchases -Ferdinand Et Almentioning

confidence: 99%

“…2 Improving fruit and vegetable consumption among adults has become a national health priority not only in the interest of promoting basic nutritional health, but also because of the demonstrated link between their consumption and risk for chronic disease [3][4][5] and some cancers. [6][7][8][9][10][11][12] Individual behaviors and preferences are the factors most commonly used to predict lower fruit and vegetable consumption. [13][14][15][16] However, analyses conducted from a food systems perspective take into account how social, economic and political factors -the social determinants of health -impact fresh fruit and vegetable consumption patterns.…”

Section: Introductionmentioning

confidence: 99%

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Incentivizing Fruit and Vegetable Purchasers at Fresh Markets in Lower 9th Ward, New Orleans

Ferdinand¹,

Torres²,

Scott

et al. 2017

Ethn Dis

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Objective: Disparities in fruit and vegetable consumption have been observed across income and race-ethnicity and shown to be associated with both access to fresh food venues and price. This study assesses the feasibility of increasing produce consumption by incentivizing fruit and vegetable purchases at local markets.Design: We conducted analyses of a cross-sectional survey of program participants and point-of-sale reports on fruit and vegetable purchases at the fresh food markets.Participants: A total of 176 participants were enrolled in the “Veggie Dollars” program (VDP).Setting: Five fresh food markets in the Lower Ninth Ward (LNW) of New Orleans, Louisiana.Intervention: From January to July 2016, Sankofa, our community partner, recruited patrons at its markets into the VDP, a fresh food incentive program. Participants received coupons worth $4 per week for fruit and vegetables over a six-week period.Main Outcome Measures: Total monthly gross, VDP, and SNAP benefit sales at the markets measured program participation. A survey (N=96) assessed the demographics and fruit and vegetable purchasing practices of participants.Results: Participants were predominantly women (81%), African American (94%) and raising children at home (53%). Point-of-sales data indicated that VDP sales nearly doubled over the intervention period. Total market sales and SNAP benefit purchases also increased. The majority (63%) of VDP participants reported their produce purchases increased and 89% reported increasing their consumption of fruit and vegetables since entering the program.Conclusions: Monetary incentives were associated with increased fruit and vegetable purchases at local fresh food markets in a low-income minority community.Ethn Dis. 2017;27(Suppl 1):287-294; doi:10.18865/ed.27.S1.287.

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Section: Incentivizing Fruit and Vegetables Purchases -Ferdinand Et Almentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incentivizing Fruit and Vegetable Purchasers at Fresh Markets in Lower 9th Ward, New Orleans

Ferdinand¹,

Torres²,

Scott

et al. 2017

Ethn Dis

View full text Add to dashboard Cite

show abstract

“…The 2015 Dietary Guidelines Advisory Committee recommended pilot studies of price incentives and other strategies to encourage healthier SNAP purchases (32), and many communities have initiated local FV coupon or voucher programs for SNAP participants at farmers' markets (33,34). However, to our knowledge, no prior experimental studies have tested the effects of price incentives that target SNAP participants.…”

Section: Introductionmentioning

confidence: 99%

Financial incentives increase fruit and vegetable intake among Supplemental Nutrition Assistance Program participants: a randomized controlled trial of the USDA Healthy Incentives Pilot

Olsho

Klerman

Wilde

et al. 2016

The American Journal of Clinical Nutrition

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165

138

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Background: US fruit and vegetable (FV) intake remains below recommendations, particularly for low-income populations. Evidence on effectiveness of rebates in addressing this shortfall is limited.Objective: This study evaluated the USDA Healthy Incentives Pilot (HIP), which offered rebates to Supplemental Nutrition Assistance Program (SNAP) participants for purchasing targeted FVs (TFVs). Design: As part of a randomized controlled trial in Hampden County, Massachusetts, 7500 randomly selected SNAP households received a 30% rebate on TFVs purchased with SNAP benefits. The remaining 47,595 SNAP households in the county received usual benefits. Adults in 5076 HIP and non-HIP households were randomly sampled for telephone surveys, including 24-h dietary recall interviews. Surveys were conducted at baseline (1-3 mo before implementation) and in 2 follow-up rounds (4-6 mo and 9-11 mo after implementation). 2784 adults (1388 HIP, 1396 non-HIP) completed baseline interviews; data were analyzed for 2009 adults (72%) who also completed $1 follow-up interview. Results: Regression-adjusted mean TFV intake at follow-up was 0.24 cup-equivalents/d (95% CI: 0.13, 0.34 cup-equivalents/d) higher among HIP participants. Across all fruit and vegetables (AFVs), regression-adjusted mean intake was 0.32 cup-equivalents/d (95% CI: 0.17, 0.48 cup-equivalents/d) higher among HIP participants. The AFV-TFV difference was explained by greater intake of 100% fruit juice (0.10 cup-equivalents/d; 95% CI: 0.02, 0.17 cup-equivalents/d); juice purchases did not earn the HIP rebate. Refined grain intake was 0.43 ounce-equivalents/d lower (95% CI: 20.69, 20.16 ounce-equivalents/d) among HIP participants, possibly indicating substitution effects. Increased AFV intake and decreased refined grain intake contributed to higher Healthy Eating Index-2010 scores among HIP participants (4.7 points; 95% CI: 2.4, 7.1 points). Conclusions: The HIP significantly increased FV intake among SNAP participants, closing w20% of the gap relative to recommendations and increasing dietary quality. More research on mechanisms of action is warranted. The HIP trial was registered at clinicaltrials.gov as NCT02651064.Am J Clin Nutr 2016;104:423-35.

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“…15,17 While the findings are promising for these and similar programs, the longterm impact on FV consumption is not consistent. 8,18,19 In fact, poor and underserved individuals face several barriers to utilizing FMs, such as transportation, 20,21 cultural differences, 21 cost, 22,23 lack of awareness of FM locations, 18,24,25 or the ability to use SNAP benefits at FMs. 22 Objective: Farmers' markets are increasingly being promoted as a means to provide fresh produce to poor and underserved communities.…”

Section: Introductionmentioning

confidence: 99%

Farmers' Market Utilization among Supplemental Nutrition Assistance Program Recipients in New Orleans, Louisiana: Preliminary Findings

et al. 2017

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Objective: Farmers’ markets are increasingly being promoted as a means to provide fresh produce to poor and underserved communities. However, farmers’ market (FM) use remains low among low-income patrons. The purpose of our study was to examine FM awareness and use, grocery shopping behaviors, and internet use among Supplemental Nutrition Assistance Program (SNAP) recipients.Design: A descriptive analysis of preliminary data was performed to evaluate quantitative baseline data among SNAP recipients between June and August 2016 in New Orleans, Louisiana (N=51). Data were collected via a 42-item online survey that included demographics, internet use, FM awareness and use, health information seeking behaviors and fruit and vegetable purchasing behaviors.Results: Less than half of the survey respondents (n=24) had ever been to a FM. Local grocery stores and Wal-Mart were most used for purchasing fruits and vegetables (88% and 84%, respectively). The most common sources of healthy eating information were Women, Infants and Children (WIC) and the internet, frequently accessed via smartphones. More than 80% of participants were not aware that local FMs accepted electronic benefit transfer payments as a form of payment.Conclusion: These results support the incorporation of promotional methodology that combines internet-based mobile technology and existing services (eg, WIC) as a viable strategy to improve farmers’ market use among low-income populations. As most participants were not aware that participating FMs accept electronic benefit transfer payments, this fact should be emphasized in promotional material.Ethn Dis. 2017;27(Suppl 1):295-302; doi:10.18865/ed.27.S1.295.

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Impacts of a farmers’ market incentive programme on fruit and vegetable access, purchase and consumption

Abstract: Objective: The present study examines the impact of Health

Cited by 64 publications

References 34 publications

Incentivizing Fruit and Vegetable Purchasers at Fresh Markets in Lower 9th Ward, New Orleans

Incentivizing Fruit and Vegetable Purchasers at Fresh Markets in Lower 9th Ward, New Orleans

Financial incentives increase fruit and vegetable intake among Supplemental Nutrition Assistance Program participants: a randomized controlled trial of the USDA Healthy Incentives Pilot

Farmers' Market Utilization among Supplemental Nutrition Assistance Program Recipients in New Orleans, Louisiana: Preliminary Findings

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