Systematic Review of Factors Influencing Farmers’ Market Use Overall and among Low-Income Populations

Freedman, Darcy A.; Vaudrin, Nicole; Schneider, Christine; Trapl, Erika S.; Ohri‐Vachaspati, Punam; Taggart, Morgan; Cascio, M. Ariel; Walsh, Colleen C.; Flocke, Susan A.

doi:10.1016/j.jand.2016.02.010

Cited by 115 publications

(120 citation statements)

References 79 publications

(273 reference statements)

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“…Farmers markets are a strategy to improve fruit and vegetable consumption (3), and exposure to farmers markets increases fruit and vegetable consumption among low-income populations (4). However, purchasing more costly produce instead of inexpensive processed foods remains a challenge for those at economic disadvantage.…”

Section: Introductionmentioning

confidence: 99%

Dietary Impact of Produce Prescriptions for Patients With Hypertension

et al. 2018

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IntroductionLittle is known regarding the impact of produce prescriptions within the context of hypertension visits at safety net clinics. We evaluated intervention effectiveness on patient usage of farmers markets and dietary change related to fruit and vegetable consumption.MethodsHealth Improvement Partnership — Cuyahoga worked with 3 clinics to integrate, implement, and evaluated a produce prescription for hypertension (PRxHTN) program. PRxHTN involves 3 monthly, nonphysician provider visits, comprising blood pressure measurement, nutrition counseling, and four $10 farmers market produce vouchers, for hypertensive adult patients screening positive for food insecurity. Dietary measures were collected at visits 1 and 3. Voucher use was tracked via farmers market redemption logs.ResultsOf the 224 participants from 3 clinics, most were middle-aged (mean age, 62 y), female (72%), and African American (97%) and had a high school education or less (62%). Eighty-six percent visited a farmers market to use their produce vouchers, with one-third reporting it was their first farmers market visit ever. Median number of farmers market visits was 2 (range: 0–6), and median number of vouchers redeemed was 8 (range: 0–12). Among the subsample with follow-up survey data (n = 137), significant improvement in fruit and vegetable consumption was observed as well as a decline in fast food consumption.ConclusionPRxHTN participants visited at least 1 farmers market, reported increases in provider communication related to diet, and exhibited significant changes in dietary behavior. PRxHTN can serve as a strong model for linking safety net clinics with farmers markets to promote community resource use and improve fruit and vegetable consumption among food-insecure patients with hypertension.

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Section: Introductionmentioning

confidence: 99%

Dietary Impact of Produce Prescriptions for Patients With Hypertension

et al. 2018

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“…9 TANF participants comprise one such population, which includes 1.7 million low-income households each year, translating to over 1 million adults and 3 million children. 10 While 85% of TANF participants receive SNAP and 73% receive WIC, 11 participant demographics may present additional barriers to FM use beyond those experienced by the general SNAP or WIC populations, including higher rates of very low-education, female-headed households, and high minority participation rates.…”

Section: Introductionmentioning

confidence: 99%

SNAP-Based Incentive Programs at Farmers' Markets: Adaptation Considerations for Temporary Assistance for Needy Families (TANF) Recipients

Wetherill

Williams

Gray

2017

Journal of Nutrition Education and Behavior

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Objective To describe the design, implementation, and consumer response to a coupon-style intervention aimed to increase Supplemental Nutrition Assistance Program (SNAP) use at a farmers’ market (FM) among Temporary Assistance for Needy Families (TANF) participants. Design Quasi-experimental trial to evaluate redemption response to two coupon interventions; baseline surveys characterized coupon redeemers and non-redeemers. Setting Urban Participants TANF recipients assigned to either a plain (n=124) or targeted marketing coupon intervention (n=130). Intervention(s) Both groups received 10, $2 coupons to double fruit and vegetable SNAP purchases at the FM. Targeted marketing group also received an oral presentation designed to reduce perceived barriers to FM use. Main Outcome Measure(s) Coupon redemption Analysis T-tests and Chi-squared/Fisher’s exact tests were used to examine associations between redeemers and non-redeemers, while logistic regression was used to adjust for the intervention. Results No male and few female participants redeemed coupons (6.3%). Among women, those with vegetable preparation knowledge were three times more likely to redeem coupons than those with little/no knowledge, OR=3.8, 95% CI [1.03, 13.77]. Conclusions and Implications Stand-alone coupon incentive programs may not be a high-reach strategy for encouraging FM use among the TANF population. Complementary strategies to build vegetable preparation knowledge and skills are needed.

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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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Systematic Review of Factors Influencing Farmers’ Market Use Overall and among Low-Income Populations

Abstract: There is a need to establish valid and reliable metrics and reporting standards for evaluating farmers' markets. Findings may inform interventions, programs, and policies to promote farmers' market use.

Cited by 115 publications

References 79 publications

Dietary Impact of Produce Prescriptions for Patients With Hypertension

Dietary Impact of Produce Prescriptions for Patients With Hypertension

SNAP-Based Incentive Programs at Farmers' Markets: Adaptation Considerations for Temporary Assistance for Needy Families (TANF) Recipients

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

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