Preventing Chronic Disease | Monetary Matched Incentives to Encourage the Purchase of Fresh Fruits and Vegetables at Farmers Markets in Underserved Communities - CDC
Monetary Matched Incentives to Encourage the Purchase of Fresh Fruits and Vegetables at Farmers Markets in Underserved Communities
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Suzanne Lindsay, PhD, MSW, MPH; Jennifer Lambert, MA; Tanya Penn, MPH; Susan Hedges, MPH; Kristine Ortwine, MPH; Anchi Mei, MLA, MCP; Tracy Delaney, PhD, RD; Wilma J. Wooten, MD, MPH
Suggested citation for this article: Lindsay S, Lambert J, Penn T, Hedges S, Ortwine K, Mei A, et al. Monetary Matched Incentives to Encourage the Purchase of Fresh Fruits and Vegetables at Farmers Markets in Underserved Communities. Prev Chronic Dis 2013;10:130124. DOI: http://dx.doi.org/10.5888/pcd10.130124
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PEER REVIEWED
Abstract
IntroductionFarmers market programs may increase access to more healthful foods and reduce the high prevalence of obesity in low-income communities. The objective of this study was to examine outcomes of the Fresh Fund farmers market program serving low-income neighborhoods in San Diego, California.
Methods
Through its Farmers Market Fresh Fund Incentive Program, the County of San Diego Health and Human Services Agency offered monetary incentives to government nutrition assistance recipients to purchase fresh produce at 5 farmers markets. Participants enrolled at participating markets from June 1, 2010, through December 31, 2011; they completed baseline and follow-up surveys of daily consumption and weekly spending on fruits and vegetables. We examined enrollment, participation, participant health perceptions, and vendor revenue.
Results
During the study period, 7,298 eligible participants enrolled in Fresh Fund; most (82%) had previously never been to a farmers market. Among 252 participants with matched surveys at baseline and 12-month follow-up, the proportion who reported their diet to be “healthy” or “very healthy” increased from 4% to 63% (P < .001); nearly all (93%) stated that Fresh Fund was “important” or “very important” in their decision to shop at the farmers market. Vendors reported that 48% of all market revenue they received was received through the Fresh Fund program. At 2 markets, revenue from June 1, 2011, through January 31, 2012, increased by 74% and 68% compared with revenue from June 1, 2010, through January 31, 2011.
Conclusion
Participants in the Fresh Fund program self-reported increases in daily consumption and weekly spending on fruits and vegetables, and vendors at participating farmers markets also increased their revenue.
Author Information
Corresponding Author: Suzanne Lindsay, PhD, MSW, MPH, Associate Professor of Epidemiology, Graduate School of Public Health, and Executive Director, Institute for Public Health, San Diego State University, 6505 Alvarado Rd, Ste 116, San Diego, CA 92120. Telephone: 619-594-4409. E-mail: slindsay@mail.sdsu.edu.Author Affiliations: Jennifer Lambert, Tanya Penn, Susan Hedges, Kristine Ortwine, Institute for Public Health, San Diego State University, San Diego, California; Anchi Mei, International Rescue Committee, San Diego, California; Tracy Delaney, Wilma J. Wooten, Health and Human Services Agency, County of San Diego, California. Ms Delaney is now affiliated with the Public Health Institute, Oakland, California.
References
- Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA 2010;303(3):235–41. CrossRef
PubMed
- Finkelstein EA, Khavjou OA, Thompson H, Trogdon JG, Pan L, Sherry B, et al. Obesity and severe obesity forecasts through 2030. Am J Prev Med 2012;42(6):563–70. CrossRef
PubMed
- Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity in the United States, 2009–2010. Centers for Disease Control and Prevention. NCHS Data Brief 2012. http://www.cdc.gov/nchs/data/databriefs/db82.pdf. Accessed March, 7 2012.
- National Heart, Lung, and Blood Institute Obesity Education Initiative. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. September 1998. NIH publication no. 98-4083. http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.pdf. Accessed January 22, 2012.
- Nguyen DM, El-Serag HB. The big burden of obesity. Gastrointest Endosc 2009;70(4):752–7. CrossRef
PubMed
- Staser KW, Zollinger TW, Saywell RM, Kenapareddy S, Gibson PJ, Caine VA. Dietary behaviors associated with fruit and vegetable consumption, Marion County, Indiana, 2005. Prev Chronic Dis 2011;8(3):A66. PubMed
- Ford ES, Bergmann MM, Boeing H, Li C, Capewell S. Healthy lifestyle behaviors and all-cause mortality among adults in the United States. Prev Med 2012;55(1):23–7. CrossRef
PubMed
- Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM. Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association. Hypertension 2006;47(2):296–308. CrossRef
PubMed
- Centers for Disease Control and Prevention (CDC). State-specific trends in fruit and vegetable consumption among adults — United States, 2000–2009. MMWR Morb Mortal Wkly Rep 2010;59(35):1125–30. PubMed
- United States Department of Agriculture. Characteristics and influential factors of food deserts. Economic Research Service; 2012 report no. 140. http://www.ers.usda.gov/media/883903/err140.pdf. Accessed July 22, 2013.
- Kropf ML, Holben DH, Holcomb JP, Anderson H. Food security status and produce intake and behaviors of Special Supplemental Nutrition Program for Women, Infants, and Children and Farmers’ Market Nutrition Program participants. J Am Diet Assoc 2007;107(11):1903–8. CrossRef
PubMed
- Hosler AS, Rajulu DT, Fredrick BL, Ronsani AE. Assessing retail fruit and vegetable availability in urban and rural underserved communities. Prev Chronic Dis 2008;5(4):A123. PubMed
- Centers for Disease Control and Prevention (CDC). Differences in prevalence of obesity among black, white, and Hispanic adults — United States, 2006–2008. MMWR Morb Mortal Wkly Rep 2009;58(27):740–4. PubMed
- Bunnell R, O’Neil D, Soler R, Payne R, Giles WH, Collins J, et al. Fifty communities putting prevention to work: accelerating chronic disease prevention through policy, systems, and environmental change. J Community Health. 2012;37(5):1081–90. CrossRef
PubMed
- Freedman DA, Choi SK, Hurley T, Anadu E, Hébert JR. A farmers’ market at a federally qualified health center improves fruit and vegetable intake among low-income diabetics. Prev Med 2013;56(5):288–92. CrossRef
PubMed
- Winch R. Nutrition incentives at farmers’ markets: Bringing fresh, healthy, local foods within reach. 2008. http://www.farmlandinfo.org/documents/37781/ebt_matching_programs_rachel_winch.pdf. Accessed January 23, 2012.
- Anderson JV, Bybee DI, Brown RM, McLean DF, Garcia EM, Breer ML, et al. 5-A-Day fruit and vegetable intervention improves consumption in a low income population. J Am Diet Assoc 2001;101(2):195–202. CrossRef
PubMed
- Bertmann FMW, Ohri-Vachaspati P, Buman MP, Wharton CM. Implementation of wireless terminals at farmers’ markets: impact on SNAP redemption and overall sales. Am J Public Health 2012;102(7):e53–5. CrossRef
PubMed
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