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

  • Olsho L
  • Payne G
  • Walker D
 et al. 
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OBJECTIVE: The present study examines the impact of Health Bucks, a farmers��� market incentive programme, on awareness of and access to farmers��� markets, and fruit and vegetable purchase and consumption in low-income New York City neighbourhoods.\r
DESIGN: The evaluation used two primary data collection methods: (i) an on-site point-of-purchase survey of farmers��� market shoppers; and (ii) a random-digit-dial telephone survey of residents in neighbourhoods where the programme operates. Additionally, we conducted a quasi-experimental analysis examining differential time trends in consumption before and after programme introduction using secondary Community Health Survey (CHS) data.\r
SETTING: New York City farmers��� markets and communities.\r
SUBJECTS: Farmers��� market shoppers (n 2287) completing point-of-purchase surveys in a representative sample of New York City farmers��� markets in 2010; residents (n 1025) completing random-digit-dial telephone survey interviews in 2010; and respondents (n 35 606) completing CHS interviews in 2002, 2004, 2008 and 2009.\r
RESULTS: Greater Health Bucks exposure was associated with: (i) greater awareness of farmers��� markets; (ii) increased frequency and amount of farmers��� market purchases; and (iii) greater likelihood of a self-reported year-over-year increase in fruit and vegetable consumption. However, our CHS analysis did not detect impacts on consumption.\r
CONCLUSIONS: While our study provides promising evidence that use of farmers��� market incentives is associated with increased awareness and use of farmers��� markets, additional research is needed to better understand impacts on fruit and vegetable consumption.

Author-supplied keywords

  • Access
  • Farmers' markets
  • Fruits and vegetables
  • Nutrition incentives

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  • Lauren E.W. Olsho

  • Gayle Holmes Payne

  • Deborah Klein Walker

  • Sabrina Baronberg

  • Jan Jernigan

  • Alyson Abrami

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