Monetary matched incentives to encourage the purchase of fresh fruits and vegetables at farmers markets in underserved communities.

Monetary matched incentives to encourage the purchase of fresh fruits and vegetables at farmers markets in underserved communities.
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DOI:
10.5888/pcd10.130124
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发表时间:
2013-11-14
影响因子:
5.5
通讯作者:
Wooten WJ
Wooten WJ
中科院分区:
医学3区
文献类型:
--
作者:
Lindsay S;Lambert J;Penn T;Hedges S;Ortwine K;Mei A;Delaney T;Wooten WJ

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农贸市场项目可以增加获得更健康食品的机会,并降低低收入社区肥胖的高患病率。本研究的目的是检查新鲜基金农民市场计划服务于低收入社区在圣地亚哥,加州的成果。圣地亚哥县卫生和公众服务局通过其农贸市场新鲜基金奖励方案,向政府营养援助接受者提供货币奖励,鼓励他们在5个农贸市场购买新鲜农产品。参与者于2010年6月1日至2011年12月31日在参与市场登记;他们完成了对水果和蔬菜每日消费量和每周支出的基线和后续调查。我们检查了注册,参与,参与者的健康感知和供应商的收入。在研究期间,7,298名符合条件的参与者参加了新鲜基金;大多数(82%)以前从未去过农贸市场。在基线和12个月随访时进行匹配调查的252名参与者中,报告他们的饮食“健康”或“非常健康”的比例从4%增加到63%(P < .001);几乎所有(93%)都表示新鲜基金在他们决定在农贸市场购物时“重要”或“非常重要”。供应商报告说,他们收到的所有市场收入的48%是通过新鲜基金计划收到的。在两个市场,2011年6月1日至2012年1月31日的收入与2010年6月1日至2011年1月31日的收入相比增长了74%和68%。新鲜基金项目的参与者自我报告说,他们每天的水果和蔬菜消费量和每周的水果和蔬菜支出都有所增加,参与项目的农贸市场的供应商也增加了收入。
Farmers 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. 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. 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. 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.
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