Farmers' market use is associated with fruit and vegetable consumption in diverse southern rural communities.

Farmers' market use is associated with fruit and vegetable consumption in diverse southern rural communities.
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DOI:
10.1186/1475-2891-13-1
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发表时间:
2014-01-09
期刊:
影响因子:
5.4
通讯作者:
Ammerman AS
Ammerman AS
中科院分区:
医学2区
文献类型:
--
作者:
Jilcott Pitts SB;Gustafson A;Wu Q;Leah Mayo M;Ward RK;McGuirt JT;Rafferty AP;Lancaster MF;Evenson KR;Keyserling TC;Ammerman AS

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虽然农贸市场是增加农村地区获得水果和蔬菜的机会的潜在策略,但需要更多关于农村居民使用农贸市场的信息。因此,本研究的目的是检查(1)参与者的社会人口特征; (2)南方农村社区农贸市场购物的障碍和促进因素; (3)农贸市场使用与水果和蔬菜消费以及体重指数(BMI)之间的关联。对北卡罗来纳州东部 (NC) 和肯塔基州 (KY) 阿巴拉契亚地区的农贸市场客户和主要家庭食品购物者的代表性样本进行了横断面调查。在农贸市场使用拦截调查工具对顾客进行了采访。在至少拥有一个农贸市场的县中,通过随机数字拨号 (RDD) 手机和固定电话方法确定了初级食品购物者的代表性样本。所有调查问卷都评估了社会人口特征、食品购物模式、农贸市场购物的障碍和促进因素、水果和蔬菜消费以及自我报告的身高和体重。主要结果指标是水果和蔬菜消耗量以及体重指数。描述性统计数据用于研究社会人口特征、食品购物模式以及农贸市场购物的障碍和促进因素。在控制年龄、种族、教育和性别的情况下,使用线性回归分析来检验农贸市场的使用与水果和蔬菜消费以及体重指数之间的关联。在农贸市场客户中,44% 和 55%(分别为北卡罗来纳州和肯塔基州客户)表示至少每周在农贸市场购物,而北卡罗来纳州和肯塔基州 RDD 受访者的这一比例为 16% 和 18%。经常报道的农贸市场购物障碍是市场日期和时间、“只有当我需要东西时才来”、极端天气和市场位置。在肯塔基州农贸市场客户以及北卡罗来纳州和肯塔基州 RDD 受访者中,水果和蔬菜消费与农贸市场的使用呈正相关。农贸市场的使用与体重指数之间没有关联。水果和蔬菜消费与农贸市场购物有关。因此,农贸市场可能是增加人口农产品消费的可行方法。
While farmers’ markets are a potential strategy to increase access to fruits and vegetables in rural areas, more information is needed regarding use of farmers’ markets among rural residents. Thus, this study’s purpose was to examine (1) socio-demographic characteristics of participants; (2) barriers and facilitators to farmers’ market shopping in southern rural communities; and (3) associations between farmers’ market use with fruit and vegetable consumption and body mass index (BMI). Cross-sectional surveys were conducted with a purposive sample of farmers’ market customers and a representative sample of primary household food shoppers in eastern North Carolina (NC) and the Appalachian region of Kentucky (KY). Customers were interviewed using an intercept survey instrument at farmers’ markets. Representative samples of primary food shoppers were identified via random digit dial (RDD) cellular phone and landline methods in counties that had at least one farmers’ market. All questionnaires assessed socio-demographic characteristics, food shopping patterns, barriers to and facilitators of farmers’ market shopping, fruit and vegetable consumption and self-reported height and weight. The main outcome measures were fruit and vegetable consumption and BMI. Descriptive statistics were used to examine socio-demographic characteristics, food shopping patterns, and barriers and facilitators to farmers’ market shopping. Linear regression analyses were used to examine associations between farmers’ market use with fruit and vegetable consumption and BMI, controlling for age, race, education, and gender. Among farmers’ market customers, 44% and 55% (NC and KY customers, respectively) reported shopping at a farmers’ market at least weekly, compared to 16% and 18% of NC and KY RDD respondents. Frequently reported barriers to farmers’ market shopping were market days and hours, “only come when I need something”, extreme weather, and market location. Among the KY farmers’ market customers and NC and KY RDD respondents, fruit and vegetable consumption was positively associated with use of farmers’ markets. There were no associations between use of farmers’ markets and BMI. Fruit and vegetable consumption was associated with farmers’ market shopping. Thus, farmers’ markets may be a viable method to increase population-level produce consumption.
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