Improving Fruit and Vegetable Consumption Among Low-Income Customers at Farmers Markets: Philly Food Bucks, Philadelphia, Pennsylvania, 2011
Improving Fruit and Vegetable Consumption Among Low-Income Customers at Farmers Markets: Philly Food Bucks, Philadelphia, Pennsylvania, 2011
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DOI：
10.5888/pcd10.120356
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发表时间：
2013-10-01
影响因子：
5.5
通讯作者：
Mallya, Giridhar
中科院分区：
文献类型：
--
作者：
Young, Candace R.;Aquilante, Jennifer L.;Mallya, Giridhar
引言我们评估了农贸市场的奖金激励计划费城食品巴克斯是否与低收入地区农贸市场水果和蔬菜消费量的增加以及补充营养援助计划（SNAP）的销售有关。方法通过面对面访谈对宾夕法尼亚州费城低收入社区22个农贸市场的662名顾客进行了便利样本调查。问题涉及购物特征，自我报告的水果和蔬菜消费变化，客户是否尝试了新的水果或蔬菜，费城食品巴克斯的使用和人口统计信息。市场层面的SNAP销售和费城食品巴克斯赎回数据也收集到监测销售模式。结果费城食品巴克斯用户比非用户更有可能报告增加水果和蔬菜消费（OR，2.4; 95% CI，1.6-3.7; P < .001），并报告尝试新的水果或蔬菜（OR 1.8; 95% CI，1.2-2.7; P = .006）。在市场层面，在费城食品巴克斯计划的头两年，低收入地区农贸市场的SNAP平均销售额增加了一倍多。在城市最大的农贸市场在低收入地区，该计划是与一个几乎5倍的增长在年度SNAP销售额相比baseline.ConclusionResults从这项研究表明，奖金激励计划与SNAP是与自我报告的水果和蔬菜消费量的增加，增加SNAP销售在参与农贸市场在低收入社区。有必要进行更多的研究，以评估奖金激励对农民市场使用，饮食行为和健康结果的长期影响。
IntroductionWe evaluated whether Philly Food Bucks, a bonus incentive program at farmers markets, is associated with increased fruit and vegetable consumption and Supplemental Nutrition Assistance Program (SNAP) sales at farmers markets in low-income areas.MethodsA convenience sample of 662 customers at 22 farmers markets in low-income neighborhoods in Philadelphia, Pennsylvania, was surveyed via face-to-face interviews. Questions addressed shopping characteristics, self-reported change in fruit and vegetable consumption, whether customers tried new fruits or vegetables, use of Philly Food Bucks, and demographic information. Market-level SNAP sales and Philly Food Bucks redemption data were also collected to monitor sales patterns.ResultsPhilly Food Bucks users were significantly more likely than nonusers to report increasing fruit and vegetable consumption (OR, 2.4; 95% CI, 1.6-3.7; P < .001) and to report trying new fruits or vegetables (OR 1.8; 95% CI, 1.2-2.7; P = .006). At the market level, average SNAP sales more than doubled at farmers markets in low-income areas in the first 2 years of the Philly Food Bucks program. At the city's largest farmers market in a low-income area, the program was associated with an almost 5-fold higher increase in annual SNAP sales compared with baseline.ConclusionResults from this study demonstrate that a bonus incentive program tied to SNAP was associated with self-reported increases in fruit and vegetable consumption and increased SNAP sales at participating farmers markets in low-income communities. More research is warranted to evaluate the long-term impact of bonus incentives on farmers market use, dietary behaviors, and health outcomes.