Abstract
This case study provides an in-depth examination of process and feasibility factors associated with the development of a multi-component environmental intervention designed to increase access to fresh fruits and vegetables in four low-income, minority, urban communities with few healthy food retail outlets. The intervention, the Veggie Project, included three components: (a) onsite farmers’ markets, (b) a Super Shopper voucher program, and (c) a Youth Leader Board. We analyzed receipts from sales transactions at the farmers’ markets, close-ended surveys with participants, in-depth interviews with project stakeholders, and journal entries completed by youth participants. Thirty-four farmers’ markets occurred, resulting in 1,101 sales transactions. Financial vouchers were used to purchased 63% of the produce. All of the youth Super Shoppers came to the market at least once and made significantly more purchase transactions than adults. The farmers’ markets were never accessed by 38% of the adult Super Shoppers. The Veggie Project increased access to healthy foods, particularly among youth. More research is warranted to examine the relationship between market use and dietary behaviors as well as other factors (i.e., besides physical and economic) influencing food access among adults.
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Baker, E., Schootman, M., Barnidge, E., & Kelly, C. (2006). The role of race and poverty in access to foods that enable individuals to adhere to dietary guidelines. Preventing Chronic Disease, 3(3), 1–11.
Blanck, H., Galuska, D., Gillespie, C., Khan, L., Serdula, M., Solera, M., et al. (2007). Fruit and vegetable consumption among adults: United States, 2005. Morbidity and Mortality Weekly Report, 56(10), 213–217.
Brown, A. (2002). Farmers’ market research 1940–2000: An inventory and review. American Journal of Alternative Agriculture, 17(4), 167–176.
Centers for Disease Control and Prevention. (2009). State indicator report on fruits and vegetables, 2009: National action guide. Atlanta, GA: Centers for Disease Control and Prevention.
Chung, C., & Myers, S. L. (1999). Do the poor pay more for food? An analysis of grocery store availability and food price disparities. Journal of Consumer Affairs, 33(2), 276–296.
Eastwood, D. B., Brooker, J. R., & Gray, M. D. (1999). Location and other market attributes affecting farmers’ market patronage: The case of Tennessee. Journal of Food Distribution Research, 30(1), 63–72.
Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. Journal of the American Medical Association, 303(3), 235–241.
Freedman, D. A. (2007). A community health case study: Creating a food oasis in a food desert. The Community Psychologist, 40(2), 67–70.
Freedman, D. A. (2008). Politics of food access in food insecure communities. Unpublished dissertation. Vanderbilt University, Nashville, TN.
Freedman, D. A. (2009). Local food environments: They’re all stocked differently. American Journal of Community Psychology, 44, 382–393.
Freedman, D. A., & Bell, B. A. (2009). Access to healthful foods among an urban food insecure population: Perceptions versus reality. Journal of Urban Health, 86(6), 825–838.
Govindasamy, R., Italia, J., & Adelaja, A. (2002). Farmers’ market: Consumer trends, preferences, and characteristics. Journal of Extension, 40(1). http://www.joe.org/joe/2002february/rb6.php.
Hage, S. M., & Kenny, M. E. (2009). Promoting a social justice approach to prevention: Future directions for training, practice, and research. Journal of Primary Prevention, 30, 75–87.
Herman, D. R., Harrison, G. G., & Jenks, E. (2006). Choices made by low-income women provided with an economic supplement for fresh fruit and vegetable purchase. Journal of the American Dietetic Association, 106(5), 740–744.
Hung, H., Joshipura, K. J., Jiang, R., Hu, F. B., Hunter, D., Smith-Warner, S. A., et al. (2004). Fruit and vegetable intake and risk of major chronic disease. Journal of the National Cancer Institute, 96(21), 1577–1584.
Jetter, K. M., & Cassady, D. L. (2006). The availability and cost of healthier food alternatives. American Journal of Preventive Medicine, 30(1), 38–44.
Larson, N., Story, M., & Nelson, M. (2009). Neighborhood environments: Disparities in access to healthy foods in the US. American Journal of Preventive Medicine, 36(1), 74–81.
Liu, S., Manson, J. E., Lee, I. M., Cole, S. R., Hennekens, C. H., Willett, W. C., et al. (2000). Fruit and vegetable intake and risk of cardiovascular disease: The Women’s Health Study. American Journal of Clinical Nutrition, 72(4), 922–928.
Moore, L. V., & Diez Roux, A. V. (2006). Associations of neighborhood characteristics with the location and type of food stores. American Journal of Public Health, 96(2), 325–331.
Moore, L. V., Diez Roux, A., Nettleton, J. A., & Jacobs, D. R. (2008). Associations of the local food environment with diet quality: A comparison of assessments based on surveys and geographic information systems. American Journal of Epidemiology, 167(8), 917–924.
Moore, L. V., Diez Roux, A. V., Nettleton, J. A., Jacobs, D. R., & Franco, M. (2009). Fast-food consumption, diet quality, and neighborhood exposure to fast food. American Journal of Epidemiology, 170(1), 29–36.
Morland, K., Wing, S., Diez Roux, A., & Poole, C. (2002). Neighborhood characteristics associated with the location of food stores and food service places. American Journal of Preventive Medicine, 22(1), 23–29.
Ogden, C. L., Carroll, M. D., Curtin, L. R., Lamb, M. M., & Flegal, K. M. (2010). Prevalence of high body mass index in US children and adolescents, 2007–2008. Journal of the American Medical Association, 303(3), 242–249.
Olshansky, S. J., Passaro, D. J., Hershow, R. C., Layden, J., Carnes, B. A., Brody, J., et al. (2005). A potential decline in life expectancy in the United States in the 21st century. New England Journal of Medicine, 352(11), 1138–1145.
Pan, L., Galuska, D. A., Sherry, B., Hunter, A. S., Rutledge, G. E., Dietz, W. H., et al. (2009). Differences in prevalence of obesity among black, white, and Hispanic adults–United States, 2006–2008. Morbidity and Mortality Weekly Report, 58(27), 740–744.
Pomerleau, J., Lock, K., Knai, C., & McKee, M. (2005). Interventions designed to increase fruit and vegetable intake can be effective: A systematic review of the literature. Journal of Nutrition, 135, 2486–2495.
Powell, L. M., Auld, M. C., Chaloupka, F. J., O’Malley, P. M., & Johnston, J. D. (2007). Associations between access to food stores and adolescent body mass index. American Journal of Preventive Medicine, 33(4), S301–S307.
Sloane, D. C., Diamant, A., Lewis, L. B., Yancey, A. K., Flynn, G., Nascimento, L. M., et al. (2003). Improving the nutritional resource environment for healthy living through community-based participatory research. Journal of General Internal Medicine, 18, 568–575.
Suarez-Balcazar, Y., Martinez, L. I., Cox, G., & Jayraj, A. (2006). African Americans’ views of access to healthy foods: What a farmers’ market provides. Journal of Extension, 44(2). http://www.joe.org/joe/2006april/a2p.shtml.
US Census Bureau. (2000). Decennial census. Washington, DC: Author.
US Department of Agriculture. (2007). Farmers’ market growth: 1994–2009. Retrieved August 29, 2007, from http://www.ams.usda.gov/farmersmarkets/FarmersMarketGrowth.htm.
US Department of Agriculture. (2009). Access to affordable and nutritious food: Measuring and understanding food deserts and their consequences. Washington, DC: Economic Research Service.
US Department of Health and Human Services. (2001). The Surgeon General’s call to action to prevent and decrease obesity. Retrieved from July 1, 2010, from http://www.surgeongeneral.gov/topics/obesity/calltoaction/CalltoAction.pdf.
US Department of Health and Human Services. (2010). Obama administration details Healthy Food Financing Initiative. Retrieved July 5, 2010, from http://www.hhs.gov/news/press/2010pres/02/20100219a.html.
US White House. (2010). Let’s move: America’s move to raise a healthier generation of kids. Retrieved January 20, 2011, from http://www.letsmove.gov/.
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Freedman, D.A., Bell, B.A. & Collins, L.V. The Veggie Project: A Case Study of a Multi-component Farmers’ Market Intervention. J Primary Prevent 32, 213 (2011). https://doi.org/10.1007/s10935-011-0245-9
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DOI: https://doi.org/10.1007/s10935-011-0245-9