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Singleton CR, Baskin M, Levitan EB, Sen B, Affuso E, Affuso O. Farm-to-Consumer Retail Outlet Use, Fruit and Vegetable Intake, and Obesity Status among WIC Program Participants in Alabama. Am J Health Behav 2016; 40:446-54. [PMID: 27338991 DOI: 10.5993/ajhb.40.4.6] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
OBJECTIVES We studied whether use of farm-to-consumer (FTC) retail outlets (eg, farmers market, farm/roadside stand) was associated with daily fruit and vegetable (F&V) intake or obesity status among women who participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Birmingham, AL. METHODS We used a cross-sectional study design and recruited a convenience sample of 312 women (mean age = 27.6; 67.0% non-Hispanic black; 45.6% obese) participating in Birmingham's WIC Program. Participants were recruited between October 2014 and January 2015. Participants who self-reported purchasing produce from a FTC outlet during the 2014 farmers' market season were classified as FTC outlet users. Multivariable-adjusted regression models were used to examine associations between FTC outlet use, daily F&V intake, and obesity status (ie, body mass index ≥ 30). RESULTS Approximately 26.1% of participants were classified as FTC outlet users. After adjusting for socio-demographic factors and WIC Cash Value Voucher redemption, FTC outlet use was associated with increased odds of consuming ≥ 5 servings of F&Vs per day (OR: 2.01; 95%: 1.15 - 3.50), but not obesity status (OR: 0.68; 95% CI: 0.39 - 1.20). CONCLUSIONS FTC retail outlet use was associated with F&V intake among program participants but not obesity status.
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Affiliation(s)
- Chelsea R Singleton
- Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, USA.
| | - Monica Baskin
- Department of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Emily B Levitan
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Bisakha Sen
- Department of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Ermanno Affuso
- Department of Economics and Finance, University of South Alabama, Mobile, AL, USA
| | - Olivia Affuso
- Associate Professor, Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA
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Singleton CR, Baskin M, Levitan EB, Sen B, Affuso E, Affuso O. Perceived Barriers and Facilitators of Farm-to-Consumer Retail Outlet Use Among Participants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Alabama. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2016; 12:237-250. [PMID: 29430270 DOI: 10.1080/19320248.2016.1157550] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This research aimed to identify perceived barriers and facilitators of farm-to-consumer (FTC) retail outlet (eg, farmers' markets, farm/roadside stands) usage among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participants residing in Birmingham, Alabama. Additionally, associations between barriers and facilitators reported and daily fruit and vegetable (F&V) intake were examined. A sample of 312 lower income women (mean age = 27.6; 67.0% non-Hispanic black; 45.3% obese) who participate in the Birmingham WIC program were surveyed between October 2014 and January 2015. Fischer's exact test was used to assess associations between barriers (eg, outlet location, price, transportation), facilitators (eg, produce quality, produce variety), and high F&V intake (ie, consuming ≥ 5 servings per day). Approximately 81 (26.1%) participants reported using an FTC outlet to purchase produce in 2014. Lack of awareness (39.3%), outlet location (32.8%), and lack of interest (28.4%) were the barriers most often reported. Produce quality (69.1%), produce variety (49.4%), and price (39.5%) were the facilitators most often reported. Barriers and facilitators mentioned were not associated with high F&V intake. Lack of awareness and lack of interest are key barriers to FTC outlet usage among Birmingham WIC recipients. Interventions aiming to promote use of FTC outlets should consider the perceived barriers and facilitators to usage.
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Affiliation(s)
- Chelsea R Singleton
- Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Monica Baskin
- Nutrition Obesity Research Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.,Department of Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Emily B Levitan
- Nutrition Obesity Research Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.,Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Bisakha Sen
- Nutrition Obesity Research Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.,Department of Healthcare Organization and Policy, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Ermanno Affuso
- Department of Economics and Finance, University of South Alabama, Mobile, Alabama, USA
| | - Olivia Affuso
- Nutrition Obesity Research Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.,Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA
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Jilcott Pitts SB, McGuirt JT, Wu Q, Rushing J, Uslan D, Stanley KK, Bullock SL, Ward RK, Rafferty AP, Ammerman AS. Assessing Preliminary Impact of the North Carolina Community Transformation Grant Project Farmers' Market Initiatives Among Rural Residents. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2016; 48:343-349.e1. [PMID: 27169642 DOI: 10.1016/j.jneb.2016.03.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Revised: 02/26/2016] [Accepted: 03/04/2016] [Indexed: 06/05/2023]
Abstract
OBJECTIVE Using the Social Determinants of Health as the study's theoretical underpinning, the authors examined the impact of the North Carolina Community Transformation Grant Project farmers' market initiatives on changes in awareness and use of farmers' markets, and fruit and vegetable consumption. METHODS During the farmers' market season, the researchers conducted a random digit-dial telephone survey among residents in 3 rural North Carolina counties to examine changes in farmers' market awareness, shopping, and fruit and vegetable consumption. They examined change over 1 year using t tests, chi-square tests, and propensity score matching. RESULTS In 1 county there were increases in farmers' market shopping and fruit and vegetable consumption, and in 1 county there were decreases in farmers' market shopping and fruit and vegetable consumption. CONCLUSIONS AND IMPLICATIONS The impact of farmers' market initiatives may be affected by county-specific socioeconomic contexts.
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Affiliation(s)
| | - Jared T McGuirt
- Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Qiang Wu
- Department of Biostatistics, East Carolina University, Greenville, NC
| | - Jill Rushing
- North Carolina Department of Health and Human Services, Raleigh, NC
| | - Daniella Uslan
- SNAP-Ed, Center for Health Promotion and Disease Prevention (a CDC Prevention Research Center), University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Karen K Stanley
- Chronic Disease and Injury Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC
| | - Sally L Bullock
- Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Rachel K Ward
- Department of Community Health, East Tennessee State University, Johnson City, TN
| | - Ann P Rafferty
- Department of Public Health, East Carolina University, Greenville, NC
| | - Alice S Ammerman
- Department of Nutrition, Gillings School of Global Public Health, Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC
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