Evaluation of a farmers' market incentive program: The New York City Health Bucks initiative (original) (raw)

Abstract

INTRODUCTION: Limited access to healthful foods may contribute to higher obesity rates in underserved urban areas. To increase access to and purchase of fruits and vegetables in three underserved New York City neighborhoods, Health Bucks distributes coupons for fresh fruits and vegetables at farmers' markets. SNAP participants receive one 2couponforevery2 coupon for every 2couponforevery5 in benefits spent at participating markets. Additionally, community organizations distribute coupons to clients. We conducted a mixed-methods process and outcome evaluation of Health Bucks. METHODS: Primary data collection activities included on-site environmental assessments and surveys of farmers' market managers, vendors, and shoppers; a web survey of community organizations; a representative telephone survey of Health Bucks neighborhood residents; key informant interviews; shopper focus groups; and vendor telephone discussions. We additionally analyzed impacts using longitudinal data from the 2002-2009 Community H...

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