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. 2014 Jan 9:13:1.
doi: 10.1186/1475-2891-13-1.

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

Stephanie B Jilcott Pitts  1 , Alison Gustafson, Qiang Wu, Mariel Leah Mayo, Rachel K Ward, Jared T McGuirt, Ann P Rafferty, Mandee F Lancaster, Kelly R Evenson, Thomas C Keyserling, Alice S Ammerman
Affiliations

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

Stephanie B Jilcott Pitts et al. Nutr J. .

Abstract

Background: 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).

Methods: 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.

Results: 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.

Conclusions: 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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References

    1. Estimated county-level prevalence of diabetes and obesity - United States, 2007. MMWR Morb Mortal Wkly Rep. 2009;58(45):1259–1263. - PubMed
    1. Jackson JE, Doescher MP, Jerant AF, Hart LG. A national study of obesity prevalence and trends by type of rural county. J Rural Health. 2005;21(2):140–148. doi: 10.1111/j.1748-0361.2005.tb00074.x. - DOI - PubMed
    1. Jilcott SB, Liu H, Moore JB, Bethel JW, Wilson J, Ammerman AS. Commute times, food retail gaps, and weight status in rural and urban North Carolina counties. Prev Chronic Dis. 2010;7(5):A107. - PMC - PubMed
    1. Larson NI, Story MT, Nelson MC. Neighborhood environments: disparities in access to healthy foods in the U.S. Am J Prev Med. 2009;36(1):74–81. doi: 10.1016/j.amepre.2008.09.025. - DOI - PubMed
    1. Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health. 2008;29:253–272. doi: 10.1146/annurev.publhealth.29.020907.090926. - DOI - PubMed

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