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. 2017 Dec 12;17(1):946.
doi: 10.1186/s12889-017-4942-z.

Double Up Food Bucks program effects on SNAP recipients' fruit and vegetable purchases

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Double Up Food Bucks program effects on SNAP recipients' fruit and vegetable purchases

Marie Steele-Adjognon et al. BMC Public Health. .

Abstract

Background: To encourage the consumption of more fresh fruits and vegetables, the 2014 United Sates Farm Bill allocated funds to the Double Up Food Bucks Program. This program provided Supplemental Nutrition Assistance Program beneficiaries who spent $10 on fresh fruits and vegetables, in one transaction, with a $10 gift card exclusively for Michigan grown fresh fruits and vegetables. This study analyzes how fruit and vegetable expenditures, expenditure shares, variety and purchase decisions were affected by the initiation and conclusion, as well as any persistent effects of the program.

Methods: Changes in fruit and vegetable purchase behaviors due to Double Up Food Bucks in a supermarket serving a low-income, predominantly Hispanic community in Detroit, Michigan were evaluated using a difference in difference fixed effects estimation strategy.

Results: We find that the Double Up Food Bucks program increased vegetable expenditures, fruit and vegetable expenditure shares, and variety of fruits and vegetables purchased but the effects were modest and not sustainable without the financial incentive. Fruit expenditures and the fruit and vegetable purchase decision were unaffected by the program.

Conclusions: This study provides valuable insight on how a nutrition program influences a low-income, urban, Hispanic community's fruit and vegetable purchase behavior. Policy recommendations include either removing or lowering the purchase hurdle for incentive eligibility and dropping the Michigan grown requirement to better align with the customers' preferences for fresh fruits and vegetables.

Keywords: Detroit; Fruits and vegetables; Program evaluation; Scanner data; Supplemental nutrition assistance program.

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Conflict of interest statement

Ethics approval and consent to participate

This research was determined to be non-human subject research by the Michigan State University IRB (IRB application # 15-922).

Consent for publication

Not Applicable

Competing interests

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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