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Understanding Impacts of SNAP Fruit and Vegetable Incentive Program at Farmers’ Markets: Findings from a 13 State RCT

Disparities in healthy food access and consumption are a major public health concern. This study reports the findings from a two-year randomized control trial conducted at 77 farmers’ markets (FMs) in 13 states and the District of Columbia that sought to understand the impact of fruit and vegetable...

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Autores principales: Karpyn, Allison, Pon, Julia, Grajeda, Sara B., Wang, Rui, Merritt, Kathryn E., Tracy, Tara, May, Henry, Sawyer-Morris, Ginnie, Halverson, McKenna M., Hunt, Alan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223796/
https://www.ncbi.nlm.nih.gov/pubmed/35742692
http://dx.doi.org/10.3390/ijerph19127443
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author Karpyn, Allison
Pon, Julia
Grajeda, Sara B.
Wang, Rui
Merritt, Kathryn E.
Tracy, Tara
May, Henry
Sawyer-Morris, Ginnie
Halverson, McKenna M.
Hunt, Alan
author_facet Karpyn, Allison
Pon, Julia
Grajeda, Sara B.
Wang, Rui
Merritt, Kathryn E.
Tracy, Tara
May, Henry
Sawyer-Morris, Ginnie
Halverson, McKenna M.
Hunt, Alan
author_sort Karpyn, Allison
collection PubMed
description Disparities in healthy food access and consumption are a major public health concern. This study reports the findings from a two-year randomized control trial conducted at 77 farmers’ markets (FMs) in 13 states and the District of Columbia that sought to understand the impact of fruit and vegetable (FV) incentive vouchers, randomly issued at varied incentive levels to Supplemental Nutrition Assistance Program (SNAP) recipients, for use at FMs. Measures included FV and overall household food purchasing; FV consumption; food insecurity; health status; market expenditure; and demographics. A repeated-measures mixed-effects analysis and the Complier Average Causal Effect (CACE) were used to examine outcomes. Despite 82% reporting food insecurity in the prior year, the findings showed that financial incentives at FMs had statistically significant, positive effects on FV consumption; market expenditures increased with added incentives. SNAP recipients receiving an incentive of USD 0.40 for every USD 1.00 in SNAP spent an average of USD 19.03 per transaction, while those receiving USD 2 for every USD 1 (2:1) spent an average of USD 36.28 per transaction. The data showed that the incentive program at the highest level (2:1) maximally increased SNAP FM expenditure and FV consumption, increasing the latter by 0.31 daily cups among those who used their incentive (CACE model).
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spelling pubmed-92237962022-06-24 Understanding Impacts of SNAP Fruit and Vegetable Incentive Program at Farmers’ Markets: Findings from a 13 State RCT Karpyn, Allison Pon, Julia Grajeda, Sara B. Wang, Rui Merritt, Kathryn E. Tracy, Tara May, Henry Sawyer-Morris, Ginnie Halverson, McKenna M. Hunt, Alan Int J Environ Res Public Health Article Disparities in healthy food access and consumption are a major public health concern. This study reports the findings from a two-year randomized control trial conducted at 77 farmers’ markets (FMs) in 13 states and the District of Columbia that sought to understand the impact of fruit and vegetable (FV) incentive vouchers, randomly issued at varied incentive levels to Supplemental Nutrition Assistance Program (SNAP) recipients, for use at FMs. Measures included FV and overall household food purchasing; FV consumption; food insecurity; health status; market expenditure; and demographics. A repeated-measures mixed-effects analysis and the Complier Average Causal Effect (CACE) were used to examine outcomes. Despite 82% reporting food insecurity in the prior year, the findings showed that financial incentives at FMs had statistically significant, positive effects on FV consumption; market expenditures increased with added incentives. SNAP recipients receiving an incentive of USD 0.40 for every USD 1.00 in SNAP spent an average of USD 19.03 per transaction, while those receiving USD 2 for every USD 1 (2:1) spent an average of USD 36.28 per transaction. The data showed that the incentive program at the highest level (2:1) maximally increased SNAP FM expenditure and FV consumption, increasing the latter by 0.31 daily cups among those who used their incentive (CACE model). MDPI 2022-06-17 /pmc/articles/PMC9223796/ /pubmed/35742692 http://dx.doi.org/10.3390/ijerph19127443 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Karpyn, Allison
Pon, Julia
Grajeda, Sara B.
Wang, Rui
Merritt, Kathryn E.
Tracy, Tara
May, Henry
Sawyer-Morris, Ginnie
Halverson, McKenna M.
Hunt, Alan
Understanding Impacts of SNAP Fruit and Vegetable Incentive Program at Farmers’ Markets: Findings from a 13 State RCT
title Understanding Impacts of SNAP Fruit and Vegetable Incentive Program at Farmers’ Markets: Findings from a 13 State RCT
title_full Understanding Impacts of SNAP Fruit and Vegetable Incentive Program at Farmers’ Markets: Findings from a 13 State RCT
title_fullStr Understanding Impacts of SNAP Fruit and Vegetable Incentive Program at Farmers’ Markets: Findings from a 13 State RCT
title_full_unstemmed Understanding Impacts of SNAP Fruit and Vegetable Incentive Program at Farmers’ Markets: Findings from a 13 State RCT
title_short Understanding Impacts of SNAP Fruit and Vegetable Incentive Program at Farmers’ Markets: Findings from a 13 State RCT
title_sort understanding impacts of snap fruit and vegetable incentive program at farmers’ markets: findings from a 13 state rct
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223796/
https://www.ncbi.nlm.nih.gov/pubmed/35742692
http://dx.doi.org/10.3390/ijerph19127443
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