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Cited by 55Food Security and Health in Diverse PopulationsOrganic Food and AgricultureNutrition, Health and Food Behavior

Comparing Farmers’ Market Revenue Trends Before and After the Implementation of a Monetary Incentive for Recipients of Food Assistance

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Freedman, Darcy A., Mattison-Faye, Amy, Alia, Kassandra, Guest, M. Aaron, Hébert, James R.·2014·Preventing Chronic Disease
DOI 10.5888/pcd11.130347PMC PMC4032058
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Abstract

INTRODUCTION: We examined the influence of an intervention to increase fruit and vegetable purchases at farmers' markets for recipients of food assistance, Shop N Save (SNS), on revenue trends at a farmers' market located at a federally qualified health center (FQHC) in rural South Carolina. We compared revenue trends for 20 weeks before the intervention (2011) and 20 weeks after (2012). METHODS: SNS provided one $5 monetary incentive per week to customers spending $5 or more in food assistance at the farmers' market. SNS was available to any farmers' market customer using Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and/or Senior or WIC Farmers' Market Nutrition Program (FMNP) vouchers. Sales receipts were recorded for each transaction at the farmers' market to document payment type and the cost of the purchase. All SNS participants completed a one-time enrollment survey. RESULTS: A total of 336 customers self-enrolled in SNS from June through October 2012. Most SNS participants were female, African American, and patients at the FQHC. In total, the use of all forms of food assistance (SNAP, WIC, and FMNP) at the farmers' market increased significantly after the intervention (from 10% before, to 25% after, P = .003). Senior FMNP vouchers and SNAP usage increased the most. CONCLUSION: Interventions that provide incentives to recipients of food assistance programs at farmers' markets are a viable strategy for increasing food assistance usage and revenue.

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  • Studies of referral-based interventions reported moderate increases in resource use (pooled SMD = 0.54, 95% CI, 0.31-0.78).

    “and resource use (pooled SMD = 0.54, 95% CI, 0.31-0.78).”

    From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [26]

    The Results (Table 2; page unavailable) show increased use of food assistance at the farmers’ market after the Shop N Save intervention. But this was a monetary matching incentive, not a study of referral-based interventions, and the paper does not report a pooled SMD of 0.54 or its confidence interval; the Discussion mentions referrals only as a possible future practice. (LLM, conf=0.87)

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Authors
Freedman, D. A., Mattison-Faye, A., Alia, K., Guest, M. A., & Hébert, J. R.
Affiliations
University of South Carolina (US)
Corresponding author
Freedman, Darcy A.
ORCID
Venue
Preventing Chronic Disease
Publisher
Centers for Disease Control and Prevention - Preventing Chronic Disease
Published
2014-05-22
Volume
11
Pages
E87-E87
ISSN
1545-1151 (ISSN-L)
DOI
10.5888/pcd11.130347
PMC
PMC4032058
OpenAlex
W1994587175
Cited by
55
References
4
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 9 · 2019: 5 · 2018: 7 · 2017: 10 · 2016: 3 · 2015: 7
FWCI
12.07
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • Preventing Chronic Disease (publishedVersion, public-domain)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • Case Western Reserve University
  • University of South Carolina
  • Centers for Disease Control and Prevention (U48DP001930)
  • National Cancer Institute (K05CA136975, 3U48DP001936)
  • National Center for Chronic Disease Prevention and Health Promotion (U48 DP001930, U48/DP001936, 3U48DP001936)
Topics
  • Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
  • Life Sciences › Agricultural and Biological Sciences › Plant Science › Organic Food and Agriculture
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
farmers' markets, financial incentives, food aid, Supplemental Nutrition Assistance Program, WIC program, fruit and vegetable purchasing, federally qualified health centers, rural South Carolina
MeSH terms
Black or African American, Chronic Disease, Commerce, Female, Fruit, Government Programs, Health Plan Implementation, Health Promotion, Humans, Male, Motivation, Poverty Areas, Surveys and Questionnaires, Rural Population, South Carolina, Vegetables, Program Evaluation, Health Behavior, Crops, Agricultural, Self Report, Food Assistance

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