Farm-to-consumer retail outlet use, fruit and vegetable intake, and obesity status among WIC program participants in Alabama

Chelsea R. Singleton, Monica Baskin, Emily B. Levitan, Bisakha Sen, Ermanno Affuso, Olivia Affuso

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: We studied whether use of farm-to-consumer (FTC) retail outlets (eg, farmers market, farm/roadside stand) was associated with daily fruit and vegetable (F&V) intake or obesity status among women who participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Birmingham, AL. Methods: We used a cross-sectional study design and recruited a convenience sample of 312 women (mean age = 27.6; 67.0% non-Hispanic black; 45.6% obese) participating in Birmingham's WIC Program. Participants were recruited between October 2014 and January 2015. Participants who self-reported purchasing produce from a FTC outlet during the 2014 farmers' market season were classified as FTC outlet users. Multivariable-adjusted regression models were used to examine associations between FTC outlet use, daily F&V intake, and obesity status (ie, body mass index ≥ 30). Results: Approximately 26.1% of participants were classified as FTC outlet users. After adjusting for socio-demographic factors and WIC Cash Value Voucher redemption, FTC outlet use was associated with increased odds of consuming ≥ 5 servings of F&Vs per day (OR: 2.01; 95%: 1.15-3.50), but not obesity status (OR: 0.68; 95% CI: 0.39-1.20). Conclusions: FTC retail outlet use was associated with F&V intake among program participants but not obesity status.

Original languageEnglish (US)
Pages (from-to)446-454
Number of pages9
JournalAmerican journal of health behavior
Volume40
Issue number4
DOIs
StatePublished - Jul 2016
Externally publishedYes

Keywords

  • Cash value voucher program
  • Farm-to-consumer
  • Fruit and vegetable consumption
  • Obesity
  • WIC program

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

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