Chelsea R Singleton1, Monica Baskin2, Emily B Levitan3, Bisakha Sen4, Ermanno Affuso5, Olivia Affuso6. 1. Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, USA. csingle1@uic.edu. 2. Department of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. 3. Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA. 4. Department of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL, USA. 5. Department of Economics and Finance, University of South Alabama, Mobile, AL, USA. 6. Associate Professor, Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.
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.
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.
Authors: Patricia A Carney; Janet L Hamada; Rebecca Rdesinski; Lorena Sprager; Katelyn R Nichols; Betty Y Liu; Joel Pelayo; Maria Antonia Sanchez; Jacklien Shannon Journal: J Community Health Date: 2012-08