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Adults and Children in Low-Income Households that Participate in Cost-Offset Community Supported Agriculture Have High Fruit and Vegetable Consumption.
Nutrients. 2017 Jul 08; 9(7)N

Abstract

This paper examines fruit and vegetable intake (FVI) in low-income households that participated in a cost-offset (CO), or 50% subsidized, community-supported agriculture (CSA) program. CSA customers paid farms upfront for a share of the harvest, and received produce weekly throughout the growing season. A cohort of adults and children 2-12 y in a summer CO-CSA were surveyed online twice: August 2015 (n = 41) and February 2016 (n = 23). FVI was measured by the National Cancer Institute's (NCI) Fruit and Vegetable Screener (FVS) and an inventory of locally grown fruits and vegetables. FVI relative to United States (US) recommendations and averages, and across seasons, were tested with non-parametric tests and paired t-tests (p < 0.05). Both adults and children in the CO-CSA had higher FVI than the US averages, and more often met recommendations for vegetables. Some summer fruits and vegetables were more often eaten when locally in-season. The CO-CSA model warrants further examination as an avenue for improving vegetable consumption among adults and children in low-income households. However, causality between CO-CSA participation and FVI cannot be inferred, as CO-CSA participants may be positive deviants with respect to FVI. A multi-state randomized controlled trial is currently underway to evaluate impacts of CO-CSAs on FVI and related outcomes.

Authors+Show Affiliations

Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA. kh289@cornell.edu.Department of Community Development and Applied Economics, University of Vermont, Burlington, VT 05405, USA. ehm72@cornell.edu.Department of Community Development and Applied Economics, University of Vermont, Burlington, VT 05405, USA. rs946@cornell.edu.Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA. jane.kolodinsky@uvm.edu.Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA. weiwei.wang@uvm.edu.Gillings School of Global Public Health and School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. jilcotts@ecu.edu.The Evergreen State College, Ecological Agriculture and Food System, Olympia, WA 98505, USA. alice_ammerman@unc.edu.Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA. msitaker@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28698460

Citation

Hanson, Karla L., et al. "Adults and Children in Low-Income Households That Participate in Cost-Offset Community Supported Agriculture Have High Fruit and Vegetable Consumption." Nutrients, vol. 9, no. 7, 2017.
Hanson KL, Kolodinsky J, Wang W, et al. Adults and Children in Low-Income Households that Participate in Cost-Offset Community Supported Agriculture Have High Fruit and Vegetable Consumption. Nutrients. 2017;9(7).
Hanson, K. L., Kolodinsky, J., Wang, W., Morgan, E. H., Pitts, S. B. J., Ammerman, A. S., Sitaker, M., & Seguin, R. A. (2017). Adults and Children in Low-Income Households that Participate in Cost-Offset Community Supported Agriculture Have High Fruit and Vegetable Consumption. Nutrients, 9(7). https://doi.org/10.3390/nu9070726
Hanson KL, et al. Adults and Children in Low-Income Households That Participate in Cost-Offset Community Supported Agriculture Have High Fruit and Vegetable Consumption. Nutrients. 2017 Jul 8;9(7) PubMed PMID: 28698460.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adults and Children in Low-Income Households that Participate in Cost-Offset Community Supported Agriculture Have High Fruit and Vegetable Consumption. AU - Hanson,Karla L, AU - Kolodinsky,Jane, AU - Wang,Weiwei, AU - Morgan,Emily H, AU - Pitts,Stephanie B Jilcott, AU - Ammerman,Alice S, AU - Sitaker,Marilyn, AU - Seguin,Rebecca A, Y1 - 2017/07/08/ PY - 2017/05/10/received PY - 2017/06/19/revised PY - 2017/07/04/accepted PY - 2017/7/13/entrez PY - 2017/7/13/pubmed PY - 2018/4/14/medline KW - community supported agriculture KW - dietary quality KW - food access KW - food insecurity KW - local foods JF - Nutrients JO - Nutrients VL - 9 IS - 7 N2 - This paper examines fruit and vegetable intake (FVI) in low-income households that participated in a cost-offset (CO), or 50% subsidized, community-supported agriculture (CSA) program. CSA customers paid farms upfront for a share of the harvest, and received produce weekly throughout the growing season. A cohort of adults and children 2-12 y in a summer CO-CSA were surveyed online twice: August 2015 (n = 41) and February 2016 (n = 23). FVI was measured by the National Cancer Institute's (NCI) Fruit and Vegetable Screener (FVS) and an inventory of locally grown fruits and vegetables. FVI relative to United States (US) recommendations and averages, and across seasons, were tested with non-parametric tests and paired t-tests (p < 0.05). Both adults and children in the CO-CSA had higher FVI than the US averages, and more often met recommendations for vegetables. Some summer fruits and vegetables were more often eaten when locally in-season. The CO-CSA model warrants further examination as an avenue for improving vegetable consumption among adults and children in low-income households. However, causality between CO-CSA participation and FVI cannot be inferred, as CO-CSA participants may be positive deviants with respect to FVI. A multi-state randomized controlled trial is currently underway to evaluate impacts of CO-CSAs on FVI and related outcomes. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/28698460/Adults_and_Children_in_Low_Income_Households_that_Participate_in_Cost_Offset_Community_Supported_Agriculture_Have_High_Fruit_and_Vegetable_Consumption_ L2 - http://www.mdpi.com/resolver?pii=nu9070726 DB - PRIME DP - Unbound Medicine ER -