The perceived influence of cost-offset community-supported agriculture on food access among low-income families.
Public Health Nutr
; 21(15): 2866-2874, 2018 10.
Article
em En
| MEDLINE
| ID: mdl-29991375
ABSTRACT
OBJECTIVE:
To examine perspectives on food access among low-income families participating in a cost-offset community-supported agriculture (CO-CSA) programme.DESIGN:
Farm Fresh Foods for Healthy Kids (F3HK) is a multicentre randomized intervention trial assessing the effect of CO-CSA on dietary intake and quality among children from low-income families. Focus groups were conducted at the end of the first CO-CSA season. Participants were interviewed about programme experiences, framed by five dimensions of food access availability, accessibility, affordability, acceptability and accommodation. Transcribed data were coded on these dimensions plus emergent themes.SETTING:
Nine communities in the US states of New York, North Carolina, Washington and Vermont.SUBJECTS:
Fifty-three F3HK adults with children.RESULTS:
CSA models were structured by partner farms. Produce quantity was abundant; however, availability was enhanced for participants who were able to select their own produce items. Flexible CSA pick-up times and locations made produce pick-up more accessible. Despite being affordable to most, payment timing was a barrier for some. Unfamiliar foods and quick spoilage hindered acceptability through challenging meal planning, despite accommodations that included preparation advice.CONCLUSIONS:
Although CO-CSA may facilitate increased access to fruits and vegetables for low-income families, perceptions of positive diet change may be limited by the ability to incorporate share pick-up into regular travel patterns and meal planning. Food waste concerns may be particularly acute for families with constrained resources. Future research should examine whether CO-CSA with flexible logistics and produce self-selection are sustainable for low-income families and CSA farms.Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
/
Financiamentos_gastos
Bases de dados:
MEDLINE
Assunto principal:
Pobreza
/
Comportamento Alimentar
/
Assistência Alimentar
/
Abastecimento de Alimentos
Tipo de estudo:
Clinical_trials
/
Evaluation_studies
/
Health_economic_evaluation
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
Limite:
Adult
/
Child
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Public Health Nutr
Assunto da revista:
CIENCIAS DA NUTRICAO
/
SAUDE PUBLICA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Estados Unidos