Implementing a Farmers’ Market Incentive Program: Perspectives on the New York City Health Bucks Program

Abstract Objective: To examine cross-sectional associations between farmers’ market shopping behaviors and objectively measured and self-reported fruit and vegetable (FV) intake among rural North Carolina (NC) and New York City (NYC) shoppers. Design: Cross-sectional intercept surveys were used to assess self-reported FV intake and three measures of farmers’ market shopping behavior: (1) frequency of purchasing FV, (2) variety of FV purchased, and (3) dollars spent on FV. Skin carotenoids, a non-invasive biomarker for FV intake, were objectively measured using pressure-mediated reflection spectroscopy. Associations between farmers’ market shopping behaviors and FV intake were examined using regression models that controlled for demographic variables (e.g., age, sex, race, smoking status, education, income, and state). Setting: Farmers’ markets (n=17 markets) in rural NC and NYC. Participants: A convenience sample of 645 farmers’ market shoppers. Results: Farmers’ market shoppers in NYC purchased a greater variety of FV and had higher skin carotenoid scores compared to shoppers in rural NC. Among all shoppers, there was a positive, statistically significant association between self-reported frequency of shopping at farmers’ markets and self-reported as well as objectively assessed FV intake. The variety of FV purchased and farmers’ market spending on FV also were positively associated with self-reported FV intake, but not skin carotenoids. Conclusion: Those who shop for FV more frequently at a farmers’ markets, purchase a greater variety of FV, and spend more money on FV have higher self-reported, and in some cases higher objectively measured FV intake. Further research is needed to understand these associations and test causality.

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Impacts of a farmers’ market incentive programme on fruit and vegetable access, purchase and consumption

Public Health Nutrition ◽

10.1017/s1368980015001056 ◽

2015 ◽

Vol 18 (15) ◽

pp. 2712-2721 ◽

Cited By ~ 31

Author(s):

Lauren EW Olsho ◽

Gayle Holmes Payne ◽

Deborah Klein Walker ◽

Sabrina Baronberg ◽

Jan Jernigan ◽

...

Keyword(s):

New York ◽

New York City ◽

York City ◽

Telephone Survey ◽

Vegetable Consumption ◽

Farmers Markets ◽

Fruit And Vegetable ◽

Farmers Market ◽

Point Of Purchase ◽

Random Digit Dial

AbstractObjectiveThe present study examines the impact of Health Bucks, a farmers’ market incentive programme, on awareness of and access to farmers’ markets, and fruit and vegetable purchase and consumption in low-income New York City neighbourhoods.DesignThe evaluation used two primary data collection methods: (i) an on-site point-of-purchase survey of farmers’ market shoppers; and (ii) a random-digit-dial telephone survey of residents in neighbourhoods where the programme operates. Additionally, we conducted a quasi-experimental analysis examining differential time trends in consumption before and after programme introduction using secondary Community Health Survey (CHS) data.SettingNew York City farmers’ markets and communities.SubjectsFarmers’ market shoppers (n 2287) completing point-of-purchase surveys in a representative sample of New York City farmers’ markets in 2010; residents (n 1025) completing random-digit-dial telephone survey interviews in 2010; and respondents (n 35 606) completing CHS interviews in 2002, 2004, 2008 and 2009.ResultsGreater Health Bucks exposure was associated with: (i) greater awareness of farmers’ markets; (ii) increased frequency and amount of farmers’ market purchases; and (iii) greater likelihood of a self-reported year-over-year increase in fruit and vegetable consumption. However, our CHS analysis did not detect impacts on consumption.ConclusionsWhile our study provides promising evidence that use of farmers’ market incentives is associated with increased awareness and use of farmers’ markets, additional research is needed to better understand impacts on fruit and vegetable consumption.

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Associations Between Farmers’ Market Shopping Behaviors and Objectively-Measured and Self-Reported Fruit and Vegetable Intake in a Diverse Sample of Farmers’ Market Shoppers: A Cross-Sectional Study

10.21203/rs.3.rs-51107/v1 ◽

2020 ◽

Author(s):

Casey J. Kelley ◽

Karla L. Hanson ◽

Grace A. Marshall ◽

Leah C. Volpe ◽

Stephanie Jilcott Pitts ◽

...

Keyword(s):

New York ◽

North Carolina ◽

New York City ◽

York City ◽

Shopping Behavior ◽

Farmers Markets ◽

Fruit And Vegetable ◽

Cross Sectional ◽

Farmers Market ◽

Objectively Measured

Abstract Background: Fruit and vegetable (FV) intake is associated with reduced risk of numerous chronic diseases. The community food environment can support FV intake through enhanced access via food outlets, such as farmers’ markets. This paper examines cross-sectional associations between farmers’ market shopping behaviors and objectively-measured and self-reported FV intake to better understand whether farmers’ market shopping behavior relates to FV intake among farmers’ market shoppers. Methods: Farmers’ market shoppers were surveyed at 17 farmers’ markets in rural North Carolina and New York City. A questionnaire assessed self-reported FV intake and three measures of farmers’ market shopping behavior: (1) frequency, (2) variety of FV purchased, and (3) dollars spent on FV. Skin carotenoid status, a non-invasive biomarker for FV intake, was objectively measured using pressure-mediated reflection spectroscopy. Associations between shopping behaviors at farmers’ markets and FV intake were examined using regression models that controlled for individual demographics (age, sex, race, smoking status, education, income, and site). Results: Farmers’ market shoppers in New York City purchased a greater variety of FV and had higher skin carotenoid scores than in North Carolina. There was a positive, statistically significant association between self-reported frequency of shopping at farmers’ markets and both self-reported and objectively assessed FV intake. We also observed that variety of FV purchased and farmers’ market spending were positively associated with self-reported FV intake, but not skin carotenoid status.Conclusion: Those who shop more frequently at a farmers’ markets, purchase a greater variety of FV, and spend more money on FV have higher self-reported, and in some cases, higher objectively measured FV intake. Further research is needed to understand these associations and test causality.

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An Important Armenian MS. with Greek Miniatures

Journal of the Royal Asiatic Society ◽

10.1017/s0035869x00097884 ◽

1942 ◽

Vol 74 (3-4) ◽

pp. 155-162

Author(s):

H. Kurdian

Keyword(s):

New York ◽

New York City ◽

York City ◽

Christian Iconography

In 1941 while in New York City I was fortunate enough to purchase an Armenian MS. which I believe will be of interest to students of Eastern Christian iconography.

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Hospitals: N.Y. Appellate Court Denies Move to Privatize Public Hospital

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500012961 ◽

1999 ◽

Vol 27 (2) ◽

pp. 202-203

Author(s):

Robert Chatham

Keyword(s):

New York ◽

New York City ◽

York City ◽

Public Health System ◽

Municipal Hospital ◽

The Public ◽

Public Benefit ◽

For Profit ◽

Benefit Corporation ◽

The City

The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.

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ASHA Voices: What a New York City SLP's Seen During COVID-19

PodCast Digital Object Group ◽

10.1044/2020-0730-ashavoices-tami-nyu-icu-covid ◽

2020 ◽

Keyword(s):

New York ◽

New York City ◽

York City

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Cultural Competence Needed to Distinguish Disorder from Difference: Beyond Kumbaya

Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations ◽

10.1044/cds22.2.64 ◽

2015 ◽

Vol 22 (2) ◽

pp. 64-76 ◽

Cited By ~ 7

Author(s):

Catherine J. Crowley ◽

Kristin Guest ◽

Kenay Sudler

Keyword(s):

New York ◽

New York City ◽

Public Schools ◽

Cultural Competence ◽

York City ◽

Cultural Sensitivity ◽

Graduate Program ◽

Language Disorder ◽

New York State ◽

Deep Understanding

What does it mean to have true cultural competence as an speech-language pathologist (SLP)? In some areas of practice it may be enough to develop a perspective that values the expectations and identity of our clients and see them as partners in the therapeutic process. But when clinicians are asked to distinguish a language difference from a language disorder, cultural sensitivity is not enough. Rather, in these cases, cultural competence requires knowledge and skills in gathering data about a student's cultural and linguistic background and analyzing the student's language samples from that perspective. This article describes one American Speech-Language-Hearing Association (ASHA)-accredited graduate program in speech-language pathology and its approach to putting students on the path to becoming culturally competent SLPs, including challenges faced along the way. At Teachers College, Columbia University (TC) the program infuses knowledge of bilingualism and multiculturalism throughout the curriculum and offers bilingual students the opportunity to receive New York State certification as bilingual clinicians. Graduate students must demonstrate a deep understanding of the grammar of Standard American English and other varieties of English particularly those spoken in and around New York City. Two recent graduates of this graduate program contribute their perspectives on continuing to develop cultural competence while working with diverse students in New York City public schools.

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