Promoting access to fresh fruits and vegetables through a local market intervention at a subway station.

Abstract:

OBJECTIVE:Alternative food sources (AFS) such as local markets in disadvantaged areas are promising strategies for preventing chronic disease and reducing health inequalities. The present study assessed how sociodemographic characteristics, physical access and fruit and vegetable (F&V) consumption are associated with market use in a newly opened F&V market next to a subway station in a disadvantaged neighbourhood. DESIGN:Two cross-sectional surveys were conducted among adults: (i) on-site, among shoppers who had just bought F&V and (ii) a telephone-based population survey among residents living within 1 km distance from the market. SETTING:One neighbourhood in Montreal (Canada) with previously limited F&V offerings. SUBJECTS:Respectively, 218 shoppers and 335 residents completed the on-site and telephone-based population surveys. RESULTS:Among shoppers, 23 % were low-income, 56 % did not consume enough F&V and 54 % did not have access to a car. Among all participants living 1 km from the market (n 472), market usage was associated (OR; 95 % CI) with adequate F&V consumption (1·86; 1·10, 3·16), living closer to the market (for distance: 0·86; 0·76, 0·97), having the market on the commute route (2·77; 1·61, 4·75) and not having access to a car (2·96; 1·67, 5·26). CONCLUSIONS:When implemented in strategic locations such as transport hubs, AFS like F&V markets offer a promising strategy to improve F&V access among populations that may be constrained in their food acquisition practices, including low-income populations and those relying on public transportation.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Chaput S,Mercille G,Drouin L,Kestens Y

doi

10.1017/S1368980018001921

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

3258-3270

issue

17

eissn

1368-9800

issn

1475-2727

pii

S1368980018001921

journal_volume

21

pub_type

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