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Associations between access to farmers’ markets and supermarkets, shopping patterns, fruit and vegetable consumption and health indicators among women of reproductive age in eastern North Carolina, USA

Bibliographic Data

ID15096201
AuthorsStephanie Jilcott Pitts (0000-0001-8838-638X, East Carolina University, corresponding author), Stephanie B Jilcott Pitts, Qiang Wu (0000-0003-3189-2219, East Carolina University), Jared T McGuirt (0000-0002-1210-825X, University of North Carolina at Chapel Hill), Thomas W Crawford (0000-0002-1343-7223, East Carolina University), Thomas C Keyserling (0000-0002-7030-7687, University of North Carolina at Chapel Hill), Alice S Ammerman (0000-0002-0974-4888, University of North Carolina at Chapel Hill)
Year2013
Volume16
Issue11
Pages1944-1952
Publication date2013-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980013001389
PMID23701901
PMCIDPMC3795819
OpenAlexW2155502813
LanguageEN
Citations received27
References cited26

Objective We examined associations between access to food venues (farmers’ markets and supermarkets), shopping patterns, fruit and vegetable consumption and health indicators among women of reproductive age in eastern North Carolina, USA. Design Access to food venues was measured using a Geographic Information System incorporating distance, seasonality and business hours, to quantify access to farmers’ markets. Produce consumption was assessed by self-report of eating five or more fruits and vegetables daily. BMI and blood pressure were assessed by clinical measurements. Poisson regression with robust variance was used for dichotomous outcomes and multiple linear regression was used for continuous outcomes. As the study occurred in a university town and university students are likely to have different shopping patterns from non-students, we stratified analyses by student status. Setting Eastern North Carolina. Subjects Low-income women of reproductive age (18–44 years) with valid address information accessing family planning services at a local health department ( n 400). Results Over a quarter reported ever shopping at farmers’ markets (114/400). A larger percentage of women who shopped at farmers’ markets consumed five or more fruits and vegetables daily (42·1 %) than those who did not (24·0 %; P sd 9·0) km (7·1 ( sd 5·6) miles), while the mean distance to the farmers’ market closest to the residence was 4·0 ( sd 3·7) km (2·5 ( sd 2·3) miles). Conclusions Among non-students, those who shopped at farmers’ markets were more likely to consume five or more servings of fruits and vegetables daily. Future research should further explore potential health benefits of farmers’ markets

Business · Consumption (sociology · Economics · Environmental health · Geography · Poisson regression · Population · Residence · Socioeconomics · Demography · Medicine · Obesity, Physical Activity, Diet · Urban Agriculture and Sustainability · Urban Transport and Accessibility

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Unique citing works27
Citations per year2,08
Citation span2013 - 2026 (14)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 27

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