Abstract

Farmers’ market implementation holds promise for increasing access to healthy foods. Although rarely measured, purchase data constitute an intermediate outcome between food environment and actual consumption. In a study conducted with two seasonal Fruits and Vegetables (FV) stands in a disadvantaged area of Montréal (Canada), we analysed how accessibility, perception, and mobility-related factors were associated with FV purchase. This analysis uses a novel measure of FV purchasing practices based on sales data obtained from a mobile application. A 2016 survey collected information on markets’ physical access, perceived access to FV in the neighbourhood, usual FV consumption and purchases. Multivariate models were used to analyse three purchasing practice indicators: number of FV portions, FV variety and expenditures. Average shoppers purchased 12 FV portions of three distinct varieties and spent 5$. Shoppers stopping at the market on their usual travel route spent less (p = 0.11), bought fewer portions (p = 0.03) and a lesser FV variety (p < 0.01). FV stands may complement FV dietary intake. Individuals for whom the market is on their usual travel route might make more frequent visits and, therefore, smaller purchases. The novel data collection method allowed analysis of multiple purchase variables, is precise and easy to apply at unconventional points of sales and could be transposed elsewhere.

Highlights

  • Disadvantaged populations are more heavily affected by non-communicable disease in Canada and in other industrialized countries [1,2,3]

  • The two fruits and vegetables (FV) stands assessed in this study were run by a not-for-profit organization, YQQ (Y’a QuelQu’un l’aut bord du mur), and are among the many interventions tackling local population’s physical and economic access to FV funded by the Montreal Public Health Department since 2008

  • This study presents an innovative method for measuring FV practices using purchase data from a mobile application that allowed us to analyse the links between socioeconomic factors, subjective and objective variables of food environments, spatial- and mobility-related factors, and purchase of FV among participants in disadvantaged neighbourhoods

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Summary

Introduction

Disadvantaged populations are more heavily affected by non-communicable disease in Canada and in other industrialized countries [1,2,3]. They consume fewer fruits and vegetables (FV) [4,5], which is associated with non-communicable diseases such as obesity [6]. They may be more dependent on their immediate surroundings and on public transit for food supplies [7,8,9,10,11,12,13], due to limited financial and material resources (e.g., access to a car). Public Health 2020, 17, 88; doi:10.3390/ijerph17010088 www.mdpi.com/journal/ijerph

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