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      Could EBT Machines Increase Fruit and Vegetable Purchases at New York City Green Carts?

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          Abstract

          Introduction

          Residents of some low-income neighborhoods have limited access to fresh fruits and vegetables. In 2008, New York City issued new mobile fruit and vegetable cart licenses for neighborhoods with inadequate availability of fresh produce. Some of these carts were equipped with electronic benefit transfer (EBT) machines, allowing them to accept Supplemental Nutrition Assistance Program (SNAP) benefits. This article examines the association between type and quantities of fruits and vegetables purchased from mobile fruit and vegetable vendors and consumer characteristics, including payment method.

          Methods

          Customers at 4 produce carts in the Bronx, New York, were surveyed during 3 periods in 2013 and 2014. Survey data, including purchased fruit and vegetable quantities, were analyzed using multivariable negative binomial regressions, with payment method (cash only vs EBT or EBT and cash) as the primary independent variable. Covariates included availability of EBT, vendor, and customer sociodemographic characteristics.

          Results

          A total of 779 adults participated in this study. Shoppers who used SNAP benefits purchased an average of 5.4 more cup equivalents of fruits and vegetables than did shoppers who paid with cash. Approximately 80% of this difference was due to higher quantities of purchased fruits.

          Conclusion

          Expanding access to EBT machines at mobile produce carts may increase purchases of fruits and vegetables from these vendors.

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          Most cited references5

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          Adult Intake of Minimally Processed Fruits and Vegetables: Associations with Cardiometabolic Disease Risk Factors.

          The US Department of Agriculture launched ChooseMyPlate.gov nutrition recommendations designed to encourage increased fruit and vegetable intake, in part, as a strategy for improving weight control through the consumption of high-satiation foods.
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            Green Carts (mobile produce vendors) in the Bronx--optimally positioned to meet neighborhood fruit-and-vegetable needs?

            Poor access to fresh produce likely contributes to disparities in obesity and diet-related diseases in the Bronx. New York City's Green Cart program is a partial response to the problem. We evaluated this program (permitting street vendors to sell fresh produce) by canvassing the Bronx for carts, interviewing vendors, and analyzing their locations and food offerings. Green Carts were clustered in areas of probable high pedestrian traffic, covering only about 57% of needy areas by liberal estimates. Some carts sold outside allowed boundaries; a few sold sugary snacks. Vendor locations and their food offerings suggest possible areas for program improvement.
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              Is Open Access

              Evaluation of the Placement of Mobile Fruit and Vegetable Vendors to Alleviate Food Deserts in New York City

              Introduction In 2008, the New York City (NYC) health department licensed special mobile produce vendors (Green Carts) to increase access to fruits and vegetables in neighborhoods with the lowest reported fruit and vegetable consumption and the highest obesity rates. Because economic incentives may push vendors to locate in more trafficked, less produce-deprived areas, we examined characteristics of areas with and without Green Carts to explore whether Carts are positioned to reach the intended populations. Methods Using ArcGIS software, we mapped known NYC Green Cart locations noted through 2013 and generated a list of potential (candidate) sites where Carts could have located. We compared the food environment (via categorizing “healthy” or “unhealthy” food stores using federal classification codes corroborated by online storefront images) and other factors that might explain Cart location (eg, demographic, business, neighborhood characteristics) near actual and candidate sites descriptively and inferentially. Results Seven percent of Green Carts (n = 265) were in food deserts (no healthy stores within one-quarter mile) compared with 36% of candidate sites (n = 644, P < .001). Most Carts (78%) were near 2 or more healthy stores. Green Carts had nearly 60 times the odds of locating near subway stops (P < .001), were closer to large employers (odds ratio [OR], 6.4; P < .001), other food stores (OR, 14.1; P < .001), and in more populous tracts (OR, 2.9, P <.01) compared with candidate sites. Conclusion Green Carts were rarely in food deserts and usually had multiple healthy stores nearby, suggesting that Carts may not be serving the neediest neighborhoods. Exploration of Carts’ benefits in non–food desert areas is needed, but incentivizing vendors to locate in still-deprived places may increase program impact.
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                Author and article information

                Journal
                Prev Chronic Dis
                Prev Chronic Dis
                PCD
                Preventing Chronic Disease
                Centers for Disease Control and Prevention
                1545-1151
                2017
                21 September 2017
                : 14
                : E83
                Affiliations
                [1 ]New York University Robert F. Wagner School of Public Service, New York, New York
                [2 ]New York University School of Medicine, New York, New York
                Author notes
                Corresponding Author: Brian Elbel, PhD, MPH, New York University School of Medicine, 550 First Ave, VZ30 626, New York NY 10016. Telephone: 212-263-4283. Email: brian.elbel@ 123456nyumc.org .
                Article
                17_0104
                10.5888/pcd14.170104
                5609498
                28934080
                3ff5db18-969e-4e28-b85c-6a92ed673d43
                History
                Categories
                Original Research
                Peer Reviewed

                Health & Social care
                Health & Social care

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