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Background: To encourage the consumption of more fresh fruits and vegetables, the 2014 United Sates Farm Billallocated funds to the Double Up Food Bucks Program. This program provided Supplemental Nutrition Assistance Program beneficiaries who spent $10 on fresh fruits and vegetables, in one transaction, with a $10 gift card exclusively for Michigan grown fresh fruits and vegetables. This study analyzes how fruit and vegetable expenditures, expenditure shares, variety and purchase decisions were affected by the initiation and conclusion, as well as any persistent effects of the program.
Methods: Changes in fruit and vegetable purchase behaviors due to Double Up Food Bucks in a supermarket servinga low-income, predominantly Hispanic community in Detroit, Michigan were evaluated using a difference in differencefixed effects estimation strategy.Results: We find that the Double Up Food Bucks program increased vegetable expenditures, fruit and vegetableexpenditure shares, and variety of fruits and vegetables purchased but the effects were modest and not sustainablewithout the financial incentive. Fruit expenditures and the fruit and vegetable purchase decision were unaffected bythe program.
Conclusions: This study provides valuable insight on how a nutrition program influences a low-income, urban,Hispanic community’s fruit and vegetable purchase behavior. Policy recommendations include either removing orlowering the purchase hurdle for incentive eligibility and dropping the Michigan grown requirement to better alignwith the customers’ preferences for fresh fruits and vegetables.
Keywords: Fruits and vegetables, Program evaluation, Detroit, Scanner data, Supplemental nutrition assistance program
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