Population health impact and cost-effectiveness of community-supported agriculture among low-income US adults: A microsimulation analysis

Urban Farm DB summary

This study estimated the population-level effectiveness and cost-effectiveness of a subsidized community-supported agriculture (CSA) intervention in the United States. A microsimulation model developed in 2019 utilized national demographic, biomedical, and dietary data (NHANES, 2013-2016) and a randomized trial (Massachusetts, 2017-2018). Two interventions were modeled: an unconditional cash transfer ($300/year) and a subsidized CSA ($300/year subsidy), both of which were shown to reduce discounted disability-adjusted life years (DALYs) for cardiovascular disease and diabetes complications. Both interventions had negative incremental cost-effectiveness ratios, implying cost savings to society.