Preliminary effectiveness of a food pantry-led community-supported agriculture program in the USA: a quasi-experimental pilot study

Urban Farm DB summary

A quasi-experimental pilot study with 3-month follow-up assessed a food pantry-led, subsidized community-supported agriculture (CSA) program called Farm Share in New York City. Farm Share provided biweekly bags of about 25 pounds of fresh produce at $5 per bag; control participants were recruited from a comparable food pantry without CSA (Farm Share n=54, control n=69), predominantly Hispanic/Latino, Black or African American, foreign-born, female and with a high school education or lower. Retention at follow-up was 65.0% (Farm Share n=33, control n=47). Skin carotenoids increased by 12 points in the Farm Share group relative to control, adjusted for smoking status, age, sex and birthplace (P=0.005), but total Healthy Eating Index (HEI) declined by 6.3 points (P=0.031) and the saturated fats HEI component declined by 1.1 point (P=0.027) in the Farm Share group. Improvements in fruit and vegetable intake (P=0.25) and food security (P=0.16) were not statistically significant.