Social Determinants of Health: Fruit and Vegetable Incentive Programs

Community Preventive Service Task Force (CPSTF) (2023)

CPSTF - doi.org/10.15620/cdc/168585

Ewch i'r cyhoeddiad

Mapiau Tystiolaeth

• Lleoliadau Gofal: Amgylchedd bwyd masnachol
• Lleoliadau Gofal: Polisi Cenedlaethol, Rhanbarthol neu Leol
• Grwpiau Poblogaeth: Statws economaidd-gymdeithasol isel
• Grwpiau Poblogaeth: Oedolion â deiet gwael
• Ymyriadau: Polisi/Amgylcheddol: Trethiant a chymorthdaliadau
• Ymyriadau: Mewnbersonol/ Rhyngbersonol: Darpariaeth bwyd
• Canlyniad: Cymeriant diodydd wedi'u melysu â siwgr
• Canlyniad: Bwyta’n Iach: bwydydd â siwgr wedi'i ychwanegu
• Canlyniad: Bwyta’n Iach: Cymeriant ffrwythau a llysiau
• Canlyniad: Bwyta’n Iach: Ansawdd deiet cyfan

Math o Dystiolaeth

Arweiniad

Trosolwg

Mae'r adolygiad systematig, sy'n sail i'r argymhelliad hwn gan CPSTF, yn rhoi tystiolaeth ar y pwnc canlynol:

• "Fruit and vegetable incentive (FVI) programs offer people financial incentives to purchase fruits and vegetables. These programs aim to improve affordability and access to fruits and vegetables for participants with lower incomes. Examples include produce prescriptions, bonus dollars, market bucks, produce coupons, and nutrition incentives. People can use incentives to help pay for fruits and vegetables at a range of venues, including farmers markets, mobile markets, or grocery stores. Incentive models may include:
  • Point-of-sale discounts (i.e., percentage off regular price)
  • Rebates (i.e., cash back for future purchases)
  • Matches (i.e., money tied to the dollar amount spent)
  • Subsidies (i.e., a fixed amount of money available to purchase fruits and vegetables)
• "Programs may be implemented by community-based organizations; local, state, territorial, or tribal governments; or health systems. Programs may also offer participants nutrition education, such as cooking lessons or demonstrations."
• "Fruit and vegetable incentive programs are expected to improve health equity across the United States by improving affordability and access to healthier foods for households with lower incomes."

Gwladwriaeth yr awdur:

• "The CPSTF recommendation is based on evidence from a systematic review of 30 studies conducted in the US."

• "Evidence from the included studies showed FVI programs reduced household food insecurity and improved fruit and vegetable consumption."

• "Studies did not show consistent and meaningful improvement in overall diet quality, blood pressure, or body mass index. There were not enough studies to determine whether FVI programs affected sugar sweetened beverage consumption, self-reported health, or cholesterol"

• "The CPSTF finding is applicable to participants with lower incomes."

Argymhellion

Gan ystyried tystiolaeth a mewnbwn rhanddeiliaid, mae'r CPSTF yn argymell:

"The Community Preventive Services Task Force recommends FVI programs for households with lower incomes based on strong evidence of effectiveness in reducing household food insecurity and increasing household fruit and vegetable consumption."