title: Increasing Community Access to Fresh Fruits and Vegetables: A Case Study of the Farm Fresh Market Pilot Program in Cobb County, Georgia, 2014.
abstract: BACKGROUND
  Ecological models of health suggest that to effectively prevent chronic disease, community food environments must support healthy eating behaviors. However, disparities in access to healthy foods persist in the United States.
  
  
  OBJECTIVE
  The Farm Fresh Market (FFM) was a fruit and vegetable market that sold low-cost fresh produce in Cobb County, Georgia in 2014.
  
  
  METHODS
  This case study describes the development of the FFM through a community engagement process and presents evaluation results from the project's pilot implementation. Community engagement strategies included forming a community advisory board, conducting a needs assessment, and contracting with a community-based organization to implement the FFM.
  
  
  RESULTS
  In the pilot year, the FFM served an average of 28.7 customers and generated an average of $140.20 in produce sales per market day. Most returning customers lived in the local community and reported a range of socioeconomic backgrounds. Most returning customers strongly agreed that the FFM made it easier (69.0%) and less expensive (79.0%) for them to buy fresh fruits and vegetables, reported that they ate more vegetables (65.0%) and fruit (55.0%) as a result of the FFM, and reported that they were very satisfied with the FFM overall (92.0%).
  
  
  CONCLUSIONS
  Results from this community case study underscore the importance of engaging communities in the development of community food environment interventions. Results also suggest that the FFM initiative was a feasible and acceptable way to respond to the community-identified public health priority of increasing access to healthy foods.
authors.affiliation: Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA 30322. Email: rwoodr2@emory.edu.
authors.forename: Rebecca C
authors.initials: RC
authors.lastname: Woodruff
authors.affiliation: Cobb and Douglas Public Health, Marietta, Georgia.
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Coleman
authors.affiliation: Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia.
authors.forename: April K
authors.initials: AK
authors.lastname: Hermstad
authors.affiliation: Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia.
authors.forename: Sally
authors.initials: S
authors.lastname: Honeycutt
authors.affiliation: Cobb and Douglas Public Health, Marietta, Georgia.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Munoz
authors.affiliation: McCleskey-East Cobb Family YMCA, Marietta, Georgia.
authors.forename: Lorna
authors.initials: L
authors.lastname: Loh
authors.affiliation: Cobb and Douglas Public Health, Marietta, Georgia.
authors.forename: Agnes F
authors.initials: AF
authors.lastname: Brown
authors.affiliation: McCleskey-East Cobb Family YMCA, Marietta, Georgia.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Shipley
authors.affiliation: Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia.
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Kegler
mesh_terms: D000383:Agriculture; D005523:Food Supply / Q000191:economics*; D005638:Fruit / Q000191:economics*; D005845:Georgia; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D012111:Residence Characteristics; D014675:Vegetables / Q000191:economics*