A multi-level intervention in subsidized housing sites to increase fruit and vegetable access and intake: Rationale, design and methods of the 'Live Well, Viva Bien' cluster randomized trial

BMC Public Health

Volumn 16, Issue 1, 2016, Pages

  Gans, Kim M ^a,b   Gorham, Gemma ^a   Risica, Patricia M ^a   Dulin Keita, Akilah ^a   Dionne, Laura ^a   Gao, Tina ^a   Peters, Sarah ^a   Principato, Ludovica ^c  

^a BROWN UNIVERSITY   (United States)

^b UNIVERSITY OF CONNECTICUT   (United States)

^c SAPIENZA UNIVERSITY OF ROME   (Italy)

Author keywords

Diet; Farmer's market; Food access; Fruit and vegetable; Mobile market; Nutrition education: Low income

Indexed keywords

CATERING SERVICE; CLINICAL TRIAL; CLUSTER ANALYSIS; CONTROLLED STUDY; DIET; FEMALE; FINANCIAL MANAGEMENT; FRUIT; HEALTH EDUCATION; HOUSING; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; MINORITY GROUP; MULTICENTER STUDY; PILOT STUDY; POVERTY; RANDOMIZED CONTROLLED TRIAL; RHODE ISLAND; SUPPLY AND DISTRIBUTION; VEGETABLE;

CLUSTER ANALYSIS; DIET; FEMALE; FINANCING, GOVERNMENT; FOOD SUPPLY; FRUIT; HEALTH EDUCATION; HOUSING; HUMANS; MALE; MIDDLE AGED; MINORITY GROUPS; PILOT PROJECTS; POVERTY; RESEARCH DESIGN; RHODE ISLAND; VEGETABLES;

EID: 84976521917     PISSN: None     EISSN: 14712458     Source Type: Journal    
DOI: 10.1186/s12889-016-3141-7     Document Type: Article

References (108)

1. Hung H-C, Joshipura KJ, Jiang R, Hu FB, Hunter D, Smith-Warner SA, et al. Fruit and vegetable intake and risk of major chronic disease. J Natl Cancer Inst. 2004;96:1577-84.
2. Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, et al. Critical review: vegetables and fruit in the prevention of chronic diseases. Eur J Nutr. 2012;51:637-63.
3. Dauchet L, Amouyel P, Hercberg S, Dallongeville J. Fruit and vegetable consumption and risk of coronary heart disease: a meta-Analysis of cohort studies. J Nutr. 2006;136:2588-93.
4. Hartley L, Igbinedion E, Holmes J, Flowers N, Thorogood M, Clarke A, et al. Increased consumption of fruit and vegetables for the primary prevention of cardiovascular diseases. Cochrane Database Syst Rev. 2013;6:CD009874.
5. Wiseman M. The second World Cancer Research Fund/American Institute for Cancer Research expert report. Food, nutrition, physical activity, and the prevention of cancer: a global perspective. Proc Nutr Soc. 2008;67:253-6.
6. Fung TT, Stampfer MJ, Manson JE, Rexrode KM, Willett WC, Hu FB. Prospective study of major dietary patterns and stroke risk in women. Stroke. 2004;35:2014-9.
7. Sorensen G, Linnan L, Hunt MK. Worksite-based research and initiatives to increase fruit and vegetable consumption. Prev Med (Baltim). 2004;39 Suppl 2:S94-100.
8. Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, et al. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med. 2001;345:790-7.
9. Alinia S, Hels O, Tetens I. The potential association between fruit intake and body weight - a review. Obes Rev. 2009;10:639-47.
10. Ledoux TA, Hingle MD, Baranowski T. Relationship of fruit and vegetable intake with adiposity: a systematic review. Obes Rev. 2011;12:e143-50.
11. National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition and Physical Activity, Centers for Disease Control. Research to Practice Series, No. 1 Can eating fruits and vegetables help people to manage their weight. (1):1-6. [National Center for Chronic Disease Prevention and Health Promotion Division of Nutriti http://www.cdc.gov/nccdphp/dnpa/nutrition/pdf/rtp-practitioner-10-07.pdf ]. Accessed 21 Feb 2016.
12. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. 7th Edition, Washington, DC: U.S. Government Printing Office; 2010.
13. McGuire S. State Indicator Report on Fruits and Vegetables, 2013, Centers for Disease Control and Prevention, Atlanta, GA. Adv Nutr. 2013;4:665-6.
14. Healthy People 2020 [ https://www.healthypeople.gov/ ]. Accessed 21 Feb 2016.
15. Adults Meeting Fruit and Vegetable Intake Recommendations - United States, 2013 [ http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6426a1.htm ]. Accessed 21 Feb 2016.
16. McCormack LA, Laska MN, Larson NI, Story M. Review of the nutritional implications of farmers' markets and community gardens: a call for evaluation and research efforts. J Am Diet Assoc. 2010;110:399-408.
17. Guthrie J, Andrews M, Frazao E, Leibtag E, Lin B-H, Mancino L, Nord M, Prell M, Smallwood D, Variyam J, Ploeg M Ver: Can Food Stamps Do More To Improve Food Choices? An Economic Perspective. Economic Information Bulletin No. (EIB-29). 2007;2.
18. Guenther PM, Juan W, Lino M, Hiza HA, Fungwe TV, Lucas R. Diet Quality of Low-income and Higher-income Americans in 2003-2004 as Measured by the Healthy Eating Index-2005. FASEB J. 2009;23:540. 5.
19. Zenk SN, Schulz AJ, Hollis-Neely T, Campbell RT, Holmes N, Watkins G, et al. Fruit and vegetable intake in African Americans income and store characteristics. Am J Prev Med. 2005;29:1-9.
20. Kamphuis CBM, Giskes K, de Bruijn G-J, Wendel-Vos W, Brug J, van Lenthe FJ. Environmental determinants of fruit and vegetable consumption among adults: a systematic review. Br J Nutr. 2006;96:620-35.
21. Bowman SA. A comparison of the socioeconomic characteristics, dietary practices, and health status of women food shoppers with different food price attitudes. Nutr Res. 2006;26:318-24.
22. Crump SR, Taylor BD, Sung JFC, Burley L, Sheats J, Murphy FG, et al. Dietary intake to reduce cancer risk among African American women in public housing: do sociodemographic factors make a difference? Ethn Dis. 2006;16:963-70.
23. Beydoun MA, Wang Y. Do nutrition knowledge and beliefs modify the association of socio-economic factors and diet quality among US adults? Prev Med (Baltim). 2008;46:145-53.
24. US Department of Health & Human Services. Healthy Food Financing Initiative Projects. HHS-2014-ACF-OCS-EE-0819. Washington (DC): Office of Community Services; Community Economic Development. [ http://www.acf.hhs.gov/grants/open/foa/files/HHS-2014-ACF-OCS-EE-0819-1.pdf ]. Accessed 21 Feb 2016.
25. Drewnowski A, Darmon N. Food choices and diet costs: an economic analysis. J Nutr. 2005;135:900-4.
26. Edmonds J, Baranowski T, Baranowski J, Cullen KW, Myres D. Ecological and socioeconomic correlates of fruit, juice, and vegetable consumption among African-American boys. Prev Med (Baltim). 2001;32:476-81.
27. U.S. Department of Health and Human Services. Healthy People 2010: Understanding and Improving Health. 2nd ed. Washington, DC: U.S. Government Printing Office; 2000. http://www.healthypeople.gov/2010/document/pdf/uih/2010uih.pdf. Accessed10 Apr 2016.
28. Treuhaft S, Karpyn A. The Grocery Gap: Who Has Access to Healthy Food and Why It Matters. Oakl CA PolicyLink Food Trust. 2010;29:473-80.
29. Powell LM, Slater S, Mirtcheva D, Bao Y, Chaloupka FJ. Food store availability and neighborhood characteristics in the United States. Prev Med (Baltim). 2007;44:189-195.
30. Community Health Councils Inc. Does Race Define What's in the Shopping Cart? Community Health & Education Policy Brief;2008. http://www.chc-inc.org/downloads/Shopping%20Cart%20Brief.pdf. Accessed 10 Apr 2016.
31. Bodor JN, Rose D, Farley TA, Swalm C, Scott SK. Neighbourhood fruit and vegetable availability and consumption: the role of small food stores in an urban environment. Public Health Nutr. 2008;11:413-20.
32. Azuma A. Food access in central and south Los Angeles: Mapping injustice, agenda for action. Urban and Environmental Policy Institute; 2007. Retrieved from http://scholar.oxy.edu/uep-faculty/346. Accessed 10 Apr 2016.
33. Franco M, Diez Roux AV, Glass TA, Caballero B, Brancati FL. Neighborhood characteristics and availability of healthy foods in Baltimore. Am J Prev Med. 2008;35:561-7.
34. Glanz K, Sallis JF, Saelens BE, Frank LD. Nutrition Environment Measures Survey in stores (NEMS-S): development and evaluation. Am J Prev Med. 2007;32:282-9.
35. Horowitz CR, Colson KA, Hebert PL, Lancaster K. Barriers to buying healthy foods for people with diabetes: evidence of environmental disparities. Am J Public Health. 2004;94:1549-54.
36. Hosler AS, Varadarajulu D, Ronsani AE, Fredrick BL, Fisher BD. Low-fat milk and high-fiber bread availability in food stores in urban and rural communities. J Public Health Manag Pract. 2006;12:556-62.
37. Jetter KM, Cassady DL. The availability and cost of healthier food alternatives. Am J Prev Med. 2006;30:38-44.
38. Lexington Community Food Assesssment. [ http://cfaky.org/test/wp-content/uploads/2015/03/CommunityFoodAssessmentReport04-07.pdf ]. Accessed 21 Feb 2016.
39. Gordon C, Ghai N, Purciel M, Talwalker A, Goodman A. Eating Well in Harlem: How Available Is Healthy Food? New York, NY: New York City Department of Health and Mental Hygiene; 2007.
40. Alliance CF. Bridging the divide: Growing self-sufficiency in our food supply. Community Food Assessment: A Regional Approach for Food Systems in Louisville, Kentucky, Community Farm Alliance, Louisville, KY. 2007;52.
41. Conroy D, McDavis-Conway S. Healthy Food, Healthy Communities: An Assessment and Scorecard of Community Food Security In the District of Columbia. D.C. Hunger Solutions, Washington, D.C. 2006;1-47.
42. Cassady D, Jetter KM, Culp J. Is price a barrier to eating more fruits and vegetables for low-income families? J Am Diet Assoc. 2007;107:1909-15.
43. Drewnowski A. Obesity and the food environment. Am J Prev Med. 2004;27:154-62.
44. Glanz K, Hoelscher D. Increasing fruit and vegetable intake by changing environments, policy and pricing: restaurant-based research, strategies, and recommendations. Prev Med (Baltim). 2004;39 Suppl 2:S88-93.
45. Caldwell EM, Miller Kobayashi M, DuBow WM, Wytinck SM. Perceived access to fruits and vegetables associated with increased consumption. Public Health Nutr. 2009;12:1743-50.
46. Haynes-Maslow L, Parsons SE, Wheeler SB, Leone LA. A qualitative study of perceived barriers to fruit and vegetable consumption among low-income populations, North Carolina, 2011. Prev Chronic Dis. 2013;10:E34.
47. Lucan SC, Barg FK, Long JA. Promoters and barriers to fruit, vegetable, and fast-food consumption among Urban, lowincome African Americans-A qualitative approach. Am J Public Health. 2010;100:631-5.
48. Appleton KM, McGill R, Neville C, Woodside JV. Barriers to increasing fruit and vegetable intakes in the older population of Northern Ireland: low levels of liking and low awareness of current recommendations. Public Health Nutr. 2010;13:514-21.
49. Zepeda L, Reznickova A, Lohr L. Overcoming challenges to effectiveness of mobile markets in US food deserts. Appetite. 2014;79:58-67.
50. Dye CJ, Cason KL. Perceptions of older, low-income women about increasing intake of fruits and vegetables. J Nutr Elder. 2005;25:21-41.
51. Treiman K, Freimuth V, Damron D, Lasswell A, Anliker J, Havas S, et al. Attitudes and Behaviors Related to Fruits and Vegetables among Low-income Women in the WIC Program. J Nutr Educ. 1996;28:149-56.
52. Anderson AS, Cox DN, McKellar S, Reynolds J, Lean ME, Mela DJ. Take Five, a nutrition education intervention to increase fruit and vegetable intakes: impact on attitudes towards dietary change. Br J Nutr. 1998;80:133-40.
53. Eikenberry N, Smith C. Healthful eating: perceptions, motivations, barriers, and promoters in low-income Minnesota communities. J Am Diet Assoc. 2004;104:1158-61.
54. Gibson EL, Wardle J, Watts CJ. Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite. 1998;31:205-28.
55. Steptoe A, Perkins-Porras L, Rink E, Hilton S, Cappuccio FP. Psychological and social predictors of changes in fruit and vegetable consumption over 12 months following behavioral and nutrition education counseling. Health Psychol. 2004;23:574-81.
56. Henry H, Reimer K, Smith C, Reicks M. Associations of decisional balance, processes of change, and self-efficacy with stages of change for increased fruit and vegetable intake among low-income, African-American mothers. J Am Diet Assoc. 2006;106:841-9.
57. Promoting Healthy Eating and Physical Activity for a Healthier Nation. [ http://www.cdc.gov/healthyyouth/publications/pdf/pp-ch7.pdf ]. Accessed 21 Feb 2016.
58. Booth SL, Sallis JF, Ritenbaugh C, Hill JO, Birch LL, Frank LD, et al. Environmental and societal factors affect food choice and physical activity: rationale, influences, and leverage points. Nutr Rev. 2001;59(3 Pt 2):S21-39. discussion S57-65.
59. Seymour JD, Yaroch AL, Serdula M, Blanck HM, Khan LK. Impact of nutrition environmental interventions on point-of-purchase behavior in adults: a review. Prev Med (Baltim). 2004;39 Suppl 2:S108-36.
60. Calancie L, Leeman J, Jilcott Pitts SB, Khan LK, Fleischhacker S, Evenson KR, et al. Nutrition-related policy and environmental strategies to prevent obesity in rural communities: a systematic review of the literature, 2002-2013. Prev Chronic Dis. 2015;12:E57.
61. Larsen K, Gilliland J. A farmers' market in a food desert: Evaluating impacts on the price and availability of healthy food. Health Place. 2009;15:1158-62.
62. Payne GH, Wethington H, Olsho L, Jernigan J, Farris R, Walker DK. Implementing a farmers' market incentive program: perspectives on the New York City Health Bucks Program. Prev Chronic Dis. 2013;10:E145.
63. The National Mobile Market. [ http://www.nationalmobilemarket.org ]. Accessed 21 Feb 2016.
64. Huang TT, Drewnosksi A, Kumanyika S, Glass TA. A systems-oriented multilevel framework for addressing obesity in the 21st century. Prev Chronic Dis. 2009;6:A82.
65. Fitzgerald N, Spaccarotella K. Barriers to a Healthy Lifestyle: From Individuals to Public Policy - An Ecological Perspective. J Ext. 2009;47:1-8.
66. Dibsdall LA, Lambert N, Bobbin RF, Frewer LJ. Low-income consumers' attitudes and behaviour towards access, availability and motivation to eat fruit and vegetables. Public Health Nutr. 2003;6:159-68.
67. Krueger R. Focus Groups: A Practial Guide for Applied Research. 2nd ed. Thousand Oaks, CA: SAGE Publications; 1994.
68. Sallis JF, Owen N. Ecological Models of Health behavior. In: Glanz K, Rimer B, Lewis F, editors. Health Behavior and Health Education: theory, research, and practice. 3rd ed. San Francisco: Jossey-Bass; 2002. p. 462-84.
69. Stokols D. Translating social ecological theory into guidelines for community health promotion. Am J Health Promot. 1996;10:282-98.
70. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351-77.
71. Baranowski T, Perry CL PG. How Individuals, environments, and health behaviors interact: social cognitive theory. In: Glanz K, Lewis FM RB, editors. Health Behavior and Health Education: Theory, Research and Practice. San Francisco, CA: Jossey-Bass; 2002. p. 246-70.
72. Bandura A. Social Foundations of Thought and Action: A Social Cognitive Theory. New Jersey: Prentice-Hall; Englewood Cliffs; 1986.
73. Bandura A. Human agency in social cognitive theory. Am Psychol. 1989;44:1175-84.
74. Gorham G, Dulin-Keita A, Risica PM, Mello J, Papandonatos G, Nunn A, et al. Effectiveness of Fresh to You, a Discount Fresh Fruit and Vegetable Market in Low-Income Neighborhoods, on Children's Fruit and Vegetable Consumption, Rhode Island, 2010-2011. Prev Chronic Dis. 2015;12:E176.
75. Yaroch AL, Tooze J, Thompson FE, Blanck HM, Thompson OM, Colón-Ramos U, et al. Evaluation of three short dietary instruments to assess fruit and vegetable intake: the National Cancer Institute's food attitudes and behaviors survey. J Acad Nutr Diet. 2012;112:1570-7.
76. Subar AF, Thompson FE, Kipnis V, Midthune D, Hurwitz P, McNutt S, et al. Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires: the Eating at America's Table Study. Am J Epidemiol. 2001;154:1089-99.
77. Quan T, Salomon J, Nitzke S, Reicks M. Behaviors of low-income mothers related to fruit and vegetable consumption. J Am Diet Assoc. 2000;100:567-70.
78. Satia JA, Kristal AR, Patterson RE, Neuhouser ML, Trudeau E. Psychosocial factors and dietary habits associated with vegetable consumption. Nutrition. 2002;18:247-54.
79. Stables GJ, Subar AF, Patterson BH, Dodd K, Heimendinger J, Van Duyn MAS, et al. Changes in vegetable and fruit consumption and awareness among US adults: results of the 1991 and 1997 5 A Day for Better Health Program surveys. J Am Diet Assoc. 2002;102:809-17.
80. Thompson OM, Yaroch AL, Moser RP, Finney Rutten LJ, Petrelli JM, Smith-Warner SA, et al. Knowledge of and Adherence to Fruit and Vegetable Recommendations and Intakes: Results of the 2003 Health Information National Trends Survey. J Health Commun. 2011;16:328-40.
81. Shaikh AR, Yaroch AL, Nebeling L, Yeh M-C, Resnicow K. Psychosocial predictors of fruit and vegetable consumption in adults a review of the literature. Am J Prev Med. 2008;34:535-43.
82. Gattshall ML, Shoup JA, Marshall JA, Crane LA, Estabrooks PA. Validation of a survey instrument to assess home environments for physical activity and healthy eating in overweight children. Int J Behav Nutr Phys Act. 2008;5:3.
83. Steptoe A, Wijetunge S, Doherty S, Wardle J. Stages of change for dietary fat reduction: associations with food intake, decisional balance and motives for food choice. Health Educ J. 1996;55:108-22.
84. Wolf RL, Lepore SJ, Vandergrift JL, Wetmore-Arkader L, McGinty E, Pietrzak G, et al. Knowledge, barriers, and stage of change as correlates of fruit and vegetable consumption among urban and mostly immigrant black men. J Am Diet Assoc. 2008;108:1315-22.
85. Harnack L, Block G, Subar A, Lane S, Brand R. Association of cancer prevention-related nutrition knowledge, beliefs, and attitudes to cancer prevention dietary behavior. J Am Diet Assoc. 1997;97:957-65.
86. Havas S, Treiman K, Langenberg P, Ballesteros M, Anliker J, Damron D, et al. Factors associated with fruit and vegetable consumption among women participating in WIC. J Am Diet Assoc. 1998;98:1141-8.
87. Townsend MS, Kaiser LL. Development of a tool to assess psychosocial indicators of fruit and vegetable intake for 2 federal programs. J Nutr Educ Behav. 2005;37:170-84.
88. Townsend MS, Kaiser LL. Brief psychosocial fruit and vegetable tool is sensitive for the US Department of Agriculture's Nutrition Education Programs. J Am Diet Assoc. 2007;107:2120-4.
89. Campbell MK, Reynolds KD, Havas S, Curry S, Bishop D, Nicklas T, et al. Stages of change for increasing fruit and vegetable consumption among adults and young adults participating in the national 5-A-Day for Better Health community studies. Health Educ Behav. 1999;26:513-34.
90. Block G, Wakimoto P, Metz D, Fujii ML, Feldman N, Mandel R, et al. A randomized trial of the Little by Little CD-ROM: demonstrated effectiveness in increasing fruit and vegetable intake in a low-income population. Prev Chronic Dis. 2004;1:A08.
91. Prochaska JO, DiClemente CC. Self change processes, self efficacy and decisional balance across five stages of smoking cessation. Prog Clin Biol Res. 1984;156:131-40.
92. Rhee KE, De Lago CW, Arscott-Mills T, Mehta SD, Davis RK. Factors associated with parental readiness to make changes for overweight children. Pediatrics. 2005;116:e94-101.
93. Langenberg P, Ballesteros M, Feldman R, Damron D, Anliker J, Havas S. Psychosocial factors and intervention-Associated changes in those factors as correlates of change in fruit and vegetable consumption in the Maryland WIC 5 A Day Promotion Program. Ann Behav Med. 2000;22:307-15.
94. Freedman DA, Choi SK, Hurley T, Anadu E, Hébert JR. A farmers' market at a federally qualified health center improves fruit and vegetable intake among low-income diabetics. Prev Med (Baltim). 2013;56:288-92.
95. Abusabha R, Namjoshi D, Klein A. Increasing access and affordability of produce improves perceived consumption of vegetables in low-income seniors. J Am Diet Assoc. 2011;111:1549-55.
96. Evans AE, Jennings R, Smiley AW, Medina JL, Sharma SV, Rutledge R, et al. Introduction of farm stands in low-income communities increases fruit and vegetable among community residents. Health Place. 2012;18:1137-43.
97. Jilcott Pitts SB, Wu Q, McGuirt JT, Crawford TW, Keyserling TC, Ammerman AS. Associations between access to farmers' markets and supermarkets, shopping patterns, fruit and vegetable consumption and health indicators among women of reproductive age in eastern North Carolina, U.S.A. Public Health Nutr. 2013;16:1944-52.
98. Herman DR, Harrison GG, Afifi AA, Jenks E. Effect of a targeted subsidy on intake of fruits and vegetables among low-income women in the Special Supplemental Nutrition Program for Women, Infants, and Children. Am J Public Health. 2008;98:98-105.
99. Anderson JV, Bybee DI, Brown RM, McLean DF, Garcia EM, Breer ML, et al. 5 a day fruit and vegetable intervention improves consumption in a low income population. J Am Diet Assoc. 2001;101:195-202.
100. Sifferlin A. Can "pop-up" grocery stores solve the problem of food deserts? Time 2012 (July 24)[ http://healthland.time.com/2012/07/24/can-pop-up-grocery-stores-solve-the-problem-of-food-deserts ]
101. Widener MJ, Metcalf SS, Bar-Yam Y. Agent-based modeling of policies to improve urban food access for low-income populations. Appl Geogr. 2013;40:1-10.
102. Widener MJ, Metcalf SS, Bar-Yam Y. Developing a mobile produce distribution system for low-income urban residents in food deserts. J Urban Health. 2012;89:733-45.
103. Tester J, Yen I, Laraia B. Using Mobile Fruit Vendors to Increase Access to Fresh Fruit and Vegetables for Schoolchildren. Prev Chronic Dis. 2012;9(October 2008):1-5.
104. Population Health Implications of the Affordable Care Act: Workshop Summary. Roundtable on Population Health Improvement;Board on Population Health and Public Health Practice; Institute of Medicine. Washington (DC): National Academies Press (US); 2014. http://www.nationalacademies.org/hmd/Reports/2013/Population-Health-Implications-of-the-Affordable-Care-Act.aspx. Accessed 21 Feb 2016.
105. Trust for America's Health. Partner With Nonprofit Hospitals to Maximize Community Benefit Programs' Impact on Prevention; 2013. http://healthyamericans.org/assets/files/Partner%20With%20Nonprofit%20Hospitals04. Accessed 10 Apr 2016.
106. Compilation of Patient Protection and Affordable Care Act. Public Law 111-148; 2010. http://housedocs.house.gov/energycommerce/ppacacon.pdf. Accessed 10 Apr 2016.
107. Health Care Without Harm. Utilization of Community Benefits to Improve Healthy Food Access in Massachusetts. Reston, VA: Health CareWithout Harm; 2015. http://www.wholesomewave.org/wp-content/uploads/2015/02/Utilization-of-Community-Benefits-to-Improve-Healthy-Food-Access-in-Massachusetts-FINAL.pdf.
108. Fair Food Network: Double Up Food Bucks a Five-Year Success Story. [ http://www.fairfoodnetwork.org/sites/default/files/FFN-DoubleUpFoodBucks-5YearReport.pdf ]. Accessed 21 Feb 2016.