Fresh fruit and vegetable consumption : the impact of access and value

The goal of this paper is to leverage household-level data to improve food-related policies aimed atincreasing the consumption of fruits and vegetables (FVs) among low-income households. Currently, several interventions target areas where residents have limited physical access to grocery stores, many focusing directly on increasing their access to healthy food. However, despite growing attention being placed on access at both federal and local levels, there is surprisingly little agreement about the efficacy of these interventions, due in part to the observational nature of most data, and lack of understanding of causal mechanisms and effect heterogeneity. The paper leverages the USDA’s FoodAPS dataset, employing the technique of matching to estimate the effect of food stamp recipient households’ access to grocery stores and value of nutrition—the extent to which a household values healthy eating—on FV spending. The analysis finds that access impacts a household’s FV spending by affecting shopping frequency, but only among households with a low value of nutrition and at distances of less than 1 mile. Value of nutrition impacts FV spending through both changes in food choices and shopping frequency, primarily among households with poor access. These findings can be used to inform more targeted and effective policy interventions