Community contexts and individual challenges of food access in a New Orleans food desert

Title: Community contexts and individual challenges of food access in a New Orleans food desert

Introduction: An increasing number of studies are pointing out that spatial proximity to food outlets does not necessarily increase food access. This study examined other contextual determinants of access through operation of a free produce program in collaboration with an alternative market in a New Orleans food desert.

Methods: Low-income and African American residents (N=31) of a food desert neighborhood were enrolled in a six week, quasi-experimental free produce program. For 3 weeks each, participants received either a home-delivered produce box or a $25 voucher for shopping at the farmer's market. Surveys were conducted prior to, during, and after the program to assess food shopping and consumption behaviors and reactions to the market.

Results: There was a lack of knowledge about the market among participants prior to the study, despite its continued operation for three years in their neighborhood. Participants with resources were more likely to shop for groceries away from the neighborhood. Some of the senior citizens had a difficult time reaching the market, even though it was relatively close. Younger families experienced more difficulties with continued study participation.

Discussion: These findings suggest that food access interventions should consider identification of those who are most “at risk” within food deserts, and more importantly what impediments hinder their access. Addressing non-food related social and physical infrastructure issues could improve the effectiveness of food-based interventions, and provide a more nuanced approach to dealing with food deserts.