J Community Health DOI 10.1007/s10900-011-9479-y ORIGINAL PAPER The Role of Farmers’ Markets in Two Low Income, Urban Communities Valerie Ruelas • Ellen Iverson • Preston Kiekel Anne Peters • Springer Science+Business Media, LLC 2011 Abstract To collect consumer demographics, utilization, satisfaction, and eating and physical activity behavior information from customers using two newly established farmers’ markets in low income urban communities in East and South Los Angeles. From April 1, 2007 through June 3, 2009, farmers’ market customers completed a short, anonymous survey. The data analysis included a descriptive analysis of key variables and examined the number of new and repeat customers over time to track the rate of farmers’ market use over time. Setting: The East Los Angeles Farmers’ Market and the Watts Healthy Farmers’ Market. Subjects: 415 farmers’ market customers from East Los Angeles and 1,374 from South Los Angeles. The demographic profile of farmers’ market consumers were primarily Latina women earning less than $22,000 per year with less than 12 years of education who reported some level of food insecurity. Most customers lived within 4 miles of the markets with repeat customers shopping twice a month or more. Overall, customers reported high satisfaction with the farmers’ markets in each community and the majority reported positive changes in physical activity and eating behaviors since using the market. Many consumers reported they wanted to see additional items sold at the market, including prepared foods, non-food items and V. Ruelas (&) E. Iverson P. Kiekel Division of Adolescent Medicine, Childrens Hospital Los Angeles, Keck School of Medicine of the University of Southern California, 4650 Sunset Blvd., Mailstop #2, Los Angeles, CA 90027, USA e-mail: [email protected] A. Peters Department of Medicine–Endocrinology, Keck School of Medicine, University of Southern California, 245 S. Fetterly Ave Room 2040, Los Angeles, CA 90022, USA other products not allowed to be sold at certified farmers’ markets. Keywords Farmers’ market Food access Low-income community Poverty Introduction In the United States, two-thirds of adults and nearly one in three children are overweight or obese [11, 26]. In addition, obesity disproportionately affects many racial and ethnic groups and geographic regions of the United States [8]. According to the Surgeon General, several factors play a role in the causes of overweight and obesity including; consuming too many calories and not getting enough physical activity, genes, metabolism, behavior, environment, and culture [29]. Overweight and obesity are related to the development of other chronic health conditions and are a significant economic burden. In the County of Los Angeles, California, a megacity of over 10 million residents and larger than 42 states [34], 36% of the Los Angeles County’s adult population was overweight (BMI = 25–29.9) and 22% was obese (BMI C 30) [24]. In lower income communities in the county where the population is predominantly African American and/or Latino, the rates of overweight and obesity were as high as 38% and 35% respectively [24]. As with obesity, low intake of foods such as fruits, vegetables, whole grains, and low-fat milk have been associated with diseases such as coronary heart disease, cancer, stroke, diabetes, hypertension, and osteoporosis [5, 13, 14]. Unfortunately, from 1999 to 2000, 90% of Americans did not meet the dietary recommendations for fruit and vegetable consumption [4]. Results from the 2007 Los Angeles County Health Survey indicated that only 123 J Community Health 15% of adults county-wide ate the recommended fruit and vegetables ranging from 23% in the highest income area to 13% in the lowest income area in the region [25]. Inability to adhere to the recommended consumption of fruits and vegetables in low income communities is likely exacerbated by evidence that these communities have far less access to quality fresh fruits and vegetables than wealthier communities [3, 15]. It has been well documented that, in the past 30 years, full service grocery venues have migrated away from low income, inner city communities, favoring the greater promise of revenues from wealthier urban or suburban areas referred to as ‘‘grocery redlining’’ [21, 22]. Studies have suggested that this ‘‘grocery redling’’ contributed to the creation of ‘‘food deserts,’’ communities with limited or no access to full service grocery stores, communities which have also been found to be associated with disproportinately higher grocery prices and residents’ disproportionally poorer health, nutritional status and higher rates of obesity [17, 27, 33]. Although the term ‘‘food desert’’ often means a literal absence of retail food in a defined area, it can also be defined as a differential in accessibility to healthy and affordable food between socio-economically advantaged and disadvantaged areas [6]. Studies suggest that access to alternative sources of fresh produce such as famers’ markets might help to mitigate the impact of healthy food disparities by both lowering the cost of produce in these ‘food deserts’ and improving access to healthy food choices [1, 19]. Excessively high rates of obesity and diabetes in low income communities have stimulated public health research, advocacy and policy efforts to develop approaches to improve access to affordable, healthy food choices, including efforts to overcome the barriers to access farmers’ markets [12]. Farmers’ markets, seen as one approach to bringing produce to communities, have proliferated in recent years, though their availability to low income communities remains limited [28, 35]. According to the United States Department of Agriculture (USDA), as of mid-2010, voluntary reporting from farmers’ market managers showed there were 6,132 farmers’ markets operating throughout the US a 16% increase from 2009 [32]. The USDA’s national farmer’s market search engine results do not track the socio-economic characteristics of communities in which a market is located, however, using acceptance of food assistance programs as a proxy, a search can be refined to identify markets excepting federal food assistance programs as a form of payment (e.g., Supplemental Nutrition Assistance Program (SNAP) or Women, Infant and Children (WIC) farmers’ market vouchers). After refining the search to list markets accepting federal food assistance programs, the number of markets decreased dramatically to 256 markets nation-wide, only 4% of the total voluntarily 123 reported markets in operation [32]. Some have argued that significant economic and structural obstacles inhibit both vendors selling goods and consumers utilizing markets in underserved communities [10]. To our knowledge, there is scant data on characteristics of farmers’ market customers in general and in low income communities, in particular. Most evaluations of farmers’ markets have been focused on the economic impact of markets on communities and on grocery spending and appear to be driven by interest in the impact on policy, not public health [7]. Evidence from these studies suggest that farmers’ markets stimulate spending at local business and are job-generating [7, 31]. In low income communities, the introduction of farmers’ markets has been shown to stimulate competition and lower the price of food sold at local grocery venues [19]. Until recently, few studies have examined the characteristics of farmers’ market shoppers and, to our knowledge, none have examined characteristics of shoppers in very low income, minority communities in which farmers’ markets are introduced. Bader’s study of access to grocery venues in New York suggest that farmers and store-front produce stores available in distressed communities are more likely to be frequented by immigrant, Hispanic and Asian populations rather than African American residents [2]. Zepeda and her colleagues offer an intriguing portrait of US farmers’ market shoppers suggesting that, compared to shoppers who do not utilize local farmers’ market, farmers’ market consumers are more likely to enjoy cooking at home, purchase food motivated more by interest in nutrition than cost and likely to have someone in their household with special dietary or health needs. While these characteristics were shared across levels of race, education and age, these samples were collected in communities in which farmers’ markets are available. As few markets are available in underserved communities, her sample under-represents non-white consumers, consumers with less than college education and those with very low incomes (i.e., \$15,000 annual) and over-represents families making over $45,000 a year [35]. This paper reports findings from research conducted as part of the Community Diabetes Initiative (CDI), a community participatory research initiative which examined key factors and behavior related to obesity and diabetes in East Los Angeles (East LA) and South Los Angeles (South LA), two low-income Los Angeles area communities that are predominantly Latino and African American. These communities additionally have disproportionately high rates of diabetes, obesity, food insecurity, physical inactivity, low fruit and vegetable consumption and few options to purchase fresh produce [16, 24, 25]. In the planning phase of the CDI, community members identified the lack of good quality affordable produce as a key barrier to eating healthy meals and expressed the desire to have J Community Health farmers’ markets in their communities. Subsequently, CDI staff, community agencies, local advocates, politicians, and residents began to organize and ultimately launch a farmers’ markets in both communities. Prior to the opening of the East Los Angeles and Watts Healthy Farmers’ Markets (South LA), the closest farmers’ market in East LA was, and still is, located 5 miles outside the community and 13 miles outside in South LA [20]. Once it was established that farmers’ market were forthcoming, the CDI was able to obtain funding for 2 years to assess market utilization and customer satisfaction of each market as a means to report outcomes back to the community and improve the delivery of service. Each farmers’ market had separate development, management, funding and sustainability processes. In East LA, the market was made possible with the support of the Los Angeles County 1st Supervisorial District and a US Department of Housing and Urban Development, Community Development Block Grant (CDBG). The market is run by a grass-roots community-based agency, Volunteers of East Los Angeles (VELA). VELA had no prior experience operating a farmers’ market, but now successfully operates two additional markets in the Los Angeles region. The East Los Angeles Farmers’ Market began February 10, 2007. The South LA market resulted from a community collaborative effort driven by leaders from local community-based organizations. The collaborative chose to work with an established farmers’ market management organization, Sustainable Economic Enterprises Los Angeles and was funded by Kaiser Permanente and the California Community Foundation. The Watts Healthy Farmers’ Market began July 21, 2007. Both markets are open weekly on Saturday from 10:00 am to 2:00 pm. Both accept Supplemental Nutrition Assistance Program Electronic Benefit Transfer (SNAP/EBT), Women, Infant, and Children (WIC) vouchers and Senior Farmers’ Market Nutrition Program (SFMNP) checks. Once established, we surveyed market customers to assess utilization and perceived benefits of the market. This paper profiles consumers of the two farmers’ markets and reports findings from customer surveys. Methods Study Community East LA is a densely populated urban community of approximately 124,283 residents living in 29,844 households [30]. Nearly all residents (97%) are of Hispanic/ Latino origin. The median family income in 1999 was $28,544 with 24.7% of families and 27.2% of individuals living below the poverty line (the federal poverty level was equivalent to an annual income of $17,050 for a family of 4 and $8,350 for an individual) [9, 30]. Nearly all families and individuals live below 185% of the poverty line (annual income $31,543 for a family of 4 and $15,448 for an individual), 50.9% of East LA residents were in the labor force, 48.7% of the population was foreign born, and 87.4% speak a language other than English at home [30]. In South LA, approximately 102,175 live in 25,778 households with 56% identifying as Hispanic/Latino and 42% as African American [30]. The median income in 1999 was $20,353 with 56% of families and individuals living below the poverty line [30]. Approximately 69% families and individuals live below 185% of the poverty and 65% of the population were in the labor force. Nearly one-third (32%) of the population was foreign born;, and 46% speak a language other than English at home [30]. Sample and Recruitment Two years of evaluation funding allowed us to collect a convenience sample of customers attending the Watts Healthy Farmers’ Market in South LA and the East Los Angeles Farmers’ Market in East LA. From July 1, 2007 through June 3, 2009, 415 farmers’ market customers from East LA and 1,374 from South LA completed a short, anonymous survey. CDI staff and community health workers (promatoras) approached adult customers as they entered the market and administered a 15-min survey to each customer agreeing to participate. Any adult customer interested in completing the survey who had not previously completed the survey was included in the sample. Surveys were administered the 3rd Saturday of the month in South LA and the 1st Saturday of the month in East LA. As no identifying information was collected, our Institutional Review Board waived the use of a written consent, permitting verbal consent instead. In South LA, a $5.00 voucher in market money was given to participants as compensation for their participation. Budgetary constraints did not permit the use of incentives in the East LA site. Measures Utilizing a survey instrument developed by the Community Food Security Coalition, the survey collected demographic information, and measures of market utilization impact and satisfaction [23]. Specifically, the survey included questions about when they began using the farmers’ market, how often they came, and how far they traveled. A question was added querying customers’ intent to return to the market. Using 5-point Likert Scales, their satisfaction with the market and the type and quality of produce offered was assessed. Additional questions related to family food consumption behavior, food insecurity, physical activity and utilization of WIC and SFMNP checks were asked. Poverty 123 J Community Health was measured using the 2000 Federal Register’s definition of poverty. To calculate the number of customers living below the Federal Poverty line, customers were asked to report their estimated annual income and household size. Food insecurity was measured by asking consumers how often they experienced the following conditions in the past 30 days: We were not able to afford more food to eat; We were not able to afford more of the kinds of food we wanted to eat; and We were not able to afford to eat healthier meals. The survey was translated into Spanish. Consumers were also asked four open-ended questions including: What they liked most about the market; What they liked least about the market; In what ways, if any, do you think your life is different because of this market; and Do you have any additional comments. Results Of the 1,789 customers surveyed in both sites, results are reported on 1,374 completed surveys from South LA and of the 415 from East LA. As customers could refuse to answer questions or may have responded ‘‘Don’t Know’’, the response rate varied by question. Our average response rate in South LA was 91% (range 100–75%) and in East LA was 88% range (100–71%) for the closed ended questions. The question to ascertain income received the lowest response rate shown in the range above. Of those who did not complete this question, the majority stated they did not know versus refused to answer. Market Demographics Analysis Analysis of these data are descriptive, include frequencies and examines the number of new and repeat customers to assess how the ratio changed over time. Frequencies by category within levels of Likert and qualitative variables were expressed as percentages when possible. Quantitative variables were analyzed as means. Nearly all responses to open-ended questions were brief, offering little variation in theme. Initially, all qualitative data were examined to identify recurrent themes that were then used to create a coding schema corresponding to the focus of each open-ended question, e.g., what an individual liked/disliked about the market and what were they doing differently since using the market. Themes were organized into categories representing positive and negative responses. Positive themes include improved health, improved access to produce/healthy food, greater convenience, social factors, and miscellaneous. Negative themes include variety of produce/vendor type, location, cost, physical attributes of market (e.g., location, lack of shaded areas), and desire for other services/products. Responses that did not fall into these categories were categorized as miscellaneous. Table 1 Survey respondent demographic characteristics a Nielsen Claritas Inc. ‘‘Percent of Families in Poverty.’’ Retrieved 6/18/2010, from: http://www.HealthyCity.org 123 As seen in Table 1, the demographic characteristics of the survey respondents are compared to the 2000 US Census data for the zip codes in which each farmers’ market is located. The majority of farmers’ market consumers identified as Latino (98% in East LA; 71% in South LA). In South LA, Latinos are far more represented in the sample than are reflected in the demographics of the surrounding community. The majority of shoppers from both markets were female and a little more than half did not complete high school. The mean household size of East LA customers was 3.8 and 4.7 in South LA. In both communities, 55% of consumers reported earning less than $15,000 per year, which is well below the Federal Poverty line and less than the average income of residents of the surrounding community. In both communities, approximately threequarters of all customers reported some level of food insecurity, i.e., ‘‘not having enough money to purchase food in the past 30 days,’’ (76% in South LA; 71% in East LA), especially foods considered healthy (76% in South LA; 70% in East LA). Further, 18% of South LA and 27% of East LA respondents used WIC or senior farmers’ market vouchers. Survey sample characteristics East LA farmers’ market Ethnicity (Latino) (%) East LA US census South LA farmers’ market South LA US census 56 93 99 78 Ethnicity (African American) (%) \1 \1 18 42 Gender-female (%) 88 50 80 53 Education (\12 years) (%) 56 64 55 82 Household size (mean) 3.8 people 4 people 4.7 people 4.5 people Income (\$15,000 annual) (%) 55 17a 55 30a J Community Health Market Utilization ‚ South Los Angeles Farmers Market 80% Table 2 Frequency of visits (repeat customers) South LA (%) East LA (%) \Once a month 7 Once a month 10 9 Twice a month 22 18 Three times a month 25 21 Weekly 36 47 5 70% 60% Percent 50% 40% 30% 20% 10% 0% % First Visit 2007 Q 3-4 2008 Q 1-2 2008 Q 3-4 2009 Q 1-2 75% 38% 37% 31% Fig. 1 Percent of surveyed individuals attending the South LA market for the first time ‚ East Los Angeles Farmers Market 60% 50% 40% Percent Most South LA respondents reported residing in zip codes 90002 and 90059 (78%), representing approximately a four-mile radius around the market’s location. However, the remaining 22% of shoppers represented 36 different zip codes that are spread out well beyond the community offering the farmers’ market. Nearly two-thirds (62%) reported driving to the market and 29% walked—most living within 4 miles. A vast majority of customers (87%) attended the market with at least one other adult and child, 7% were shopping with another adult but no child and 6% shopped alone. The majority of East LA respondents were within a 4 mile radius from the market from zip codes 90063 and 90022 (64%), with the remaining customers travelling from 16 different zip codes. As in South LA, 60% reported driving to the market and 22% walked, most living within 4 miles of the market’s location. Most (87%) attended the market with at least one other adult and child, 4% were visiting the market with another adult but no child and 9% shopped alone. Respondents were asked during the survey if this was the first time they had attended the market. We began surveying customers in April 2007 in East LA and July 2007 in South LA. Figures 1 and 2 track percent of new customers over the 2-year period in which the surveys were collected. The East LA market had been operational for 6-month prior to surveying customers, as funding for data collection was not available when the market opened. We began surveying South LA customers opening day, and are thus able to see the larger drop in new customers in South LA in subsequent weeks. As hoped, more respondents were repeat customers over time. Nonetheless, we see a steady rate of approximately 30% customers who are new to the market. New customers are vital to increasing the market customer base contributing to the markets’ sustainability. In each community, of those individuals who had been to the market before, most shoppers visited the market more than once a month (East LA—93% and South LA—95%). Table 2 reports consumer frequency of visits. 30% 20% 10% 0% 2007 Q 2 % First Visit 42% 2007 Q 3-4 2008 Q 1-2 2008 Q 3-4 2009 Q 1-2 51% 44% 38% 28% Fig. 2 Percent of surveyed individuals attending the East LA market for the first time Perception of the Farmers’ Markets Overall, customers reported high satisfaction with the farmers’ markets in each community. As seen in Table 3, well over 80% of respondents rated most market characteristics as good or excellent. Further, nearly all reported intention of returning (95% South LA; 93% East LA). Nearly half of respondents in East LA (44%) and South LA (41%) reported that they would like to see other products sold at the market. These respondents suggested additional products in open-ended responses, which included chilies, ethnic foods, greater variety of fruits and vegetables and non-produce foods such as eggs, dairy, teas, baked goods and prepared foods. Some suggested selling non-food goods such as toys, arts and crafts, cleaning products and plants/flowers, and providing more activities and on-site educational programs. The majority of individuals regarded market products’ cost (East LA 70% and South LA 78%) and value (East LA 79% South LA 80%) as excellent or good. Nonetheless, there was a sizeable degree of dissatisfaction (31% in South LA; 23% East LA) with the cost of market products, though the question did not differentiate food from non-food products. 123 J Community Health Table 3 How do you feel about each of the following aspects of the Farmers’ market? Table 5 Because of this market I now… South LA (%) East LA (%) Eat more fruits and vegetables 98 97 Eat more organic food 93 87 Eat food that is fresher (less packaged food) 96 95 Eat less fast food 89 81 97 Eat more foods that are traditional for my culture/family background 93 90 96 98 Eat new kinds of food 90 80 97 97 Spend less money on food 79 83 Quality of products for sale 97 96 95 91 Variety of products for sale 90 90 Am better able to provide food for my family and myself Cost of products for sale 78 70 Feel better about were my food comes from 96 94 Value for the cost of products for sale 80 79 Am more physically active 93 90 Availability of foods important to your family/culture/tradition 91 92 Only responses that indicate ‘‘Agree’’ or ‘‘Strongly Agree’’ are shown above Availability of foods that are familiar to you and that you like to eat and cook 92 94 Availability of foods that are new to you that you would like to try 89 89 South LA (%) East LA (%) Convenience of the location 98 97 Availability of parking spaces 95 91 Hours of operation 96 93 Cleanliness 97 Safety Social atmosphere Only responses that indicate ‘‘Excellent’’ or ‘‘Good’’ are shown above Table 4 How much did/do you expect to spend today at the market? South LA (%) $0 4 East LA (%) 1 $1–$5 7 5 $6–$10 15 14 $11–$15 12 8 $15–$20 33 40 $21–$30 17 19 More than $31 13 14 Although some people were not expecting to purchase anything at the markets, Table 4 illustrates that 14% were planning to spend at least $10, at least 50% of shoppers planned to spend between $15 and $30 and 13% had budgeted over $31. Eating Behavior and Physical Activity Respondents were asked to rate several questions about the impact of the market on their eating and physical activity behavior. As seen in Table 5, an overwhelming majority from both markets reported positive changes in most categories. These findings were corroborated in customers’ responses to the open-ended question, ‘‘in what ways is your life different because of the farmers’ market.’’ Most who responded to this question maintained that the farmers’ market reinforced healthy eating and lifestyle habits, 123 contributed to their health and, because of its close proximity to their home, improved their access to fresh fruits and vegetables. A few comment themes are included below. I eat healthier food; I eat more/higher quality fruits and vegetables; I get more food for my budget; I spend more time outdoors; My kids eat more fresh fruits and vegetables; I’m more physically active; and I have lost weight. A respondent from South LA added that the presence of a farmers’ market in South LA not only contributed to changes in behavior, but provides access to healthy food sources that is overdue in the community. I eat healthier and exercise more. It has also lifted my spirit. Finally something in Watts that is absolutely a positive change. Now I don’t have to go to Fairfax [10 miles from South LA] for fresh fruit/vegetables. Someone actually cares. An East LA customer finds that the farmers’ market is both beneficial to managing her diabetes and serves as a healthy model for her children. [I eat] more healthier because I have diabetes and that is why I look for more fresh vegetables and fruits. [Going to the market gives me] more quality time with my daughters and they see healthy eating. Respondents were asked what they liked most and least about the market and were given the opportunity to provide additional comments. Positive and negative comments were similar in both markets Positive comments included liking its close proximity to home, time and day of operation, affordability and quality of produce, educational opportunities and the opportunity to socialize. Fewer J Community Health offered complaints but statements included that the prices were too high, the market did not offer enough produce variety and some had difficulty parking. A comment from a South LA customer prompted an immediate market change, which was to offer a shaded place for consumers to rest. Few offered additional comments but response themes included requests for other items to be offered and reinforcement of their satisfaction that a farmers’ market is now available to the community. Discussion While funding supporting this research did not allow for a comprehensive evaluation of the characteristics and impact of these farmers’ markets, these findings offer a picture of farmers’ market shoppers in two significantly underserved communities, communities under-represented in past studies of farmers’ market utilization and consumption. Evidence is growing that access to a vehicle or public transportation is increasingly associated to greater access to healthy food choices, especially in lower income areas where access is more limited and many are forced to travel outside their communities to find healthy food choices [2, 18]. Los Angeles, an extraordinarily expansive geographic area with limited public transportation and limited community walkability; requiring the need for a vehicle. However, many families in the communities in which these farmers’ markets are located may not be able to afford a car or more than one car, greatly reducing accessibility to food sources. It is no surprise that over two-thirds reported that they drove - likely related to the need for vehicle ownership in Los Angeles. Further many came with another adult possibly sharing a transportation resource. What is surprising is the relatively high percent who walked (between 22 and 29%), some appearing to walk as far as four miles. Our data suggest that the greatest numbers of consumers came from the community in which the markets were located, yet close to a quarter came greater distance to utilize these markets. The more distant zip codes represent areas with similar socioeconomic profiles, i.e., low income, minority communities. Travelling greater distance to this market may be a reflection of the paucity of farmers’ markets, and healthy food options in the communities from which they come and/or they work near the market as opposed to live near the market. The closest farmers’ market to the East Los Angeles Farmers’ Market is 5 miles away and closest farmers’ market to the Watts Healthy Farmers’ Markets, is 13 miles away. In contrast, many more affluent communities have access to far more geographically accessible markets, on more days of the week [20]. Also of interest is the finding that over 80% of consumers appear to be women who are shopping with children, quite possibly a necessity without access to affordable childcare. Without comparable data from farmers’ markets in more affluent communities, it is unclear how common this may be. Nonetheless, even if driven by necessity, it is heartening that younger generations are exposed to farmers’ markets as a viable food venue option. Though disheartening, these findings, also confirm evidence that immigrant and Latino consumers are more likely to access fresh produce markets than African American residents living in same communities [2]. Given the demographics of East LA, it is not surprising that nearly all consumers (93%) are Latino. However, Latinos are disproportionately represented (78%) in South LA, in which 40% of the community is African American. The qualitative findings support the assumptions made among the farmers’ market planning group that Latinos, especially those born outside the US or with close ties to family in Mexico and Central America, are far more likely to be culturally familiar with fresh-air and specialty produce markets than African Americans, many having been raised in food environments with few outlets to fresh produce. This study offers evidence that these farmers’ markets are being utilized regularly, are valued, and provide access to fresh produce in low income neighborhoods that historically have offered limited access to quality healthy food options. Before these markets were launched, community leaders and residents expressed concern that farmers’ markets, while bringing fresh produce to the community, farmers’ market prices would be prohibitive to residents, as most are living in poverty. Not only do these findings suggest that consumers are satisfied and coming back, over half report incomes well below the Federal Poverty Line. However, nearly a quarter or a third of shoppers in both communities (23% in East LA, 31% in South LA) reported dissatisfaction with the cost of market products. Further research should be conducted to understand how markets determine and tailor price points for different communities and compare costs and satisfaction with markets in communities with more resources and options to purchase fresh produce. Both East and South LA share rich social and political histories that are defined by ethnicity and culture. Residents of East LA are nearly all of Latino heritage, most of Mexican origin. Its diversity is defined more by acculturation than income or ethnicity. Many East LA families have been in the area for many generations while others have more recently migrated to the US. Historically, South LA has been the home to Los Angeles County’s largest African American population and has been a nexus of African American cultural and political activism, advocacy and leadership. In the last two decades, the demographics of the community have shifted with Latinos now representing over half of South LA’s population. In the planning phases of the Community Diabetes Initiative, African American leaders from these communities played an 123 J Community Health instrumental role in advocating for improving access to healthy eating choices and bringing a farmers’ market to South LA. What is worthy of note is the disproportionately low utilization of the farmers’ market by African American residents in contrast to the high percentage of Latino shoppers. It is unclear why African American families are not coming. More research is warranted to explore possible social, economic and/or cultural explanations of this differential and consider strategies to attract greater numbers of African Americans to the market. Many consumers surveyed were disappointed that the markets did not offer a wider variety of produce and nonfood products. Certified farmers’ market sites approved by the Los Angeles County Agricultural Commissioner and the Health Department are part of a statewide program meant to increase the sustainability of small farmers by connecting the consumer and the farmer. All certified markets are required to sell produce that is locally grown and sold directly to the public. Southern California is a rich, agricultural region, so farmers’ markets generally can offer consumers a varied array of fresh and seasonal fruits and vegetables. Nonetheless, seasonal availability and climate conditions can limit variety. Additionally, non-produce items must be produced locally. For example, baked goods must be made from scratch locally and cannot be prepackaged. Artisans can sell hand-made goods but cannot resell items purchased from other sources. South LA and East LA customers’ disappointment in the variety of choices may be driven by the fact that farmers’ markets are new to these communities and consumers may be unaware of the limitations of what farmers’ markets can offer. There are a number of limitations of this research that need to be acknowledged. These findings reflect consumer opinions and behaviors of two communities with similar socio-economic characteristics. Funding limitations did not permit a comparison of consumers utilizing farmers’ markets in wealthier communities. Additionally, all surveys were anonymous and it is possible that the data include more than one survey from some respondents, though completed at a different time. The evaluation funding we received came from two different sources. 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