Factors associated with discontinued participation in a fruit and vegetable incentive program in Seattle, Washington (United States): The role of community-based organizations in engaging non-English speakers.

M Pia Chaparro, Jong Min Jung, Jamie Wallace, Jessica Jones-Smith, Barbara Baquero, Melissa Knox

Abstract read

In one paragraph

Article in Preventive medicine reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

M Pia ChaparroDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15th Ave NE, Fourth Floor, Box 351621, Seattle, WA 98195, United States.

Jong Min JungDepartment of Economics, University of Washington, Seattle, WA, United States.

Jamie WallaceDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15th Ave NE, Fourth Floor, Box 351621, Seattle, WA 98195, United States.

Jessica Jones-SmithDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15th Ave NE, Fourth Floor, Box 351621, Seattle, WA 98195, United States.

Barbara BaqueroDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15th Ave NE, Fourth Floor, Box 351621, Seattle, WA 98195, United States.

Melissa KnoxDepartment of Economics, University of Washington, Seattle, WA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To identify factors associated with discontinued participation from Fresh Bucks - a fruit and vegetable (F&V) incentive program in Seattle, WA, USA - two years after initial enrollment, particularly among non-English speakers. Methods: Administrative and survey data from first enrollment application (Jan-Mar 2020) and re-application (Jul-Oct 2021) were used to identify program discontinuation ( Results: Rates of program discontinuation were 46% (total), 37.6% (English speakers), and 53.3% (non-English speakers). In pooled analyses, age ≥ 30 years (vs. 18-29); having children; income-to-poverty ratio (IPR) = 100-200% or IPR > 200% (vs. IPR < 100%); being non-Hispanic Asian (vs. non-Hispanic White); speaking Chinese or Spanish (vs. English); and being food secure predicted lower probability of program discontinuation. Being non-Hispanic Black (vs. non-Hispanic White) predicted higher probability of program discontinuation. CBO-assisted enrollment (vs. public) predicted lower probability of discontinuation for non-English speakers (B = -7.3 percentage points, 95%CI = -10.5, -4.1). Conclusions: Age, race/ethnicity, preferred language, income, and food security predicted program discontinuation. Community engagement was important for retaining non-English speakers, offering insights for improving retention in F&V incentive programs.

Indexed as

Community-engagementFruitsIncentive programPreferred languageVegetables

Identifiers

PMID42502749

DOI10.1016/j.pmedr.2026.103567

PMCPMC13400289

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.