Farmers markets
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Disparity Ratings
Potential to decrease disparities: Strategies with this rating have the potential to decrease or eliminate disparities between subgroups. Rating is suggested by evidence, expert opinion or strategy design.
Potential for mixed impact on disparities: Strategies with this rating could increase and decrease disparities between subgroups. Rating is suggested by evidence or expert opinion.
Potential to increase disparities: Strategies with this rating have the potential to increase or exacerbate disparities between subgroups. Rating is suggested by evidence, expert opinion or strategy design.
Inconclusive impact on disparities: Strategies with this rating do not have enough evidence to assess potential impact on disparities.
Strategies with this rating have the potential to decrease or eliminate disparities between subgroups. Rating is suggested by evidence, expert opinion or strategy design.
Health factors shape the health of individuals and communities. Everything from our education to our environments impacts our health. Modifying these clinical, behavioral, social, economic, and environmental factors can influence how long and how well people live, now and in the future.
A farmers market is a multiple vendor farm-to-consumer retail operation, where producers sell goods at a set outdoor or indoor location. Farmers markets usually sell fresh fruit and vegetables, though meat, dairy, grains, prepared foods, and other items may also be available. Markets are usually held once a week and vary in size from a few stalls to several city blocks. Most farmers markets are organized and operated by community organizations, public agencies, or public/private collaborations with volunteer support.
What could this strategy improve?
Expected Benefits
Our evidence rating is based on the likelihood of achieving these outcomes:
Increased access to fruits & vegetables
Increased fruit & vegetable consumption
Potential Benefits
Our evidence rating is not based on these outcomes, but these benefits may also be possible:
Increased healthy foods in food deserts
Strengthened local & regional food systems
Improved local economy
Reduced emissions
What does the research say about effectiveness?
There is some evidence that farmers markets increase access to fresh fruits and vegetables1, 2, 3, 4, 5, 6 and increase consumption of fresh produce1, 7, 8, 9, 10, 11. Establishing farmers markets is a suggested strategy to increase fresh produce in areas that lack access to stores selling reasonably priced, high quality produce12, 13. Additional evidence is needed to confirm effects.
Farmers markets are associated with increases in fresh produce purchases and self-reported increases in fruit and vegetable consumption11, 14, 15, 16, 17, 18, 19, 20, 21, 22. Individuals who shop at farmers markets more frequently report higher levels of consumption than peers shopping less frequently23, 24, 25. Farmers markets with education, promotion, and financial incentives may substantially affect consumption26, 27, 28.
Multi-component interventions that include cooking classes and produce allocations increase self-reported fruit and vegetable consumption and farmers market shopping29. Farmers market cooking classes can improve physical, social, and emotional well-being for children and adolescents30. Multi-component interventions are a suggested strategy to increase farmers market shopping and produce consumption among individuals who receive Supplemental Nutrition Assistance Program (SNAP) benefits31, 32. Peer-to-peer programs, such as Food Navigators, may also increase vegetable purchase and consumption among participants33, 34.
Zoning that supports farmers markets, street food vendors, and other public markets may strengthen local food systems, enhance local economies, and contribute to a livelier pedestrian environment35. Research suggests that farmers markets may function as regional food destinations that can support the local economy36. Shopping at farmers markets that offer seasonal, locally grown foods may reduce emissions from fossil fuels used to produce, process, and transport food37, 38, and may reduce the energy intensity of an individual’s diet if more plant-based foods are consumed in place of animal products37.
High quality produce, produce variety, and lower prices are the most commonly reported reasons for shopping at farmers markets39. Increasing transportation options, developing safe routes to healthy foods at farmers markets, expanding market hours and locations, promoting awareness, and offering community health education may support farmers market use16, 40, 41. Research suggests that including a wider variety of vendors is associated with increased sales42. Locating farmers markets in central, accessible sites may also lead to increased sales43. Farmers markets operating in underinvested communities can offer community-tailored services, develop community outreach and partnerships, and leverage public transportation to increase access to farmers markets44. Farmers markets can also contribute to sustainable community building by offering programs within the market, working in partnership programs with other community groups, and engaging in community planning processes45.
Limited transportation options, lack of information about the location or hours of farmers markets, and markets not accepting Electronic Benefit Transfer (EBT) payment for Supplemental Nutrition Assistance Program (SNAP) benefits are frequently reported barriers to farmers market use3, 16, 39, 40, 46, 47, 48.
Prices at farmers markets are often lower than supermarket prices49, 50, 51, although prices vary and may be higher than supermarket price in some counties18, 52.
How could this strategy advance health equity? This strategy is rated potential to decrease disparities: suggested by expert opinion.
Farmers markets are a suggested strategy to reduce disparities in fruit and vegetable consumption between people from communities with low incomes and those from communities with higher incomes12, 13. Farmers markets can increase fruit and vegetable consumption in communities with low incomes8, 9, 10, 11 and among individuals with low incomes who have diabetes1. An evaluation of the Fresh to You partnership program suggests markets can also increase consumption among children from families with low incomes when discount produce is available65.
However, research suggests that farmers market locations are associated with communities that are more wealthy, white, and educated66 and many consumers and managers of farmers markets tend to be white, educated, and affluent67, 68. Farmers markets can be exclusionary towards people with low incomes and people of color69, 70 and are unlikely to be in areas that lack access to stores selling reasonably priced, high-quality produce71. Experts suggest that farmers markets in low income, minority communities may have difficulty balancing shoppers’ needs for low-cost produce and vendors’ needs for profitability72, 73. Farmers markets in neighborhoods with low incomes also appear to be smaller and provide fewer fresh fruits and vegetables than typical markets in more affluent communities74. Research also suggests that increasing proximity to fresh produce alone may not increase fruit and vegetable consumption26.
Nationwide, farmers markets have been started and sustained in communities with low incomes to improve access to fresh, healthy foods despite the challenges involved43, 44, 75. Experts suggest that farmers markets should strategically consider location, including proximity to public transportation31, 43, 44. Farmers markets can use communication and outreach efforts, as well as partnerships, to encourage community development31, 45. Inclusive farmers markets respect, value, and seek out the perspectives of individuals with low incomes and people of color rather than dismissing their views and concerns76, 77.
Farmers markets may increase fruit and vegetable access in rural communities24. While farmers markets can be perceived as assets to rural communities, barriers for rural residents include limited market hours, lack of EBT acceptance, and lack of transportation78.
What is the relevant historical background?
Throughout U.S. history, discriminatory housing, lending, and exclusionary zoning policies entrenched racial residential segregation and concentrated poverty79, 80. This systemic disinvestment and exclusion by both government and private entities created and maintains community environments with limited resources, deteriorating infrastructure, hazardous industries and waste disposal sites, and many other factors that lead to poorer health outcomes for people of color and people with low incomes81, 82, 83, 84. Communities shaped by discriminatory policies are often areas that have limited access to healthy and affordable food, formerly known as food deserts85, 86. Individuals who live in these communities face higher food costs, fewer store options, and must travel further to purchase healthy food than those who live in well-resourced communities85. Residents also have increased exposure to high calorie foods that have little nutritional value, which often leads to worse health outcomes86. Many rural areas also lack access to fresh and affordable food, even in areas where farming is an important part of the local economy87.
The origins of farmers markets can be traced back to public markets, which were a primary source for food purchasing in U.S. cities in the 1800s35, 88. In the 1930s, public markets began to be replaced by chain grocery stores and nationalized food distribution systems35. From 1940-1980, the agriculture industry changed rapidly as large farms increased in both size and number while the number of small family farms decreased89. Consolidating farms can increase labor productivity and economic growth, though it also concentrates corporate power in the food system, may increase food waste, and may not improve conditions for workers90. Farmers markets, where small farms often sell products, surged in popularity beginning in the 1990s, though growth has slowed in recent years91, 92. The U.S. Department of Agriculture (USDA) has a long and ongoing history of discriminatory policies that advantaged white farmers over Black farmers, as well as Native American, Hispanic, and Asian farmers93, 94, 95, 96. Despite oppression and exploitation, many Black farmers resisted and played an important role in the development of agricultural practices in the U.S.97, 98 Although relatively fewer farmers markets have been implemented in communities with low incomes, many cities, communities, and local food system advocates have recognized the potential benefits farmers markets could offer these communities and their local small farmers promoting social, economic, physical, and environmental health99.
Equity Considerations
- Who regularly attends farmers markets in your community? Who has transportation to farmers markets in your community? Who has time to attend farmers markets and prepare meals using their purchased fresh food?
- What food assistance programs are available at farmers markets in your community? Who decides what food assistance programs will be offered?
- Where are farmers markets located in your community? How are they connected to public transportation? Who provides input to decide where to locate farmers markets and when markets will be open?
- How can vendors and managers create an inclusive market, especially for people with low incomes and people of color?
Implementation Examples
As of August 2023, the U.S. Department of Agriculture (USDA) includes over 6,900 farmers markets in the National Farmers Market Directory53. Various state and local policies can encourage the establishment of farmers markets54. For example, in Fresno, CA local zoning ordinances establish zones where farmers markets are an approved land use, and in Minneapolis, MN streamlined permitting processes support small farmers markets55. The Produce Plus Program in Washington, D.C. and Gorge Grown Food Network in Washington state are examples of collaborative efforts to support farmers markets in urban and rural areas56, 57. In Michigan, the Flint Farmers Market and the Eastern Market in Detroit are examples of markets working with partners to address economic, social, and civic issues in the community44, 45, 58
The U.S. Department of Agriculture’s Agricultural Marketing Service (AMS) operates the Farmers Market and Local Foods Promotion Program, which will distribute about $15 million in 2023 to support farmers markets and other direct to consumer retail outlets59, 60. The Centers for Disease Control and Prevention (CDC)’s Division of Nutrition, Physical Activity, and Obesity provides guidance and funding to state health departments to support interventions promoting access to fresh produce and encouraging healthy eating, including establishing or supporting farmers markets61. Farmers markets working to become more inclusive can use the SNAP Consumer Environment assessment tool62 and review diversity, equity, and inclusion resources63, 64.
Implementation Resources
‡ Resources with a focus on equity.
ChangeLab-Land use and FMs - Wooten H, Ackerman A. From the ground up: Land use policies to protect and promote farmers’ markets. Oakland: ChangeLab Solutions; 2013.
PolicyLink-FMs 2008 - PolicyLink. Equitable development toolkit: Farmers markets. 2008.
USDA-Farmers markets - U.S. Department of Agriculture (USDA), Agricultural Marketing Service (AMS). Farmers markets and direct-to-consumer marketing.
USDA-FMPP - U.S. Department of Agriculture (USDA), Agricultural Marketing Service (AMS). Farmers market promotion program (FMPP).
CDC-Supporting FMs - Centers for Disease Control and Prevention (CDC), Division of Nutrition Physical Activity and Obesity (DNPAO). Current practices in developing and supporting farmers’ markets.
CDC-HFR 2014 - Centers for Disease Control and Prevention (CDC), Division of Nutrition, Physical Activity, and Obesity. Healthier food retail (HFR): An action guide for public health practitioners. 2014.
CDC DNPAO-Data - Centers for Disease Control and Prevention (CDC), Division of Nutrition Physical Activity and Obesity (DNPAO). Nutrition, physical activity and obesity: Data, trends and maps online tool.
PolicyLink-HFAP map - PolicyLink, The Reinvestment Fund (TRF), The Food Trust. Healthy food access portal (HFAP): Research your community interactive map for healthy food access.
PAS-Zoning 2016 - Planning Advisory Service (PAS). Planning & zoning for health in the built environment. American Planning Association (APA); 2016.
SRTSNP-Safe routes to healthy foods‡ - Safe Routes to School National Partnership (SRTSNP). Healthy communities: Safe routes to healthy foods.
ISU-Food and sustainability resources - Iowa State University (ISU), Sustainable Food Processing Alliance. Online resources for food and sustainability.
Utah Farmers Market Network-DEI‡ - Utah Farmers Market Network. Diversity, equity, and inclusion (DEI).
FMC-DEI‡ - Farmers Market Coalition (FMC). Resource library: Diversity, equity, and inclusion (DEI).
HFFI - America's Healthy Food Financing Initiative (HFFI). America’s Healthy Food Financing Initiative (HFFI) aims to build a more equitable food system that supports the health and economic vibrancy of all Americans.
Footnotes
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1 Freedman 2013 - Freedman DA, Choi SK, Hurley T, Anadu E, Hebert JR. A farmers’ market at a federally qualified health center improves fruit and vegetable intake among low-income diabetics. Preventive Medicine. 2013;56(5):288-292.
2 McCormack 2010 - 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. Journal of the American Dietetic Association. 2010;110(3):399-408.
3 Young 2011 - Young C, Karpyn A, Uy N, Wich K, Glyn J. Farmers’ markets in low income communities: Impact of community environment, food programs and public policy. Community Development. 2011;42(2):208-20.
4 Sallis 2006 - Sallis JF, Glanz K. The role of built environments in physical activity, eating, and obesity in childhood. Future of Children. 2006;16(1):89-108.
5 Larsen 2009a - Larsen K, Gilliland J. A farmers’ market in a food desert: Evaluating impacts on the price and availability of healthy food. Health and Place. 2009;15(4):1158-1162.
6 Freedman 2011a - Freedman DA, Bell BA, Collins LV. The veggie project: A case study of a multi-component farmers' market intervention. Journal of Primary Prevention. 2011;32(3-4):213-224.
7 Hu 2021 - Hu X, Clarke LW, Zendehdel K. Farmers’ market usage, fruit and vegetable consumption, meals at home and health–evidence from Washington, D.C. Sustainability. 2021;13(13):7437.
8 Strome 2016 - Strome S, Johns T, Scicchitano MJ, Shelnutt K. Elements of access: The effects of food outlet proximity, transportation, and realized access on fresh fruit and vegetable consumption in food deserts. International Quarterly of Community Health Education. 2016;37(1):61-70.
9 Evans 2012 - Evans AE, Jennings R, Smiley AW, et al. Introduction of farm stands in low-income communities increases fruit and vegetable among community residents. Health & Place. 2012;18(5):1137-1143.
10 Racine 2010 - Racine EF, Smith Vaughn A, Laditka SB. Farmers' market use among African-American women participating in the special supplemental nutrition program for women, infants, and children. Journal of the American Dietetic Association. 2010;110(3):441-446.
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12 CDC-State indicator 2018 - Centers for Disease Control and Prevention (CDC), Division of Nutrition, Physical Activity and Obesity (DNPAO). State indicator report on fruits and vegetables, 2018. Atlanta: Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services (U.S. DHHS); 2018.
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15 Singleton 2016 - Singleton CR, Baskin M, Levitan EB, et al. Farm-to-consumer retail outlet use, fruit and vegetable intake, and obesity status among WIC program participants in Alabama. American Journal of Health Behavior. 2016;40(4):446-454.
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23 Kelley 2022 - Kelley CJ, Hanson KL, Marshall GA, et al. Associations between farmers’ market shopping behaviours and objectively measured and self-reported fruit and vegetable intake in a diverse sample of farmers’ market shoppers: A cross-sectional study in New York City and rural North Carolina. Public Health Nutrition. 2022;25(3):600-606.
24 Lo 2019 - Lo BK, Megiel S, Liu E, et al. Associations between frequency of food shopping at different food sources and fruit and vegetable intake among rural residents in upstate New York, USA. Public Health Nutrition. 2019;22(13):2472-2478.
25 Jilcott Pitts 2017 - Jilcott Pitts SB, Hinkley J, Wu Q, et al. A possible dose–response association between distance to farmers’ markets and roadside produce stands, frequency of shopping, fruit and vegetable consumption, and body mass index among customers in the southern United States. BMC Public Health. 2017;17(1):65.
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29 Metcalfe 2022 - Metcalfe JJ, McCaffrey J, Schumacher M, Kownacki C, Prescott MP. Community-based nutrition education and hands-on cooking intervention increases farmers’ market use and vegetable servings. Public Health Nutrition. 2022;25(9):2601-2613.
30 Saxe-Custack 2021 - Saxe-Custack A, Lachance J, Hanna-Attisha M, Dawson C. Flint Kids Cook: Positive influence of a farmers’ market cooking and nutrition programme on health-related quality of life of U.S. children in a low-income, urban community. Public Health Nutrition. 2021;24(6):1492-1500.
31 Freedman 2018 - Freedman DA, Lee E, Ohri-Vachaspati P, et al. Predictors of farmers’ market shopping among people receiving Supplemental Nutrition Assistance Program benefits. American Journal of Community Psychology. 2018;61(3-4):488-499.
32 Walkinshaw 2018 - Walkinshaw LP, Quinn EL, Rocha A, Johnson DB. An evaluation of Washington state SNAP-Ed farmers’ market initiatives and SNAP participant behaviors. Journal of Nutrition Education and Behavior. 2018;50(6):536-546.
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34 Hamilton 2020 - Hamilton DL, Walkinshaw LP, Quinn EL, Johnson DB. Increasing farmers market access among low-income shoppers in Washington state: Understanding the role of peer-to-peer programs. Journal of Hunger and Environmental Nutrition. 2020;15(1):80-92.
35 Morales 2009 - Morales A, Kettles G. Zoning for public markets and street vendors. American Planning Association. 2009;25(2):1-8.
36 Garner 2019 - Garner B, Ayala C. Regional tourism at the farmers’ market: consumers’ preferences for local food products. International Journal of Culture, Tourism, and Hospitality Research. 2019;13(1):37-54.
37 Ringling 2020 - Ringling KM, Marquart LF. Intersection of diet, health, and environment: Land grant universities’ role in creating platforms for sustainable food systems. Frontiers in Sustainable Food Systems. 2020;4(70).
38 CCAFS-Campbell 2012 - Campbell B. Is eating local good for the climate? Thinking beyond food miles. Research Program on Climate Change, Agriculture and Food Security (CCAFS), CGIAR Research Programs. 2012.
39 Singleton 2017 - Singleton CR, Baskin M, Levitan EB, et al. Perceived barriers and facilitators of farm-to-consumer retail outlet use among participants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Alabama. Journal of Hunger & Environmental Nutrition. 2017;12(2):237-250.
40 Di Noia 2017 - Di Noia J, Monica D, Cullen KW, Thompson D. Perceived influences on farmers’ market use among urban, WIC-enrolled women. American Journal of Health Behavior. 2017;41(5):618-629.
41 Farmer 2016 - Farmer J, Minard S, Edens C. Local foods and low-income communities: Location, transportation, and values. Journal of Agriculture, Food Systems, and Community Development. 2016;6(4):1-13.
42 Archambault 2020 - Archambault S, Trivette S, Warsaw P, Morales A. Vendor variety and market sales: A case study of the Williamsburg Farmers Market. Journal of Agriculture, Food Systems, and Community Development. 2020;9(2):1-17.
43 Morckel 2018 - Morckel V. The direct economic impact of the Flint, Michigan, farmers’ market relocation. Community Development. 2018;49(2):161-174.
44 Brookings-Love 2021 - Love H, Kok C. Exploring the often fraught relationship between public spaces and social divides. Washington, D.C.: Brookings Institution; 2021.
45 Bergman 2022 - Bergman Z, Bergman MM. Toward sustainable communities: A case study of the Eastern Market in Detroit. Sustainability. 2022;14(7):4187.
46 Jones 2011 - Jones P, Bhatia R. Supporting equitable food systems through food assistance at farmers’ markets. American Journal of Public Health. 2011;101(5):781-3.
47 Hood 2012 - Hood C, Martinez-Donate A, Meinen A. Promoting healthy food consumption: A review of state-level policies to improve access to fruits and vegetables. Wisconsin Medical Journal. 2012;111(6):283-8.
48 Leone 2012 - Leone LA, Beth D, Ickes SB, et al. Attitudes toward fruit and vegetable consumption and farmers' market usage among low-income North Carolinians. Journal of Hunger & Environmental Nutrition. 2012;7(1):64-76.
49 Valdez 2016 - Valdez Z, Ramírez AS, Estrada E, Grassi K, Nathan S. Community perspectives on access to and availability of healthy food in rural, low-resource, Latino communities. Preventing Chronic Disease. 2016;13(E170):160250.
50 Swenson 2012 - Swenson PJ. Paired price comparisons of farmer’s market and supermarket produce in San Luis Obispo County. San Luis Obispo: California Polytechnic State University (Cal Poly); 2012.
51 McGuirt 2011 - McGuirt JT, Jilcott SB, Liu H, Ammerman AS. Produce price savings for consumers at farmers’ markets compared to supermarkets in North Carolina. Journal of Hunger & Environmental Nutrition. 2011;6(1):86-98.
52 Thomson 2021 - Thomson JL, Goodman MH, Landry AS, Walls TI. Farmers’ market versus grocery store produce: Results of the Delta produce sources study. Journal of Hunger and Environmental Nutrition. 2021.
53 USDA-Farmers market directory - U.S. Department of Agriculture (USDA), Agricultural Marketing Service (AMS). Local food directories: National farmers market directory.
54 NCSL-Farmers market - National Conference of State Legislatures (NCSL). Farmers’ market.
55 ChangeLab-Land use and FMs - Wooten H, Ackerman A. From the ground up: Land use policies to protect and promote farmers’ markets. Oakland: ChangeLab Solutions; 2013.
56 Urban-Thompson 2016 - Thompson M. How D.C.’s farmers’ markets improve food access and the local food system. Washington, D.C.: Urban Institute; 2016.
57 GGFN-Mobile market - Gorge Grown Food Network (GGFN). Farmers’ market network uses mobile market trucks to support markets.
58 ChopChop Family-Flint Kids Cook - ChopChop Family. Cooking classes in Michigan are changing kids lives.
59 USDA-FMPP - U.S. Department of Agriculture (USDA), Agricultural Marketing Service (AMS). Farmers market promotion program (FMPP).
60 USDA-FMPP Fact sheet 2023 - U.S. Department of Agriculture (USDA), Agricultural Marketing Service (AMS). Grant opportunities: Farmers Market Promotion Program (FMPP). 2023.
61 Kahin 2017 - Kahin SA, Wright DS, Pejavara A, Kim SA. State-level farmers market activities: A review of CDC-funded state public health actions that support farmers markets. Journal of Public Health Management and Practice. 2017;23(2):96-103.
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63 Utah Farmers Market Network-DEI - Utah Farmers Market Network. Diversity, equity, and inclusion (DEI).
64 FMC-DEI - Farmers Market Coalition (FMC). Resource library: Diversity, equity, and inclusion (DEI).
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Related What Works for Health Strategies
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