Food buying clubs & co-ops
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 recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
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 recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
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.
Food buying clubs and co-ops offer group purchase and distribution of selected grocery items, generally at a reduced price. Food cooperatives typically function either as pre-order buying clubs or as retail cooperative food stores. Retail food co-ops are typically worker- or customer-owned businesses that often sell produce grown by local family farms1.
What could this strategy improve?
Expected Benefits
Our evidence rating is based on the likelihood of achieving these outcomes:
Reduced food costs
Potential Benefits
Our evidence rating is not based on these outcomes, but these benefits may also be possible:
Increased access to healthy food
Increased food security
Reduced emissions
What does the research say about effectiveness?
USDA-affiliated experts indicate that buying clubs and co-ops can reduce food costs2. A number of case studies also suggest that buying clubs and co-ops can have positive effects on food purchases3, 4, 5. Buying clubs and co-ops may increase healthy food access, choices, and food security for low income families6. Overall, however, additional evidence is needed to confirm effects.
Food buying clubs and co-ops may increase availability and consumption of fresh produce, especially seasonal, local produce, which may reduce emissions from fossil fuels used to produce, process, and transport food7, 8, 9. Buying clubs and co-ops may also reduce the energy intensity of an individual’s diet if more plant-based foods are consumed in place of animal products7.
How could this strategy impact health disparities? This strategy is rated no impact on disparities likely.
Implementation Examples
Food buying clubs and co-ops exist throughout the country; the Coop Directory Service has a listing of co-ops and buying clubs in all 50 states10 and the National Cooperative Grocers Association represents over 200 retail food cooperative stores in 39 states11. The Healthy Food Access Portal lists strategies and resources for development of co-ops1.
Retail food co-ops can be established to provide a full service grocery store as a community-owned asset in a rural or urban food desert, in addition to offering organic and natural food choices for community members with low incomes; examples include East End Food Co-op in Pittsburgh, PA; Hendersonville Coop in Hendersonville, NC; Mandela Foods in Oakland, CA, and Mariposa Food Cooperative in Philadelphia, PA12.
Implementation Resources
PolicyLink-HFAP coops - PolicyLink, The Reinvestment Fund (TRF), The Food Trust. Healthy food access portal (HFAP): Grocery stores & co-ops.
FCI-Food co-op resources - Food Co-Op Initiative (FCI). New co-ops start here: Resource library.
ISU-Food and sustainability resources - Iowa State University (ISU), Sustainable Food Processing Alliance. Online resources for food and sustainability.
Footnotes
* Journal subscription may be required for access.
1 PolicyLink-HFAP coops - PolicyLink, The Reinvestment Fund (TRF), The Food Trust. Healthy food access portal (HFAP): Grocery stores & co-ops.
2 Kantor 2001 - Kantor LS. Community food security programs improve food access. Food Review. 2001;24(1):20-6.
3 Little 2010 - Little R, Maye D, Ilbery B. Collective purchase: Moving local and organic foods beyond the niche market. Environment and Planning A. 2010;42(8):1797-813.
4 Carroll 2011 - Carroll JD, Demment MM, Stiles SB, et al. Overcoming barriers to vegetable consumption by preschool children: A child care center buying club. Journal of Hunger & Environmental Nutrition. 2011;6(2):153-65.
5 Shuman 2009 - Shuman M, Barron A, Wasserman W. Community food enterprise: Local success in a global marketplace. Arlington: Wallace Center at Winrock International; 2009.
6 Morales 2014 - Morales A, Loker A. Welcome to the club! Rural Cooperatives. 2014;81(1):24-28,38.
7 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).
8 SSSA-McIvor 2017 - McIvor K. Soils in the city: Community gardens. Soil Science Society of America (SSSA). 2017.
9 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.
10 Coop-Directory - Coop Directory Service. Coop Directory Service listing.
11 NCGA-Stores - National Cooperative Grocers Association (NCGA). Putting it all together for food co-ops.
12 CDI-Reyes 2015 - Reyes D. How cooperative grocery stores are bringing food access to low-income neighborhoods. Cooperative Development Institute (CDI); 2015.
Related What Works for Health Strategies
To see citations and implementation resources for this strategy, visit:
countyhealthrankings.org/strategies-and-solutions/what-works-for-health/strategies/food-buying-clubs-co-ops
To see all strategies:
countyhealthrankings.org/whatworks