A Default Option to Improve Nutrition for Adults With Low Income Using a Prefilled Online Grocery Shopping Cart

2021 ◽  
Vol 53 (9) ◽  
pp. 759-769
Author(s):  
Jaime A. Coffino ◽  
Gloria T. Han ◽  
E. Whitney Evans ◽  
Rachel Luba ◽  
Julia M. Hormes
2021 ◽  
pp. 1-16
Author(s):  
Laura Y. Zatz ◽  
Alyssa J. Moran ◽  
Rebecca L. Franckle ◽  
Jason P. Block ◽  
Tao Hou ◽  
...  

Abstract Objective: Online grocery shopping could improve access to healthy food, but it may not be equally accessible to all populations—especially those at higher risk for food insecurity. This study aimed to compare the sociodemographic characteristics of families who ordered groceries online versus those who only shopped in-store. Design: We analyzed enrollment survey and 44 weeks of individually-linked grocery transaction data. We used univariate chi-square and t-tests and logistic regression to assess differences in sociodemographic characteristics between households that only shopped in-store and those that shopped online with curbside pick-up (online only or online and in-store). Setting: Two Maine supermarkets. Participants: 863 parents or caregivers of children under 18 years old enrolled in two fruit and vegetable incentive trials Results: Participants had a total of 32 757 transactions. In univariate assessments, online shoppers had higher incomes (P<0.0001), were less likely to participate in WIC or SNAP (P<0.0001), and were more likely to be female (P=0.04). Most online shoppers were 30–39 years old, and few were 50 years or older (P=0.003). After controlling for age, gender, race/ethnicity, number of children, number of adults, income, and SNAP participation, female primary shoppers (OR=2.75, P=0.003), number of children (OR=1.27, P=0.04), and income (OR=3.91 for 186–300% FPL and OR=6.92 for >300% FPL, P<0.0001) were significantly associated with likelihood of shopping online. Conclusions: In this study of Maine families, low-income shoppers were significantly less likely to utilize online grocery ordering with curbside pick-up. Future studies could focus on elucidating barriers and developing strategies to improve access.


2020 ◽  
Vol 120 (10) ◽  
pp. 1706-1714.e1
Author(s):  
Justin Banks ◽  
Marian L. Fitzgibbon ◽  
Linda A. Schiffer ◽  
Richard T. Campbell ◽  
Mirjana A. Antonic ◽  
...  

1993 ◽  
Vol 25 (2) ◽  
pp. 179-196 ◽  
Author(s):  
A S Fotheringham ◽  
R Trew

Addressed in this paper is the lack of understanding of the extent to which the image of a store can affect store selection and of the extent to which this image varies across market segments. The subject of the analysis is the choice of supermarkets for major grocery shopping, and image is here measured by the chain to which a supermarket belongs. Evidence is presented through the use of descriptive statistics from a sample of consumers and through several store-choice model calibrations that chain image is an important determinant of store choice. In the particular data set employed, chain image is at least as important as store size and store competition. Evidence is presented on the effects of peoples' income and race on their store selection. Differences are found in chain image both across income groups and across racial groups. Differences are also reported in distance deterrence across income groups, although in the opposite direction to common belief. It appears that low-income consumers are willing to travel further for grocery shopping, ceteris paribus, probably to take advantage of lower prices. Higher income consumers may be unwilling to spend the extra time involved to shop at the stores with the lowest prices and therefore give up low prices for the sake of convenience. The general conclusion from the results presented here is that intrinsic differences in store-choice behavior exist across different groups of consumers and that analyzing store location accurately demands knowledge of such differences.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041196
Author(s):  
Manon Egnell ◽  
Isabelle Boutron ◽  
Sandrine Péneau ◽  
Pauline Ducrot ◽  
Mathilde Touvier ◽  
...  

BackgroundThe Nutri-Score, a front-of-pack nutrition label, has been adopted in 2017 in France but its impact on low-income populations is unknown, and they are more at risk of having unhealthy diets. The present study assessed the effects of the Nutri-Score on the nutritional quality of purchasing intentions among low-income individuals, compared with the current French labelling situation: references intakes (RIs) and no label, using a three-arm parallel-group randomised controlled trial.MethodsLow-income active adults from the NutriNet-Santé cohort (household income below €1200/month) were asked to perform a shopping task in an experimental online supermarket after being randomised in one of the three conditions (Nutri-Score, RIs or no labelling). The main outcome was the overall nutritional quality of the virtual shopping cart, assessed with the French-modified Food Standards Agency Nutrient Profiling System (FSAm-NPS), and secondary outcomes were the nutrient content of the shopping carts. 524 subjects were randomised, and 336 included in the analyses.ResultsThe Nutri-Score resulted in the highest overall nutritional quality of the shopping cart, as reflected by a FSAm-NPS score (1.86 (SD 3.59) points) significantly lower (reflecting higher nutritional quality) than the RIs (3.21 (SD 4.14) points, p≤0.05) but not significantly lower than no label (2.60 (SD 3.09) points, p=0.3). The Nutri-Score also resulted into significantly lower contents in calories and saturated fatty acids in the shopping cart, compared with the RIs only (p≤0.05).ConclusionThe implementation of the front of pack nutrition label Nutri-Score, adopted in France and in different European countries, appears to have the potential to encourage purchasing intentions of foods from higher nutritional quality among low-income individuals, compared with the RIs label promoted by food manufacturers.Trial registration number:NCT02769455


Author(s):  
Alison Gustafson ◽  
Rachel Gillespie ◽  
Emily DeWitt ◽  
Brittany Cox ◽  
Brynnan Dunaway ◽  
...  

Online grocery shopping has the potential to improve access to food, particularly among low-income households located in urban food deserts and rural communities. The primary aim of this pilot intervention was to test whether a three-armed online grocery trial improved fruit and vegetable (F&V) purchases. Rural and urban adults across seven counties in Kentucky, Maryland, and North Carolina were recruited to participate in an 8-week intervention in fall 2021. A total of 184 adults were enrolled into the following groups: (1) brick-and-mortar “BM” (control participants only received reminders to submit weekly grocery shopping receipts); (2) online-only with no support “O” (participants received weekly reminders to grocery shop online and to submit itemized receipts); and (3) online shopping with intervention nudges “O+I” (participants received nudges three times per week to grocery shop online, meal ideas, recipes, Facebook group support, and weekly reminders to shop online and to submit itemized receipts). On average, reported food spending on F/V by the O+I participants was USD 6.84 more compared to the BM arm. Online shopping with behavioral nudges and nutrition information shows great promise for helping customers in diverse locations to navigate the increasing presence of online grocery shopping platforms and to improve F&V purchases.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Ella L. Bracci ◽  
Rachel Milte ◽  
Jennifer B. Keogh ◽  
Karen J. Murphy

Abstract Background Weight loss diets continue to rise in popularity; however, the associated costs are seldom reported. Certain weight loss diets may be unaffordable and differ from their traditional nutrition composition to include non-conventional premium products. In contrast, healthy eating principles such as the Australian Guide to Healthy Eating (AGHE) and the Mediterranean Diet (MedDiet) place an emphasis on fresh produce and staple foods but are sometimes thought to be unaffordable. A new methodology was piloted to assess the cost of weight loss diets using seven meal plans. Methods Seven meal plans were analysed to quantify the absolute grams required of all ingredients across seven days and multiplied by the cost of the ingredient per gram to determine the total cost of each ingredient based on unit size and price. The weekly grocery shopping cost was determined through summation of all ingredients and their entire unit size to compare weekly costs. Results Weekly meal plans (absolute grams) cost between $93-193AUD. The AGHE meal plan was the least expensive and 8 Weeks to Wow was the most expensive. Weekly grocery shopping of entire units cost between $345-$625AUD, over $100AUD greater than the spending of an average Australian ($237AUD/week). Conclusions The financial feasibility for long-term sustainment of weight loss diets may be questionable for groups including low-income earners and low socioeconomic status. Further, when dietary patterns are adapted for weight loss, or followed by consumers, deviations from foundational principles tend to occur which may influence overall cost.


Author(s):  
Jennifer Falbe ◽  
Justin S White ◽  
Desiree M Sigala ◽  
Anna H. H Grummon ◽  
Sarah E Solar ◽  
...  

Background: As the only place in a store where all customers must pass through and wait, the checkout lane may be particularly influential over consumer purchases. Because most foods and beverages sold at checkout are unhealthy (e.g., candy/sweets, sugar-sweetened beverages, and salty snacks), policymakers and advocates have expressed growing interest in healthy checkout policies. To understand the extent to which such policies could improve nutrition equity, we as-sessed the prevalence and sociodemographic correlates of purchasing items from checkout. Methods: We assessed self-reported checkout purchasing and sociodemographic characteristics in a national convenience sample of adults (n=10,348) completing an online survey in 2021. Re-sults: Over one-third (36%) of participants reported purchasing foods or drinks from checkout during their last grocery shopping trip. Purchasing items from checkout was more common among men; adults &lt;55 years of age; low-income consumers; Hispanic, non-Hispanic American Indian and Alaska Native, and non-Hispanic Black consumers; those with at least a bachelor&rsquo;s degree; parents; and consumers diagnosed with type 2 diabetes or pre-diabetes (p-values&lt;0.05). Conclusions: Purchasing foods or beverages from store checkouts is common and more prevalent among low-income and racial and ethnic minority groups. These results suggest that healthy checkout policies have the potential to improve nutrition equity.


2021 ◽  
pp. 1-33
Author(s):  
Lisa Harnack ◽  
Joseph Redden ◽  
Simone French ◽  
Nancy E. Sherwood ◽  
Gabrielle Rivera ◽  
...  

Abstract Objectives: This study aimed to identify features to include in online grocery stores to support healthful food purchasing by those striving to lose weight. Design: A Value Proposition Design Approach was used to gain shopper insights, devise potential online grocery store features, and obtain feedback on these features. Setting: Telephone interviews were conducted to gain insight into shoppers’ needs and perceptions. Results were used by the research team to identify potential online grocery shopping features that may support healthful purchase decisions, and interviews were conducted with a different sample of shoppers to gather feedback on features. Participants: Insight (n=25) and feedback (n=25) interviews were conducted with convenience samples of adults trying to lose weight. Results: Participants were primarily female, white, college educated, and with obesity or overweight. Online grocery features devised by the research team based on findings from the insight interviews included a: 1) shopping cart nutrition rating tool; 2) healthy meal planning tool; 3) interactive healthy eating inspiration aisle; and 4) healthy shopping preference settings option. Findings from the feedback interviews indicated that the healthy meal planning tool, healthy shopping preference settings option and shopping cart nutrition rating tool features were positively rated by most participants. Conclusions: There are multiple features grocers should consider including in their online stores to attract and support customers striving to eat healthy for weight loss.


Sign in / Sign up

Export Citation Format

Share Document