Dietary Quality and Caloric Contribution of the Alternative Food Acquisitions of U.S. Low-income Households: Results from the National Food Acquisition and Purchasing Survey (Foodaps)

Abstract Objective: To determine the characteristics of US low-income households that use alternative food acquisition strategies and to examine the association between food security and alternative food acquisition. Design: Cross-sectional analysis. The ten-item Adult Food Security Survey Module was used to determine food security status. Self-reported data were used to determine food acquisition from community food sources, social networks and household food production. Setting: The National Food Acquisition and Purchasing Survey (FoodAPS), 2012. Participants: The sample consisted of 2534 low-income households (≤185 % of the federal poverty line) in the USA. Results: Households using alternative food acquisition strategies were more likely to have a primary respondent who was non-Hispanic White, born in the USA, and female, and more likely to live in a rural area, have higher income and own a home than households not using alternative acquisition strategies. Very low food security was positively associated with the use of community food sources (aOR = 2·26 (95 % CI 1·15, 4·46)). There was no association between food security and food acquisition from social networks or household food production. Conclusions: Use of alternative food acquisition strategies varied by specific demographic characteristics among low-income households, suggesting opportunities for outreach and promotion of alternative acquisition strategies in specific subpopulations in the USA. Future research should examine whether quantity and quality of food received from these sources are associated with food security.

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Prevalence and nutritional quality of free food and beverage acquisitions at school and work by SNAP status

PLoS ONE ◽

10.1371/journal.pone.0257879 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0257879

Author(s):

Aviva A. Musicus ◽

Anne N. Thorndike ◽

Jason P. Block ◽

Eric B. Rimm ◽

Sara N. Bleich

Keyword(s):

Low Income ◽

Nutritional Quality ◽

Free Food ◽

Safety Net ◽

Healthy Eating Index ◽

Dietary Quality ◽

Poverty Level ◽

Food Acquisition ◽

Assistance Program

Background The dual burden of poor diet quality and food insecurity makes free food—food acquired at no cost—a very important part of the nutrition safety net for low-income families. The goal of this study was to determine the national prevalence and nutritional quality of free food acquired separately in two settings: 1) by children at school; and 2) by employees at work; both stratified by participation in the Supplemental Nutrition Assistance Program (SNAP). Methods Using National Household Food Acquisition and Purchase Survey data (2012; n = 4,826 U.S. households containing 5,382 employed adults and 3,338 school-aged children), we used survey-weighted proportions to describe free food acquisition and linear regression to compare the 2010 Healthy Eating Index (HEI-2010) for free/non-free food acquisition events (i.e., meals) by SNAP status. Analyses were conducted in 2019–2020. Results SNAP households had more free acquisition events (29.6%) compared to non-SNAP households (<185% federal poverty level (FPL) = 22.3%; ≥185%FPL = 21.0%, p’s<0.001). For SNAP-participant children, free acquisition events at school had a higher mean HEI-2010 compared to non-free acquisition events at school (50.3 vs. 43.8, p = 0.033) and free acquisition events by SNAP-non-participant children ≥185%FPL at school (50.3 vs. 38.0, p = 0.001). Free and non-free acquisition events at work had relatively low HEI-2010s, with no differences by SNAP status. Conclusions Over one fifth of all food acquisition events were free, but free food acquisitions at school and work were relatively unhealthy. For children participating in SNAP, free food acquired at school had higher nutritional quality. Improving the dietary quality of free foods could improve the health of families, especially those participating in SNAP.

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