Role of Supplemental Nutrition Assistance Program in Improving Diet Quality: Implications for Nurses

2020 ◽  
Vol 21 (2) ◽  
pp. 62-70
Author(s):  
Victoria M. Pak ◽  
Erin Ferranti ◽  
Ingrid Duva ◽  
Melissa Owen ◽  
Sandra B. Dunbar
Keyword(s):  
Public Health ◽  
Diet Quality ◽  
Low Income ◽  
Supplemental Nutrition Assistance Program ◽  
Health Concern ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Health Goals ◽  
National Public Health ◽  
Nutrition Assistance

The Supplemental Nutrition Assistance Program (SNAP) provides access to healthy food for low-income individuals and households. Food security, however, does not necessarily achieve higher diet quality for beneficiaries. Diet quality is an important consideration for the development and management of chronic illness, a significant public health concern. In this study, we review incentives and disincentives implemented to improve the diet quality, the evidence on SNAP including benefits, challenges, and the politics of funding. New interventions and policies will be needed in order to improve the overall diet quality of SNAP households. SNAP should align with nutritional science to meet national public health goals. Nurses are trusted advocates for patients and the public and are uniquely positioned to aid in this effort. Informed by evidence, nurses willing to leverage their influence, can lead this needed change.

scholarly journals Strategies to improve the dietary quality of Supplemental Nutrition Assistance Program (SNAP) beneficiaries: an assessment of stakeholder opinions

2013 ◽  
Vol 17 (12) ◽  
pp. 2824-2833 ◽  
Author(s):  
Susan J Blumenthal ◽  
Elena E Hoffnagle ◽  
Cindy W Leung ◽  
Hayley Lofink ◽  
Helen H Jensen ◽  
...  
Keyword(s):  
Low Income ◽  
Supplemental Nutrition Assistance Program ◽  
Dietary Quality ◽  
Monetary Incentives ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Health Goals ◽  
National Public Health ◽  
Nutrition Assistance

AbstractObjectiveTo examine the opinions of stakeholders on strategies to improve dietary quality of Supplemental Nutrition Assistance Program (SNAP) participants.DesignParticipants answered a thirty-eight-item web-based survey assessing opinions and perceptions of SNAP and programme policy changes.SettingUSA.SubjectsSurvey of 522 individuals with stakeholder interest in SNAP, conducted in October through December 2011.ResultsThe top three barriers to improving dietary quality identified were: (i) unhealthy foods marketed in low-income communities; (ii) the high cost of healthy foods; and (iii) lifestyle challenges faced by low-income individuals. Many respondents (70 %) also disagreed that current SNAP benefit levels were adequate to maintain a healthy diet. Stakeholders believed that vouchers, coupons or monetary incentives for purchasing healthful foods might have the greatest potential for improving the diets of SNAP participants. Many respondents (78 %) agreed that sodas should not be eligible for purchases with SNAP benefits. More than half (55 %) believed retailers could easily implement such restrictions. A majority of respondents (58 %) agreed that stores should stock a minimum quantity of healthful foods in order to be certified as a SNAP retailer, and most respondents (83 %) believed that the US Department of Agriculture should collect data on the foods purchased with SNAP benefits.ConclusionsResults suggest that there is broad stakeholder support for policies that align SNAP purchase eligibility with national public health goals of reducing food insecurity, improving nutrition and preventing obesity.

scholarly journals Strengthening the Public Health Impacts of the Supplemental Nutrition Assistance Program Through Policy

2020 ◽  
Vol 41 (1) ◽  
pp. 453-480
Author(s):  
Sara N. Bleich ◽  
Alyssa J. Moran ◽  
Kelsey A. Vercammen ◽  
Johannah M. Frelier ◽  
Caroline G. Dunn ◽  
...  
Keyword(s):  
Public Health ◽  
Low Income ◽  
Safety Net ◽  
Supplemental Nutrition Assistance Program ◽  
Health Impacts ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
The Public ◽  
The Us ◽  
Nutrition Assistance

The US Department of Agriculture (USDA) Supplemental Nutrition Assistance Program (SNAP) is the cornerstone of the US nutrition safety net. Each month, SNAP provides assistance to 40 million low-income Americans—nearly half of them children. A number of changes could strengthen the public health impacts of SNAP. This review first presents a framework describing the mechanisms through which SNAP policy can influence public health, particularly by affecting the food security, the diet quality, and, subsequently, the health of SNAP participants. We then discusspolicy opportunities with the greatest potential to strengthen the public health impacts of SNAP, organized into three areas: ( a) food production and distribution, ( b) benefit allocation, and ( c) eligibility and enrollment. For each section, we describe current policy and limitations of the status quo, suggest evidence-based opportunities for policy change to improve public health, and identify important areas for future research.

scholarly journals Farmers’ market shopping and dietary behaviours among Supplemental Nutrition Assistance Program participants

2015 ◽  
Vol 18 (13) ◽  
pp. 2407-2414 ◽  
Author(s):  
Stephanie B Jilcott Pitts ◽  
Qiang Wu ◽  
Chelsea L Demarest ◽  
Crystal E Dixon ◽  
Ciarra JM Dortche ◽  
...  
Keyword(s):  
Diet Quality ◽  
Low Income ◽  
Supplemental Nutrition Assistance Program ◽  
Farmers Markets ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Farmers Market ◽  
Dietary Behaviours ◽  
Nutrition Assistance ◽  
Low Income Consumers

AbstractObjectiveBecause farmers’ markets include a variety of fruits and vegetables, shopping at farmers’ markets would likely improve diet quality among low-income consumers, as well as promote sustainable direct farm-to-consumer business models. However, not much is known about how to promote farmers’ market shopping among low-income consumers. Therefore, the purpose of the present paper was to examine barriers to and facilitators of shopping at farmers’ markets and associations between shopping at farmers’ markets and self-reported dietary behaviours (fruit and vegetable, sugar-sweetened beverage and fast-food consumption) and BMI.DesignCross-sectional analyses of associations between farmers’ market shopping frequency, awareness of markets, access to markets, dietary behaviours and BMI.SettingDepartment of Social Services, Pitt County, eastern North Carolina, USA.SubjectsBetween April and July 2013, Supplemental Nutrition Assistance Program (SNAP) participants (n205) completed a quantitative survey.ResultsBarriers to shopping at farmers’ markets included does not accept SNAP/electronic benefit transfer, out of the way and lack of transportation. Farmers’ market shopping was associated with awareness of farmers’ markets (estimate =0·18 (se0·04),P<0·001). Fruit and vegetable consumption was positively associated with farmers’ market shopping (estimate =1·06 (se0·32),P=0·001).ConclusionsOur study is one of the first to examine SNAP participants’ farmers’ market shopping, distance to farmers’ markets and dietary behaviours. Barriers to shopping at farmers’ markets and increasing awareness of existing markets should be addressed in future interventions to increase SNAP participants’ use of farmers’ markets, ultimately improving diet quality in this high-risk group.

scholarly journals Dietary Supplement Use among U.S. Children by Family Income, Food Security Level, and Nutrition Assistance Program Participation Status in 2011–2014

Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1212 ◽  
Author(s):  
Shinyoung Jun ◽  
Alexandra Cowan ◽  
Janet Tooze ◽  
Jaime Gahche ◽  
Johanna Dwyer ◽  
...  
Keyword(s):  
Food Security ◽  
Low Income ◽  
Family Income ◽  
Supplemental Nutrition Assistance Program ◽  
Household Food Security ◽  
Security Level ◽  
Program Participation ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Nutrition Assistance

This analysis characterizes use of dietary supplements (DS) and motivations for DS use among U.S. children (≤18 years) by family income level, food security status, and federal nutrition assistance program participation using the 2011–2014 National Health and Nutrition Examination Survey data. About one-third (32%) of children used DS, mostly multivitamin-minerals (MVM; 24%). DS and MVM use were associated with higher family income and higher household food security level. DS use was lowest among children in households participating in the Supplemental Nutrition Assistance Program (SNAP; 20%) and those participating in the Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC; 26%) compared to both income-eligible and income-ineligible nonparticipants. Most children who used DS took only one (83%) or two (12%) products; although children in low-income families took fewer products than those in higher income families. The most common motivations for DS and MVM use were to “improve (42% or 46%)” or “maintain (34 or 38%)” health, followed by “to supplement the diet (23 or 24%)” for DS or MVM, respectively. High-income children were more likely to use DS and MVM “to supplement the diet” than middle- or low-income children. Only 18% of child DS users took DS based on a health practitioner’s recommendation. In conclusion, DS use was lower among children who were in low-income or food-insecure families, or families participating in nutrition assistance programs.

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