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

PLoS ONE ◽  
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.

scholarly journals Did School Meal Programs and SNAP Participation Improve Diet Quality of US Children from Low-Income Households: Evidence from NHANES 2013–2014?

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3574
Author(s):  
Tzuan A. Chen ◽  
Lorraine R. Reitzel ◽  
Ezemenari M. Obasi ◽  
Jayna M. Dave
Keyword(s):  
Diet Quality ◽  
Low Income ◽  
Safety Net ◽  
Healthy Eating Index ◽  
School Meals ◽  
Assistance Program ◽  
School Meal ◽  
Nutrition Assistance ◽  
Low Income Households

Nutrition assistance programs such as school meals and the Supplemental Nutrition Assistance Program (SNAP) are designed to provide a safety net for the dietary intake of children from low-income families. However, compared with eligible non-participants, the relationship of diet quality with school meals only and school meals + SNAP is not well understood. The objectives of the study include: (1) To explore whether and to what extent nutrition assistance program participation (school meals only and school meals + SNAP) is related to diet quality; and (2) to examine the differences of diet quality between participating in school meals only, school meals + SNAP, or non-participation among American children. Children aged 5 to 18 years old from income eligible households who participated in the 2013–2014 National Health and Nutrition Examination Survey (NHANES) were included in this cross-sectional study (n = 1425). Diet quality was measured using the Healthy Eating Index (HEI)–2015 and its 13 subcomponents. A Rao-Scott Chi-square test, propensity scores approach, and Analysis of Covariance were performed. Covariates included age, sex, race/ethnicity, weight status, and family monthly poverty index. SAS survey procedures were used to incorporate the appropriate sample design weights. Participation in school meals + SNAP was not associated with higher diet quality compared to eligible non-participants or school meals-only participants. Participation in school meals + SNAP improved the intake of total dairy, but not added sugars or total vegetables compared to school meals only. Overall, school meal + SNAP participation did not significantly improve the overall diet quality of children in low-income households relative to comparable non-participants.

scholarly journals Three-year trends in dietary behaviours among mothers, teenagers and children from SNAP-Ed (Supplemental Nutrition Assistance Program–Education) eligible households across California

2019 ◽  
Vol 23 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Fred Molitor ◽  
Celeste Doerr ◽  
John Pugliese ◽  
Lauren Whetstone
Keyword(s):  
Diet Quality ◽  
Low Income ◽  
Vegetable Intake ◽  
Age Groups ◽  
Healthy Eating Index ◽  
Poverty Level ◽  
Cross Sectional ◽  
Assistance Program ◽  
Dietary Behaviours ◽  
Nutrition Assistance

AbstractObjective:To examine trends from 2015 to 2017 in dietary behaviours and diet quality among low-income mothers, teenagers and children.Design:Cross-sectional telephone surveys using a validated 24 h dietary assessment.Setting:Randomly sampled households with incomes ≤185 % of the US federal poverty level across California.Participants:Survey participants were 13 247 mothers (≥18 years), 3293 teenagers (12–17 years) and 6043 children (5–11 years). Respondents were mostly Latino.Results:Over the 3-year study period, consumption of fruits and vegetables with and without 100 % fruit juice increased (P ≤ 0·05) by at least 0·3 cups/d for mothers, teenagers and children. Intake of water also increased (P ≤ 0·001) by more than 1 cup/d for mothers and children and 2 cups/d for teenagers. Sugar-sweetened beverage (SSB) consumption was unchanged over the 3 years. Overall diet quality, as assessed by the Healthy Eating Index-2015, improved (P ≤ 0·01) for mothers, teenagers and children. Covariates for the fifteen regression models (three age groups by five outcome variables) included race/ethnicity, age, education for mothers, and gender for teenagers and children.Conclusions:The observed increases in fruit and vegetable intake and improvements in overall diet quality during the 3-year period suggest that low-income Californians may have lowered their risk of preventable diseases. However, more intense or strategic SSB-reduction interventions are required. Regional- or state-level, population-based surveillance of dietary behaviours is useful for public health nutrition policy and programme decision making, and can be used to assess potential trends in future negative health outcomes and related costs associated with poor dietary behaviours within at-risk populations.

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 Is participation in food and income assistance programmes associated with obesity in California adults? Results from a state-wide survey

2010 ◽  
Vol 14 (4) ◽  
pp. 645-652 ◽  
Author(s):  
Cindy W Leung ◽  
Eduardo Villamor
Keyword(s):  
Food Insecurity ◽  
Low Income ◽  
Economic Status ◽  
Dietary Quality ◽  
California Health Interview Survey ◽  
Poverty Level ◽  
Cross Sectional ◽  
Assistance Program ◽  
Socio Economic Status ◽  
Prevalence Of Obesity

AbstractObjectivePublic assistance programmes may increase risk of obesity among adults. The current study assessed whether participation in the Supplemental Nutrition Assistance Program (SNAP; formerly the Food Stamp Program), Supplemental Security Income (SSI) or California Work Opportunities and Responsibilities to Kids (CalWorks) was associated with obesity, independent of socio-economic status and food insecurity.DesignA cross-sectional analysis of the 2007 Adult California Health Interview Survey. Outcome measures included BMI and obesity. Distribution of BMI and prevalence of obesity were compared by participation in each programme, using weighted linear and binomial regression models in which BMI or obesity was the outcome, respectively, and programme participation was the predictor.SettingA population survey of various health measures.SubjectsNon-institutionalized adults (n 7741) whose household income was ≤130 % of the federal poverty level.ResultsThe prevalence of obesity was 27·4 %. After adjusting for sociodemographic characteristics, food insecurity and participation in other programmes, the prevalence of obesity was 30 % higher in SNAP participants (95 % CI 6 %, 59 %; P = 0·01) than in non-participants. This association was more pronounced among men than women. SSI participation was related to an adjusted 50 % higher prevalence of obesity (95 % CI 27 %, 77 %; P < 0·0001) compared with no participation. SNAP and SSI participants also reported higher soda consumption than non-participants of any programme. CalWorks participation was not associated with obesity after multivariable adjustment.ConclusionsParticipation in SNAP or SSI was associated with obesity independent of food insecurity or socio-economic status. The suggestion that these associations may be mediated by dietary quality warrants further investigation among low-income populations.

scholarly journals Impact of Supplemental Nutrition Assistance Program Benefit Reduction or Loss on Food-at-Home Acquisitions and Community Food Program Use

2021 ◽  
Vol 18 (22) ◽  
pp. 12004
Author(s):  
Namrata Sanjeevi
Keyword(s):  
Healthy Eating Index ◽  
Supplemental Nutrition Assistance Program ◽  
Food Sources ◽  
Poverty Level ◽  
Food Acquisition ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Nutrition Environment ◽  
Nutrition Assistance ◽  
At Home

Since Supplemental Nutrition Assistance Program (SNAP) benefits are vital for food-at-home (FAH) acquisitions among participating families, changes in participation or benefit amounts may impact FAH purchase and use of community-based food programs (CFP). The association of the loss of or a reduction in SNAP benefits with FAH acquisitions and CFP use was assessed using 2012–2013 National Household Food Acquisition and Purchase Survey data. Households with incomes equal to or below 130% of the Federal Poverty Level were categorized as (1) current SNAP households, (2) households with benefit loss in the preceding year, or (3) households with benefit loss for more than a year. Current SNAP households were classified as receiving (1) lesser-than-usual benefits or (2) usual benefits. Regression analyses examined associations of the loss of or a reduction in benefits with the Healthy Eating Index-2015 (HEI-2015) scores of FAH purchases and CFP use. Benefit loss in the preceding year was related to a lower total HEI-2015 score for FAH acquisitions, whereas benefit reduction was associated with lower green/bean and added sugar scores and increased CFP use. This study suggests that the loss of or a reduction in SNAP benefits may adversely impact the quality of FAH purchases. The findings also suggest that efforts enhancing the nutrition environment of community food sources could support healthy food acquisition by families experiencing benefit reduction.

scholarly journals Dietary Quality of Pregnant Women Participating in the Special Supplemental Nutrition Program for Women, Infants, and Children

2021 ◽  
Vol 18 (16) ◽  
pp. 8370
Author(s):  
Arezoo Rojhani ◽  
Ping Ouyang ◽  
Angel Gullon-Rivera ◽  
Taylor Marie Dale
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Healthy Eating Index ◽  
Infants And Children ◽  
Dietary Quality ◽  
Supplemental Nutrition ◽  
Nutrition Program ◽  
Food Records ◽  
Supplemental Nutrition Program

Few studies have examined the dietary intake of low-income pregnant women participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The aim of this study was to assess the dietary quality of WIC-enrolled pregnant women and examine associations with maternal characteristics, nutrition knowledge, and key health indicators. Fifty-one WIC-enrolled pregnant women completed two sets of 3-day food records. Food records were analyzed for nutrient content, and diet quality was assessed using the Healthy Eating Index (HEI)-2015. Since an HEI score of less than 60 is indicative of the need to improve dietary quality, participants’ HEI scores were divided into two categories: <60 and ≥60. The total mean HEI score of the cohort based on analysis of the first set of food records was 59.1 ± 12.5 (range 37.1–89.2), while the mean score for the second 3 days of food records was 56.8 ± 12.7 (range 30.0–89.0). The majority of participants did not consume the minimum recommended servings of whole vegetables. Those in the <60 HEI category consumed on average less than 50% of the recommended servings of whole fruits and whole grains. The diets of the majority of participants were high in saturated fat and sodium. More than one-third did not meet the recommendations for folate and iron intake, while less than half met the RDA for vitamin D. Choline intake was insufficient based on analysis of the first 3 days of food records. Our results indicate that the dietary quality of WIC-enrolled pregnant women requires improvement.

scholarly journals Dietary intake and dietary quality of low-income adults in the Supplemental Nutrition Assistance Program

2012 ◽  
Vol 96 (5) ◽  
pp. 977-988 ◽  
Author(s):  
Cindy W Leung ◽  
Eric L Ding ◽  
Paul J Catalano ◽  
Eduardo Villamor ◽  
Eric B Rimm ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Low Income ◽  
Supplemental Nutrition Assistance Program ◽  
Dietary Quality ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Nutrition Assistance

scholarly journals Nutritional quality of retail food purchases is not associated with participation in the Supplemental Nutrition Assistance Program for nutrition-oriented households

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0240263
Author(s):  
Yu Chen ◽  
Biing‐Hwan Lin ◽  
Lisa Mancino ◽  
Michele Ver Ploeg ◽  
Chen Zhen
Keyword(s):  
Low Income ◽  
Nutritional Quality ◽  
Supplemental Nutrition Assistance Program ◽  
Healthy Foods ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Food Purchases ◽  
Quality Of Food ◽  
Nutrition Assistance

The Supplemental Nutrition Assistance Program (SNAP) provides millions of low-income Americans food benefits and other forms of nutrition assistance. Evidence indicates that SNAP reduces food insecurity. However, there is a concern that the food benefit may increase the demand for less healthy foods more than healthier foods, thereby reducing the overall nutritional quality of the participant’s food basket. This paper aims to examine the association of SNAP participation with the nutritional quality of food-at-home purchases of low-income households and to investigate the potential heterogeneity among consumers with different levels of nutrition attitude. This analysis used food purchase data from the USDA National Household Food Acquisition and Purchase Survey (FoodAPS). Our study sample included 2,218 low-income households, of which 1,184 are SNAP participants, and 1,034 are income-eligible nonparticipants. Multivariate regressions were performed to explore the SNAP-nutritional quality association. A household’s nutrition attitude was measured using its response to a question on whether the household searched for nutrition information online in the last 2 months. Households that affirmed they had an online nutrition search were treated as nutrition-oriented households (21.2% of the low-income sample), and households that did not were considered less nutrition-oriented households (78.8%). For robustness, we also created an alternative nutrition attitude measure based on reported use of the nutrition facts label. We found that among less nutrition-oriented households, SNAP participants had a statistically significant 0.097 points (p = 0.018) lower Guiding Stars rating than low-income nonparticipants. However, there was no significant SNAP-nutritional quality association among nutrition-oriented households. In conclusion, SNAP participation was associated with lower nutritional quality of food purchases among less nutrition-oriented households, but not among nutrition-oriented households. The results suggest that the intended nutritional benefits of restrictions on purchases of healthy foods may not reach the subgroup of nutrition-oriented SNAP participants.

scholarly journals Food insecurity, coping strategies and glucose control in low-income patients with diabetes

2015 ◽  
Vol 19 (6) ◽  
pp. 1103-1111 ◽  
Author(s):  
Victoria L Mayer ◽  
Kevin McDonough ◽  
Hilary Seligman ◽  
Nandita Mitra ◽  
Judith A Long
Keyword(s):  
Food Insecurity ◽  
Coping Strategies ◽  
Low Income ◽  
Glucose Control ◽  
Economic Stress ◽  
Poverty Level ◽  
Cross Sectional ◽  
Assistance Program ◽  
Patients With Diabetes ◽  
And Coping

AbstractObjectiveTo examine the relationship between food insecurity and coping strategies (actions taken to manage economic stress) hypothesized to worsen glucose control in patients with diabetes.DesignUsing a cross-sectional telephone survey and clinical data, we compared food-insecure and food-secure individuals in their use of coping strategies. Using logistic regression models, we then examined the association between poor glucose control (glycated Hb, HbA1c≥8·0 %), food insecurity and coping strategies.SettingAn urban medical centre, between June and December 2013.SubjectsFour hundred and seven adults likely to be low income (receiving Medicaid or uninsured and/or residing in a zip code with >30 % of the population below the federal poverty level) with type 2 diabetes.ResultsOf respondents, 40·5 % were food insecure. A significantly higher percentage of the food-insecure group reported use of most examined coping strategies, including foregone medical care, participation in the Supplemental Nutrition Assistance Program (SNAP)) and use of emergency food programmes. Food insecurity was associated with poor glucose control (OR=2·23; 95 % CI 1·22, 4·10); coping strategies that were more common among the food insecure were not associated with poor glucose control. Among the food insecure, receipt of SNAP was associated with lower risk of poor glucose control (OR=0·27; 95 % CI 0·09, 0·80).ConclusionsWhile food insecurity was associated with poor glucose control, most examined coping strategies did not explain this relationship. However, receipt of SNAP among food-insecure individuals was associated with better diabetes control, suggesting that such programmes may play a role in improving health.

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