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Nutritional profile of Supplemental Nutrition Assistance Program household food and beverage purchases.Am J Clin Nutr. 2017 06; 105(6):1433-1442.AJ
Abstract
Background:
The Supplemental Nutrition Assistance Program (SNAP), which is the largest federal nutrition assistance program in the United States, serves nearly 1 of 7 Americans. To date, few studies have examined food and beverage purchase behaviors in SNAP participants with the use of electronic purchase data.Objective:
In this cross-sectional study, we examined household store purchases of key food, beverage, and nutrient groups in SNAP participants and nonparticipants.Design:
Using a data set of US households' (n = 98,256 household-by-quarter observations) packaged food and beverage purchases and SNAP status [current participant, income-eligible nonparticipant (income ≤130% of the Federal Poverty Level [FPL]), and higher-income nonparticipants (income >130% of the FPL)] from 3 quarters during 2012-2013, we estimated pooled ordinary least-squares models, clustered at the household level, to examine the association between SNAP status and purchases while controlling for sociodemographic characteristics. We examined purchases of health- and policy-relevant food and beverage groups [e.g., fruit and sugar-sweetened beverages (SSBs)] and nutrients (e.g., total calories and sodium).Results:
Regardless of SNAP status, households had low mean purchases of fruit, vegetables, and fiber and high mean purchases of junk foods, saturated fat, and sodium. After adjustment for multiple comparisons and demographic characteristics, we found significant differences by SNAP status of purchases of fruit, processed meat, salty snacks, sweeteners and toppings, SSBs, and total calories, fiber, sugar, and sodium. Several of these differences were clinically important. For example, compared with income-eligible and higher-income nonparticipants, SNAP participants purchased an additional ∼15-20 kcal · person-1 · d-1 from SSBs (P < 0.0001) and ∼174-195 mg total Na · person-1 · d-1 (P <0.0001). Results were robust to corrections for sample-selection bias and to the exclusion of observations with potentially misreported SNAP status.Conclusions:
American households, including SNAP households, show room for improvement in the nutritional quality of store purchases. New interventions and policies may be needed to improve food and beverage purchases in both SNAP and non-SNAP households.Links
MeSH
Pub Type(s)
Journal Article
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural
Language
eng
PubMed ID
28424188
Citation
Grummon, Anna H., and Lindsey Smith Taillie. "Nutritional Profile of Supplemental Nutrition Assistance Program Household Food and Beverage Purchases." The American Journal of Clinical Nutrition, vol. 105, no. 6, 2017, pp. 1433-1442.
Grummon AH, Taillie LS. Nutritional profile of Supplemental Nutrition Assistance Program household food and beverage purchases. Am J Clin Nutr. 2017;105(6):1433-1442.
Grummon, A. H., & Taillie, L. S. (2017). Nutritional profile of Supplemental Nutrition Assistance Program household food and beverage purchases. The American Journal of Clinical Nutrition, 105(6), 1433-1442. https://doi.org/10.3945/ajcn.116.147173
Grummon AH, Taillie LS. Nutritional Profile of Supplemental Nutrition Assistance Program Household Food and Beverage Purchases. Am J Clin Nutr. 2017;105(6):1433-1442. PubMed PMID: 28424188.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR
T1 - Nutritional profile of Supplemental Nutrition Assistance Program household food and beverage purchases.
AU - Grummon,Anna H,
AU - Taillie,Lindsey Smith,
Y1 - 2017/04/19/
PY - 2016/10/17/received
PY - 2017/03/22/accepted
PY - 2017/4/21/pubmed
PY - 2017/8/2/medline
PY - 2017/4/21/entrez
KW - Supplemental Nutrition Assistance Program
KW - big data
KW - diet quality
KW - food and beverage purchases
KW - food-purchase data
KW - health disparities
KW - income disparities
KW - low income
KW - nutrients
SP - 1433
EP - 1442
JF - The American journal of clinical nutrition
JO - Am J Clin Nutr
VL - 105
IS - 6
N2 - Background: The Supplemental Nutrition Assistance Program (SNAP), which is the largest federal nutrition assistance program in the United States, serves nearly 1 of 7 Americans. To date, few studies have examined food and beverage purchase behaviors in SNAP participants with the use of electronic purchase data.Objective: In this cross-sectional study, we examined household store purchases of key food, beverage, and nutrient groups in SNAP participants and nonparticipants.Design: Using a data set of US households' (n = 98,256 household-by-quarter observations) packaged food and beverage purchases and SNAP status [current participant, income-eligible nonparticipant (income ≤130% of the Federal Poverty Level [FPL]), and higher-income nonparticipants (income >130% of the FPL)] from 3 quarters during 2012-2013, we estimated pooled ordinary least-squares models, clustered at the household level, to examine the association between SNAP status and purchases while controlling for sociodemographic characteristics. We examined purchases of health- and policy-relevant food and beverage groups [e.g., fruit and sugar-sweetened beverages (SSBs)] and nutrients (e.g., total calories and sodium).Results: Regardless of SNAP status, households had low mean purchases of fruit, vegetables, and fiber and high mean purchases of junk foods, saturated fat, and sodium. After adjustment for multiple comparisons and demographic characteristics, we found significant differences by SNAP status of purchases of fruit, processed meat, salty snacks, sweeteners and toppings, SSBs, and total calories, fiber, sugar, and sodium. Several of these differences were clinically important. For example, compared with income-eligible and higher-income nonparticipants, SNAP participants purchased an additional ∼15-20 kcal · person-1 · d-1 from SSBs (P < 0.0001) and ∼174-195 mg total Na · person-1 · d-1 (P <0.0001). Results were robust to corrections for sample-selection bias and to the exclusion of observations with potentially misreported SNAP status.Conclusions: American households, including SNAP households, show room for improvement in the nutritional quality of store purchases. New interventions and policies may be needed to improve food and beverage purchases in both SNAP and non-SNAP households.
SN - 1938-3207
UR - https://www.unboundmedicine.com/medline/citation/28424188/Nutritional_profile_of_Supplemental_Nutrition_Assistance_Program_household_food_and_beverage_purchases_
L2 - https://academic.oup.com/ajcn/article-lookup/doi/10.3945/ajcn.116.147173
DB - PRIME
DP - Unbound Medicine
ER -