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Increases in Sugary Drink Marketing During Supplemental Nutrition Assistance Program Benefit Issuance in New York.
Am J Prev Med. 2018 07; 55(1):55-62.AJ

Abstract

INTRODUCTION

The Supplemental Nutrition Assistance Program (SNAP) is the largest federal food assistance program, providing $67 billion in benefits to 44 million Americans. Some states distribute SNAP benefits over one or a few days each month, which may create an incentive for retailers to heavily promote top-selling products, like sugar-sweetened beverages, when benefits are disbursed.

METHODS

A beverage environment scan assessing presence of displays, advertisements, and price promotions for sugar-sweetened, low-calorie, and unsweetened beverages was administered in a census of SNAP-authorized beverage retailers (n=630) in three cities in New York from September to November 2011. Multilevel regression models controlling for store type; county; and percentage SNAP enrollment, poverty, and non-Hispanic white population in the store's census tract were used to estimate the odds of in-store beverage marketing during the SNAP benefit issuance period compared to other days of the month. Data were analyzed in 2016.

RESULTS

There were higher odds of in-store sugar-sweetened beverage marketing during SNAP benefit issuance days (first to ninth days of the month) compared with other days of the month, particularly for sugar-sweetened beverage advertisements (OR=1.66, 95% CI=1.01, 2.72) and displays (OR=1.88, 95% CI=1.16, 3.03). In census tracts with high SNAP enrollment (>28%), the odds of a retailer having sugar-sweetened beverage displays were 4.35 times higher (95% CI=1.93, 9.98) during issuance compared with non-issuance days. There were no differences in marketing for low-calorie or unsweetened beverages.

CONCLUSIONS

Increases in sugar-sweetened beverage marketing during issuance may exacerbate disparities in diet quality of households participating in SNAP. Policy changes, like extending SNAP benefit issuance, may mitigate these effects.

Authors+Show Affiliations

Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. Electronic address: ajm978@mail.harvard.edu.Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.Interfaculty Initiative in Health Policy, Graduate School of Arts and Sciences, Harvard University, Cambridge, Massachusetts.New York State Department of Health, Albany, New York.New York State Department of Health, Albany, New York.Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.Department of Medical Ethics and Health Policy, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

29776786

Citation

Moran, Alyssa J., et al. "Increases in Sugary Drink Marketing During Supplemental Nutrition Assistance Program Benefit Issuance in New York." American Journal of Preventive Medicine, vol. 55, no. 1, 2018, pp. 55-62.
Moran AJ, Musicus A, Gorski Findling MT, et al. Increases in Sugary Drink Marketing During Supplemental Nutrition Assistance Program Benefit Issuance in New York. Am J Prev Med. 2018;55(1):55-62.
Moran, A. J., Musicus, A., Gorski Findling, M. T., Brissette, I. F., Lowenfels, A. A., Subramanian, S. V., & Roberto, C. A. (2018). Increases in Sugary Drink Marketing During Supplemental Nutrition Assistance Program Benefit Issuance in New York. American Journal of Preventive Medicine, 55(1), 55-62. https://doi.org/10.1016/j.amepre.2018.03.012
Moran AJ, et al. Increases in Sugary Drink Marketing During Supplemental Nutrition Assistance Program Benefit Issuance in New York. Am J Prev Med. 2018;55(1):55-62. PubMed PMID: 29776786.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Increases in Sugary Drink Marketing During Supplemental Nutrition Assistance Program Benefit Issuance in New York. AU - Moran,Alyssa J, AU - Musicus,Aviva, AU - Gorski Findling,Mary T, AU - Brissette,Ian F, AU - Lowenfels,Ann A, AU - Subramanian,S V, AU - Roberto,Christina A, Y1 - 2018/06/18/ PY - 2017/09/11/received PY - 2018/02/16/revised PY - 2018/03/12/accepted PY - 2018/5/20/pubmed PY - 2019/10/9/medline PY - 2018/5/20/entrez SP - 55 EP - 62 JF - American journal of preventive medicine JO - Am J Prev Med VL - 55 IS - 1 N2 - INTRODUCTION: The Supplemental Nutrition Assistance Program (SNAP) is the largest federal food assistance program, providing $67 billion in benefits to 44 million Americans. Some states distribute SNAP benefits over one or a few days each month, which may create an incentive for retailers to heavily promote top-selling products, like sugar-sweetened beverages, when benefits are disbursed. METHODS: A beverage environment scan assessing presence of displays, advertisements, and price promotions for sugar-sweetened, low-calorie, and unsweetened beverages was administered in a census of SNAP-authorized beverage retailers (n=630) in three cities in New York from September to November 2011. Multilevel regression models controlling for store type; county; and percentage SNAP enrollment, poverty, and non-Hispanic white population in the store's census tract were used to estimate the odds of in-store beverage marketing during the SNAP benefit issuance period compared to other days of the month. Data were analyzed in 2016. RESULTS: There were higher odds of in-store sugar-sweetened beverage marketing during SNAP benefit issuance days (first to ninth days of the month) compared with other days of the month, particularly for sugar-sweetened beverage advertisements (OR=1.66, 95% CI=1.01, 2.72) and displays (OR=1.88, 95% CI=1.16, 3.03). In census tracts with high SNAP enrollment (>28%), the odds of a retailer having sugar-sweetened beverage displays were 4.35 times higher (95% CI=1.93, 9.98) during issuance compared with non-issuance days. There were no differences in marketing for low-calorie or unsweetened beverages. CONCLUSIONS: Increases in sugar-sweetened beverage marketing during issuance may exacerbate disparities in diet quality of households participating in SNAP. Policy changes, like extending SNAP benefit issuance, may mitigate these effects. SN - 1873-2607 UR - https://www.unboundmedicine.com/medline/citation/29776786/Increases_in_Sugary_Drink_Marketing_During_Supplemental_Nutrition_Assistance_Program_Benefit_Issuance_in_New_York_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-3797(18)31639-8 DB - PRIME DP - Unbound Medicine ER -