SNAP-Ed Policy, Systems, and Environmental Interventions and Caregivers’ Dietary Behaviors

Molitor, Fred; Doerr, Celeste

doi:10.1016/j.jneb.2020.05.013

Cited by 12 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We organized HEAL interventions’ implementation and evaluation activities by the 7 I+PSE components ( Figure 2 ). Healthy eating (n = 24) ( 19 , 22 , 28 – 30 , 32 , 34 , 35 , 38 , 39 , 43 , 44 , 46 – 48 , 52 , 53 , 56 , 59 – 62 , 64 , 66 , 68 , 71 ) and HEAL (n = 23) ( 1 , 20 , 21 , 24 , 26 , 27 , 33 , 36 , 37 , 40 – 42 , 45 , 49 – 51 , 54 , 57 , 58 , 63 , 65 , 67 , 69 , 72 ) initiatives included many intervention and evaluation activities across the 7 I+PSE components, with an emphasis on activities addressing organizational policy (I+PSE component 5) and environmental changes (I+PSE component 6) as anticipated because of the nature of this review. Those that only focused on active living (n = 5) ( 23 , 25 , 31 , 55 , 70 ) also emphasized activities addressing organizational policy (I+PSE component 5) and environmental changes (I+PSE component 6), to the near exclusion of all other components.…”

Section: Resultsmentioning

confidence: 99%

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Cunningham‐Sabo

Tagtow²,

et al. 2022

Prev. Chronic Dis.

View full text Add to dashboard Cite

Introduction Policy, systems, and environmental (PSE) change approaches frequently address healthy eating and active living (HEAL) priorities. However, the health effects of PSE HEAL initiatives are not well known because of their design complexity and short duration. Planning and evaluation frameworks can guide PSE activities to generate collective impact. We applied a systematic mapping review to the Individual plus PSE Conceptual Framework for Action (I+PSE) to describe characteristics, achievements, challenges, and evaluation strategies of PSE HEAL initiatives. Methods We identified peer-reviewed articles published from January 2009 through January 2021 by using CINAHL, Web of Science, MEDLINE, PsycINFO, and CAB Abstracts databases. Articles describing implementation and results of PSE HEAL initiatives were included. Activities were mapped against I+PSE components to identify gaps in evaluation efforts. Results Independent reviewers examined 437 titles and abstracts; 52 peer-reviewed articles met all inclusion criteria. Twenty-four focused on healthy eating, 5 on active living, and 23 on HEAL. Descriptive analyses identified federal funding of initiatives (typically 1–3 years), multisector settings, and mixed-methods evaluation strategies as dominant characteristics. Only 11 articles reported on initiatives that used a formal planning and evaluation framework. Achievements focused on partnership development, individual behavior, environmental or policy changes, and provision of technical assistance. Challenges included lack of local coalition and community engagement in initiatives and evaluation activities and insufficient time and resources to accomplish objectives. The review team noted vague or absent descriptions of evaluation activities, resulting in questionable characterizations of processes and outcomes. Although formation of partnerships was the most commonly reported accomplishment, I+PSE mapping revealed a lack of engagement assessment and its contributions toward initiative impact. Conclusion PSE HEAL initiatives reported successes in multiple areas but also challenges related to partnership engagement and community buy-in. These 2 areas are essential for the success of PSE HEAL initiatives and need to be adequately evaluated so improvements can be made.

show abstract

Section: Resultsmentioning

confidence: 99%

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Cunningham‐Sabo

Tagtow²,

et al. 2022

Prev. Chronic Dis.

View full text Add to dashboard Cite

show abstract

“…United States fruit and vegetable consumption in the low-income population remains below recommended levels ( 23 ). SNAP-Ed program is a USDA program which promotes healthier eating choices with a limited budget through education and awareness ( 24 ). The education programs, national campaigns from groups like American Heart Association (AHA) ( 25 ), and increase in public awareness on nutrition have shown an improvement in diet components of SNAP participants, including increase in whole grain, fruits, vegetables and decrease in SSB consumption ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

Trends in 10-Year Predicted Risk of Cardiovascular Disease Associated With Food Insecurity, 2007–2016

Sharedalal

Shah

Sreenivasan

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

IntroductionConsumption of a healthy diet improves cardiovascular (CV) risk factors and reduces the development of cardiovascular disease (CVD). Food insecure (FIS) adults often consume an unhealthy diet, which can promote obesity, type 2 diabetes mellitus (T2DM), hypertension (HTN), and hyperlipidemia (HLD). The Supplemental Nutrition Assistance Program (SNAP) is designed to combat food insecurity by increasing access to healthy foods. However, there is a paucity of data on the association of SNAP participation among FIS adults and these CVD risk factors.MethodsThe National Health and Nutrition Examination Survey (NHANES) is a publicly available, ongoing survey administered by the Centers for Disease Control and Prevention and the National Center for Health Statistics. We analyzed five survey cycles (2007–2016) of adult participants who responded to the CVD risk profile questionnaire data. We estimated the burden of select CVD risk factors among the FIS population and the association with participation in SNAP.ResultsAmong 10,449 adult participants of the survey, 3,485 (33.3%) identified themselves as FIS. Food insecurity was more common among those who were younger, female, Hispanic, and Black. Among the FIS, SNAP recipients, when compared to non-SNAP recipients, had a lower prevalence of HLD (36.3 vs. 40.1% p = 0.02), whereas rates of T2DM, HTN, and obesity were similar. Over the 10-year survey period, FIS SNAP recipients demonstrated a reduction in the prevalence of HTN (p < 0.001) and HLD (p < 0.001) which was not evident among those not receiving SNAP. However, obesity decreased only among those not receiving SNAP. The prevalence of T2DM did not change over the study period in either group.ConclusionOver a 10-year period, FIS adults who received SNAP demonstrated a reduction in the prevalence of HTN and HLD, which was not seen among those not receiving SNAP. However, the prevalence of obesity and T2DM did not decline among SNAP recipients, suggesting that additional approaches are required to impact these important CVD risk factors.

show abstract

“…Despite observing positive changes in health behaviors, consumption of SSBs and energy dense–low nutrient foods remained high, and BMI increased in the study samples. In California, other work indicates that over a recent 3-year period, SSB consumption was unchanged for low-income mothers, adolescents, and children ( 11 ). Nationally, intake of SSBs remained high particularly for racial and ethnic minorities ( 25 ).…”

Section: Implications For Public Healthmentioning

confidence: 99%

“…Although states and implementing agencies have increasingly implemented PSEs throughout the past decade, limited research has characterized potential effects of SNAP-Ed programming at the community level ( 9 ). For example, 2 recent studies showed that for low-income caregivers of children who lived in high SNAP-Ed reach census tracts (versus low SNAP-Ed reach census tracts), PSEs were associated with increased FV consumption and decreased intake of sugar-sweetened beverages (SSBs) ( 10 , 11 ). In California, a population-level study demonstrated that SNAP-Ed–eligible populations increased their FV consumption over a 3-year period after exposure to PSEs ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

Health Behavior Changes Among Adults in the Supplemental Nutrition Assistance Program Education, Los Angeles County, California

et al. 2021

View full text Add to dashboard Cite

Purpose and Objectives The Supplemental Nutrition Assistance Program Education (SNAP-Ed), the educational branch of SNAP, can play an important role in improving dietary outcomes, eliminating food insecurity, and preventing chronic disease among low-income populations. This study examined the effects of local SNAP-Ed efforts on self-reported health behaviors and body mass index (BMI) over a 1-year period, using data collected from intercept surveys of program-eligible adults. Intervention Approach From 2016 to 2020, the Los Angeles County Department of Public Health partnered with 24 community-based organizations to provide nutrition education and to implement policy, systems, and environmental changes in the community. Evaluation Methods A cross-sectional survey was conducted in 2018 and repeated in 2019 to measure 6 outcomes describing population-level changes in health behaviors and BMI. The study recruited 4 samples: 2 samples from outside selected supermarkets (2018, n = 2,098; 2019, n = 2,323) and 2 samples from participants at SNAP-Ed class sites (2018, n = 651; 2019, n = 569). Results While study results showed an increase in consumption of fruits and vegetables and in vigorous physical activity, they also showed an increase in BMI and high consumption of unhealthy foods. Participating in SNAP-Ed classes was positively associated with several health behaviors but no change in BMI. Participants who experienced food insecurity had worse health behavior outcomes than those who did not experience this condition. Implications for Public Health SNAP-Ed interventions appear to have a favorable effect on fruit and vegetable consumption, but increases in BMI suggest that unhealthy food consumption is abundant and may be counteracting the benefits gained from eating more fruits and vegetables. Future efforts should take these results into consideration and optimize enrollment in nutrition assistance programs. These efforts should include coordinating with local programs to increase healthy food access for at-risk low-income populations in Los Angeles County.

show abstract

SNAP-Ed Policy, Systems, and Environmental Interventions and Caregivers’ Dietary Behaviors

Cited by 12 publications

References 15 publications

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Trends in 10-Year Predicted Risk of Cardiovascular Disease Associated With Food Insecurity, 2007–2016

Health Behavior Changes Among Adults in the Supplemental Nutrition Assistance Program Education, Los Angeles County, California

Contact Info

Product

Resources

About