Supplemental Nutrition Assistance Program participation did not help low income Hispanic women in Texas meet the dietary guidelines

Hilmers, Angela; Chen, Tzu-An; Dave, Jayna M.; Thompson, Debbe; Cullen, Karen Weber

doi:10.1016/j.ypmed.2014.01.016

Cited by 25 publications

(25 citation statements)

References 17 publications

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“…2-7 A variety of program modifications have been proposed, 8-15 including offering financial incentives for the purchase of fruits and vegetables and prohibiting the purchase of less nutritious foods, such as sugar sweetened beverages with program funds.…”

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confidence: 99%

Effects of Subsidies and Prohibitions on Nutrition in a Food Benefit Program

et al. 2016

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IMPORTANCEStrategies to improve the nutritional status of those participating in the Supplemental Nutrition Assistance Program (SNAP) are of interest to policymakers. OBJECTIVE To evaluate whether the proposed policy of incentivizing the purchase of fruits and vegetables and prohibiting the purchase of less nutritious foods in a food benefit program improves the nutritional quality of participants' diets.DESIGN, SETTING, AND PARTICIPANTS Lower income participants (n = 279) not currently enrolled in SNAP were randomized to 1 of 4 experimental financial food benefit conditions: (1) incentive (30% financial incentive for fruits and vegetables purchased using food benefits);(2) restriction (not allowed to buy sugar sweetened beverages, sweet baked goods, or candies with food benefits); (3) incentive plus restriction (30% financial incentive on fruits and vegetables and restriction of purchase of sugar sweetened beverages, sweet baked goods, or candy with food benefits); or (4) control (no incentive or restrictions on foods purchased with food benefits). Participants in all conditions were given a study-specific debit card where funds were added every 4 weeks for a 12-week period. Outcome measures were collected at baseline and in the final 4 weeks of the experimental period. MAIN OUTCOMES AND MEASURESPrimary outcomes (from 24-hour dietary recalls) included intake of energy, discretionary calories, and overall diet quality. RESULTSA number of favorable changes were observed in the incentive plus restriction condition that were significantly different from changes in the control condition. These included (1) reduced intake of energy (−96 kcal/d, standard error [SE], 59.9); (2) reduced intake of discretionary calories (−64 kcal/d, SE 26.3); (3) reduced intake of sugar sweetened beverages, sweet baked goods, and candies (−0.6 servings/d, SE 0.2); (4) increased intake of solid fruit (0.2 servings/d, SE 0.1); and (5) improved Healthy Eating Index score (4.1 points, SE 1.4). Fewer improvements were observed in the incentive only and restriction only arms. CONCLUSIONS AND RELEVANCEA food benefit program that pairs incentives for purchasing more fruits and vegetables with restrictions on the purchase of less nutritious foods may reduce energy intake and improve the nutritional quality of the diet of participants compared with a program that does not include incentives or restrictions.CLINICAL TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT02643576

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confidence: 99%

Effects of Subsidies and Prohibitions on Nutrition in a Food Benefit Program

et al. 2016

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“…29 Convenience samples were used in the remaining five papers. 20,25,27,32,41 Fifteen studies included data on adults, 7,21,23,25–30,32,34,39–42 six studies reported data on children, 7,23,24,31,36,43 and six studies provided data at a household level. 20,22,33,35,37,38 …”

Section: Evidence Synthesismentioning

confidence: 99%

Dietary Quality of Americans by Supplemental Nutrition Assistance Program Participation Status

Andreyeva

Tripp

Schwartz

2015

American Journal of Preventive Medicine

213

143

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Context The Supplemental Nutrition Assistance Program (SNAP) is an effective component in reducing food insecurity in the U.S. In the discussion of strategies to also help SNAP participants maximize diet quality, it is important to know their current dietary patterns and food choices. This paper provides a systematic review of recent U.S. studies on dietary quality, food consumption, and spending among SNAP participants as compared to income-eligible and higher-income nonparticipants. Evidence acquisition The review, completed in 2014, summarized studies that were peer-reviewed, published between January 2003 and August 2014, and provided data on dietary quality and intake of SNAP participants and nonparticipants. Evidence synthesis Twenty-five studies were included in this review. Daily caloric, macro-nutrient, and micronutrient intake of SNAP participants did not differ systematically from those of income-eligible nonparticipants; however, differences in dietary quality emerged. Adult SNAP participants scored lower on the Healthy Eating Index than either group of nonparticipants. Children's diets were similar among SNAP participants and low-income nonparticipants, but were less nutritious than diets of higher-income children. The evidence regarding sugar-sweetened beverage consumption was mixed, with most studies indicating significantly higher beverage intake among SNAP participants compared with higher-income nonparticipants, but no difference compared to income-eligible nonparticipants. Conclusions SNAP effectively alleviates food insecurity in terms of caloric, macronutrient, and micronutrient intake. Still, SNAP participants are struggling more than income-eligible and higher-income nonparticipants to meet key dietary guidelines. Future policies should ensure that this vital food assistance program addresses diet quality while reducing food insecurity.

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“…Interventions targeting farmer’s markets have focused on increasing EBT purchases by establishing onsite EBT card terminals (10, 18, 29) and providing discounts or rebates for EBT transactions (7, 29) with success. More studies among SNAP participants across the United States are needed to further evaluate the success of providing discounts or rebates at farmer’s markets in varying geographic and demographic contexts (52, 53). With respect to implementation issues, increasing access to farmer’s markets for SNAP-eligible adults is limited by the fact that many vendors did not continue to offer EBT purchasing after the pilot program ended, suggesting that farmer’s market vendor subsidies for EBT terminals are needed.…”

Section: Government Policiesmentioning

confidence: 99%

Identifying the Effects of Environmental and Policy Change Interventions on Healthy Eating

Bowen

Barrington²,

Beresford

2015

Annu. Rev. Public Health

103

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Obesity has been characterized as a disease. Strategies to change the incidence and prevalence of this disease include a focus on changing physical and social environments, over and above individual-level strategies, using a multilevel or systems approach. We focus our attention on evidence published between 2008 and 2013 on the effectiveness of interventions in nutrition environments, i.e., environmental interventions designed to influence the intake of healthful foods and amount of energy consumed. An overarching socioecological framework that has guided much of this research was used to characterize different types of environmental strategies. Intervention examples in each area of the framework are provided with a discussion of key findings and related conceptual and methodological issues. The emphasis in this review is on adults, but clearly this literature is only one part of the picture. Much research has been focused on child-specific interventions, including environmental interventions. Some evidence suggests effectiveness of policy-based or other types of interventions that aim to regulate or restructure environments to promote healthy dietary choices, and these strategies would apply to both children and adults. Opportunities to evaluate these policy changes in adults’ social and physical environments are rare. Much of the existing research has been with children. As conceptual and methodological issues continue to be identified and resolved, we hope that future research in this domain will identify environmental strategies that can be included in intervention toolboxes to build healthy nutrition environments for both adults and children.

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Supplemental Nutrition Assistance Program participation did not help low income Hispanic women in Texas meet the dietary guidelines

Cited by 25 publications

References 17 publications

Effects of Subsidies and Prohibitions on Nutrition in a Food Benefit Program

Effects of Subsidies and Prohibitions on Nutrition in a Food Benefit Program

Dietary Quality of Americans by Supplemental Nutrition Assistance Program Participation Status

Identifying the Effects of Environmental and Policy Change Interventions on Healthy Eating

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