Perceived neighbourhood food environment and overweight and obesity among Supplemental Nutrition Assistance Program-Education (SNAP-Ed) participants in the Midwest US

2020 ◽  
pp. 1-9
Author(s):  
Bhagyashree Katare ◽  
Krystal Lynch ◽  
Dennis Savaiano

Abstract Objective: To evaluate the relationship between neighbourhood food environment perceptions and obesity among Supplemental Nutrition Assistance Program-Education (SNAP-Ed) or Expanded Food and Nutrition Education Program (EFNEP) participants. Design: A cross-sectional study conducted during SNAP-Ed or EFNEP programme participation in six states in the Midwest US between May 2016 and November 2017. Setting: Community centres, food pantries and other SNAP-Ed or EFNEP recruitment locations. Participants: Convenience sample of 1743 low-income, adult nutrition education programme participants. Results: Controlling for participant location and other demographic variables, those who perceived that a large selection of fruits and vegetables were available to them were 22 % less likely to be obese (adjusted odds ratio 0·78, 95 % CI 0·63, 0·97). In addition, participants who perceived the distance to the grocery store where they purchased most of their groceries to be greater than 5 miles were 1·36 times more likely to be overweight or obese than those who travelled shorter distances for their groceries. Conclusions: SNAP-Ed or EFNEP participants’ weight status may be associated with their perceptions of their neighbourhood food environments. Programmes incorporating nutrition education and food access initiatives should attempt to better understand participant perceptions in order to address barriers in their efforts and to ensure that healthy food is accessible to low-income residents.

2019 ◽  
Vol 77 (12) ◽  
pp. 903-921 ◽  
Author(s):  
Rebecca L Rivera ◽  
Melissa K Maulding ◽  
Heather A Eicher-Miller

AbstractThe Supplemental Nutrition Assistance Program–Education (SNAP-Ed) is the nutrition promotion component of SNAP, formerly known as food stamps. SNAP-Ed assists low-income populations in the United States improve dietary intake and reduce food insecurity through nutrition education. This narrative review summarizes current investigations of SNAP-Ed’s effectiveness at improving food security and dietary outcomes, and it can help inform future policy and implementation of the program. There was stronger evidence for SNAP-Ed as an effective means of improving food security (n = 4 reports) than for its effects on nutrition or dietary outcomes (n = 10 reports). Inconsistency in measurement tools and outcomes and a lack of strong study designs characterized the studies that sought to evaluate the effectiveness of SNAP-Ed at improving nutrition or dietary outcomes. Additional rigorous study designs in diverse population groups are needed to strengthen the evidence. In the face of reduced financial SNAP benefits, SNAP-Ed may play an important role in helping to eliminate food insecurity and improve dietary outcomes and, ultimately, the health of low-income Americans.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 212-212
Author(s):  
Shelly Johnson ◽  
Kali Gardiner ◽  
Annie Roe

Abstract Objectives For many struggling with poverty, consuming a nutritious diet while managing an existing chronic condition can be extremely challenging. Often times food bank/pantries offer an emergency resource to help promote health to families in need, however, many of them lack healthy foods to improve nutrition, health and well-being. In Idaho's Kootenai County, over 35,000 people are food insecure, 13.1% of the population with over 6000 of them being children, 17.1% of the population. University Of Idaho Extension Eat Smart Idaho program, with funding from USDA's Supplemental Nutrition Assistance Program-Education and the Department of Health and Welfare, have created their Healthy Food Bank/Pantry Protocol and Healthy Food Drive Protocol to help mesh our food bank network with healthier food options and give access to healthier foods to our low income families. Methods Eat Smart Idaho's goal is to move as many pantries towards the “choice” model as well as “MyPlate” pantries that will allow nutrition education through signage, demonstrations, recipes and classes. Additionally, a protocol has been written for healthy food drives with the goal of reaching as many individuals with this education as possible. In the last two years, FY2017–2019, the Eat Smart Idaho program serving Kootenai County assisted with over 20 healthy food drives. The Post Falls School District Annual Food Drive which supports the Post Falls Food Bank was a particular success in 2019. This food drive included 7 elementary schools who challenged each other to donate the most food. In 2019, schools were also rewarded for bringing in the most healthy food donations. The Eat Smart Idaho team provided nutrition education assemblies and classroom presentations on how to donate healthy. Healthy food donation lists were also created, as well as displays set up at school locations. Results Ponderosa Elementary received the Eat Smart Idaho Award for donating the most healthy food, additionally, students wrote essays about the importance of donating healthy foods to families in need. The Post Falls Food Drive collected over 10,000 pounds of food and $1700 in monetary donations. Conclusions Providing nutrition education and healthy donation lists serve as a model for managing a healthy food drive, particularly, in the school setting. Funding Sources Supplemental Nutrition Assistance Program - Education.


2020 ◽  
Vol 21 (2) ◽  
pp. 62-70
Author(s):  
Victoria M. Pak ◽  
Erin Ferranti ◽  
Ingrid Duva ◽  
Melissa Owen ◽  
Sandra B. Dunbar

The Supplemental Nutrition Assistance Program (SNAP) provides access to healthy food for low-income individuals and households. Food security, however, does not necessarily achieve higher diet quality for beneficiaries. Diet quality is an important consideration for the development and management of chronic illness, a significant public health concern. In this study, we review incentives and disincentives implemented to improve the diet quality, the evidence on SNAP including benefits, challenges, and the politics of funding. New interventions and policies will be needed in order to improve the overall diet quality of SNAP households. SNAP should align with nutritional science to meet national public health goals. Nurses are trusted advocates for patients and the public and are uniquely positioned to aid in this effort. Informed by evidence, nurses willing to leverage their influence, can lead this needed change.


Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1212 ◽  
Author(s):  
Shinyoung Jun ◽  
Alexandra Cowan ◽  
Janet Tooze ◽  
Jaime Gahche ◽  
Johanna Dwyer ◽  
...  

This analysis characterizes use of dietary supplements (DS) and motivations for DS use among U.S. children (≤18 years) by family income level, food security status, and federal nutrition assistance program participation using the 2011–2014 National Health and Nutrition Examination Survey data. About one-third (32%) of children used DS, mostly multivitamin-minerals (MVM; 24%). DS and MVM use were associated with higher family income and higher household food security level. DS use was lowest among children in households participating in the Supplemental Nutrition Assistance Program (SNAP; 20%) and those participating in the Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC; 26%) compared to both income-eligible and income-ineligible nonparticipants. Most children who used DS took only one (83%) or two (12%) products; although children in low-income families took fewer products than those in higher income families. The most common motivations for DS and MVM use were to “improve (42% or 46%)” or “maintain (34 or 38%)” health, followed by “to supplement the diet (23 or 24%)” for DS or MVM, respectively. High-income children were more likely to use DS and MVM “to supplement the diet” than middle- or low-income children. Only 18% of child DS users took DS based on a health practitioner’s recommendation. In conclusion, DS use was lower among children who were in low-income or food-insecure families, or families participating in nutrition assistance programs.


2019 ◽  
Vol 48 (3) ◽  
pp. 433-447 ◽  
Author(s):  
Craig Gundersen ◽  
Elaine Waxman ◽  
Amy S. Crumbaugh

The Supplemental Nutrition Assistance Program (SNAP) serves as the primary tool to alleviate food insecurity in the United States. Its effectiveness has been demonstrated in numerous studies, but the majority of SNAP recipients are still food insecure. One factor behind this is the difference in food prices across the country—SNAP benefits are not adjusted to reflect these differences. Using information from Feeding America's Map the Meal Gap (MMG) project, we compare the cost of a meal by county based on the Thrifty Food Plan (TFP)—which is used to set the maximum SNAP benefit—with the cost of the average meal for low-income food-secure households. We find that the cost of the latter meal is higher than the TFP meal for over 99 percent of the counties. We next consider the reduction in food insecurity if, by county, the maximum SNAP benefit level was set to the cost of the average meal for low-income food-secure households. We find that if this approach were implemented, there would be a decline of 50.9 percent in food insecurity among SNAP recipients at a cost of $23 billion.


Author(s):  
Denise Holston ◽  
Jessica Stroope ◽  
Matthew Greene ◽  
Bailey Houghtaling

Food insecurity in rural settings is complex and not fully understood, especially from the perspective of low-income and Black residents. The goal of this study was to use qualitative methods to better understand experiences with food access and perceptions of the food environment among low-income, predominately Black rural Louisiana residents in the United States. Data were collected from focus group discussions (FGD) and focus group intake forms. Study participants were all rural residents eligible to receive at least one nutrition assistance program. FGD questions focused on perceptions of the food environment, with an emphasis on food access. Participants (n = 44) were predominately Black and female. Over half (n = 25) reported running out of food before the end of the month. Major themes included: store choice, outshopping, methods of acquiring foods other than the grocery store, and food insecurity. Concerns around price, quality, and transportation emerged as factors negatively impacting food security. Understanding residents’ perceptions and experiences is necessary to inform contextually appropriate and feasible policy and practice interventions that address the physical environment and social conditions that shape the broader physical food environment in order to achieve equitable food access and food security.


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