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Stretch your SNAP: Stakeholder perspectives of a novel benefits program to enhance diet quality.
Smith, Danyel I; Tatum, Kristina L; Lefbom, Lucie; Moore, Bonnie; Barnard, Rick; Harnack, Lisa; Foster, Brenda; Bean, Melanie K.
Afiliación
  • Smith DI; Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, 2303 N Parham Road, Ste #1, Richmond, VA 23229, United States.
  • Tatum KL; Department of Oncology, Georgetown University Medical Center and Cancer Prevention and Control Program, Georgetown-Lombardi Comprehensive Cancer Center, 2115 Wisconsin Ave, Washington, DC 20007, United States.
  • Lefbom L; Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, 2303 N Parham Road, Ste #1, Richmond, VA 23229, United States.
  • Moore B; Real Food for Kids, 6166 Hardy Drive, McLean, VA 22101, United States.
  • Barnard R; Real Food for Kids, 6166 Hardy Drive, McLean, VA 22101, United States.
  • Harnack L; Real Food for Kids, 6166 Hardy Drive, McLean, VA 22101, United States.
  • Foster B; Nutrition Coordinating Center and School of Public Health, University of Minnesota, 1300 South Second St, Ste 300, Minneapolis, MO 55454, United States.
  • Bean MK; Vanguard Communications, 2121 K St NW Ste 650, Washington, DC 20037, United States.
Prev Med Rep ; 40: 102676, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38495767
ABSTRACT

Objective:

Families enrolled in the Supplemental Nutrition Assistance Program (SNAP) report persistent barriers to purchasing nutritious foods. This mixed-methods study explored SNAP users' food and beverage purchasing patterns and perspectives regarding potential modifications to SNAP to inform the design of SNAP+, a healthy incentive program to increase fruit and vegetable (FV) and decrease sugar-sweetened beverage (SSB) purchases.

Methods:

Participants were recruited through a non-profit organizational network to participate in an online survey. Survey measures included SNAP usage patterns, meal/shopping patterns, and perceptions of potential changes to SNAP. A subset (N = 28) was invited to participate in an interview to further explore these domains. Frequencies were calculated to explore trends in quantitative data, with thematic analysis applied to qualitative data.

Results:

Participants (N = 278) identified as female (81.0 %), head of household (90.8 %) and mothers (70.5 %), with most (66.5 %) using SNAP ≥ 1 year. Most spend >$15 of SNAP (87.1 %) and >$15 of non-SNAP (60.8 %) dollars on FVs/month. Respondents spend <$5 of SNAP (34.2 %) and non-SNAP (47.5 %) dollars on SSBs/month. Factors shaping purchasing behaviors included cost (71.6 %), health (80.2 %) and avoiding waste (73.0 %). Inflation and existing purchasing patterns motivated interest in potentially enrolling in SNAP +. Diminished autonomy and a need to reallocate other funds to purchase SSBs were identified as enrollment deterrents.

Conclusion:

SNAP users were generally receptive to modifications that would pair FV incentives with SSB restrictions, yet strategies to maintain autonomy are needed. Results can inform the design of SNAP + to enhance its potential as strategy to positively shape dietary intake patterns.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prev Med Rep Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prev Med Rep Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos