Association between participation in the supplemental nutrition assistance program and perception of limited availability and choice of healthy foods

Nutr Health. 2024 Sep;30(3):403-407. doi: 10.1177/02601060241261430. Epub 2024 Jul 25.

Abstract

Background: Nutrition security encompasses stable and equitable access, availability, affordability, and utilization of healthy foods.

Aim: To evaluate the relationship of two newly created dichotomous measures that represent aspects of nutrition security (i.e., perceived limited availability and healthfulness choice) with Supplemental Nutrition Assistance Program (SNAP) participation.

Methods: Logistic regression models were run for each outcome separately with adjustment for age, income-to-poverty ratio, gender, education, race, and food security.

Results: Adults using social services (e.g., food pantries) were enrolled (N = 402) in this cross-sectional analysis. SNAP participants (61.7%) were not different from non-SNAP participants in perceiving limited availability (aOR [95% CI]: 1.21 [0.75, 1.95]) or limited ability to choose (aOR [95% CI]: 0.69 [0.43, 1.12]) healthy foods.

Conclusions: Both SNAP and non-SNAP participants with low socioeconomic status report limited availability of healthy foods in their environment and a limited ability to choose healthy foods.

Keywords: Nutrition security; SNAP; availability; diet quality; food security.

MeSH terms

  • Adult
  • Choice Behavior*
  • Cross-Sectional Studies
  • Diet, Healthy* / statistics & numerical data
  • Female
  • Food Assistance* / statistics & numerical data
  • Food Preferences
  • Food Security / statistics & numerical data
  • Food Supply* / statistics & numerical data
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Poverty
  • Socioeconomic Factors
  • Young Adult