Differences in the Neighborhood Retail Food Environment and Obesity Among US Children and Adolescents by SNAP Participation

Mary T. Gorski Findling, Julia A. Wolfson, Eric B. Rimm, Sara N Bleich

Research output: Contribution to journalArticle

Abstract

Objective: The goal of this study was to understand the association between children's neighborhood food access and overweight/obesity in a national sample of US households, and whether this association differs by Supplemental Nutrition Assistance Program (SNAP) participation or household purchases. Methods: Data were obtained from the National Household Food Acquisition and Purchase Survey (2012-2013; n = 3,748 children aged 2 to 18 years). Logistic regression was used to examine associations between neighborhood retail food access (≤1 mile from home), food purchases (including sugary beverages), and overweight/obesity, stratified by SNAP status (1,720 participants, 453 eligible nonparticipants, 1,575 SNAP ineligible). Store types included supermarkets/grocery, combination grocery/other (independent drug, dollar, and general stores), convenience, fast food, and non–fast food restaurants. Results: Odds of childhood overweight/obesity (OR [95% CI]) were higher with greater access to combination grocery/other stores overall (1.10 [1.03-1.17]) and for children in SNAP (1.14 [1.05-1.24]). Eligible non-SNAP children had higher odds of overweight/obesity with greater access to convenience stores (1.11 [1.04-1.18]). The average child lived in a household with 6.3% of total spending at food outlets on sugary beverages (SNAP: 8.3%, eligible non-SNAP: 7.7%, SNAP ineligible: 5.5%). Conclusions: Greater neighborhood access to combination grocery/other stores is associated with higher obesity prevalence for children overall and those in SNAP.

Original languageEnglish (US)
Pages (from-to)1063-1071
Number of pages9
JournalObesity
Volume26
Issue number6
DOIs
StatePublished - Jun 1 2018
Externally publishedYes

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Food Assistance
Obesity
Food
Fast Foods
Pediatric Obesity
Beverages
Restaurants
Logistic Models

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics

Cite this

Differences in the Neighborhood Retail Food Environment and Obesity Among US Children and Adolescents by SNAP Participation. / Gorski Findling, Mary T.; Wolfson, Julia A.; Rimm, Eric B.; Bleich, Sara N.

In: Obesity, Vol. 26, No. 6, 01.06.2018, p. 1063-1071.

Research output: Contribution to journalArticle

Gorski Findling, Mary T. ; Wolfson, Julia A. ; Rimm, Eric B. ; Bleich, Sara N. / Differences in the Neighborhood Retail Food Environment and Obesity Among US Children and Adolescents by SNAP Participation. In: Obesity. 2018 ; Vol. 26, No. 6. pp. 1063-1071.
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