TY - JOUR
T1 - Differences in the Neighborhood Retail Food Environment and Obesity Among US Children and Adolescents by SNAP Participation
AU - Gorski Findling, Mary T.
AU - Wolfson, Julia A.
AU - Rimm, Eric B.
AU - Bleich, Sara N.
N1 - Funding Information:
Funding agencies: This study was funded by a pilot grant from the Hopkins Population Center, which is supported by a parent grant from the National Institute of Child Health and Human Development at NIH (R24HD042854). The funding source had no role in the design and conduct of the study, collection, management, analysis, and interpretation of the data and preparation, review, or approval of the manuscript. M.T. Gorski Findling was supported by grant number T32HS000055 from the Agency for Healthcare Research and Quality. The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. Disclosure: The authors declared no conflict of interest. Additional Supporting Information may be found in the online version of this article. Received: 26 September 2017; Accepted: 9 March 2018; Published online 23 May 2018. doi:10.1002/oby.22184
PY - 2018/6
Y1 - 2018/6
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85047464719&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85047464719&partnerID=8YFLogxK
U2 - 10.1002/oby.22184
DO - 10.1002/oby.22184
M3 - Article
C2 - 29797558
AN - SCOPUS:85047464719
VL - 26
SP - 1063
EP - 1071
JO - Obesity
JF - Obesity
SN - 1930-7381
IS - 6
ER -