Combined participation in the Supplemental Nutrition Assistance Program (SNAP) and Head Start is associated with healthy household dietary environments for young children in low-income families.

IF 3 3区 医学 Q2 NUTRITION & DIETETICS
Tirna Purkait, Dipti A Dev, Natalie Koziol, Lisa Franzen-Castle, Virginia C Stage, Alison Tovar
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引用次数: 0

Abstract

Objective: To compare the association of participation in Supplemental Nutrition Assistance Program (SNAP) alone v. in combination with Head Start (HS), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) or both on household dietary environment (HDE) indicators: food security, nutrition security, healthfulness choice, dietary choice, perceived food store availability, utilisation barriers and healthy food access barriers in families with young children.

Design: This study, part of SNAP-Ed Nebraska's Needs and Assets Assessment 'Healthy People, Healthy State', utilised a cross-sectional design. HDE indicator means were compared across the federal assistance program (FAP) participation groups using multivariate ANCOVA, controlling for significant demographics, with Benjamini-Hochberg-adjusted P values compared with α = 0·05.

Setting: Nebraska's low-income households.

Participants: Households (n 821) with at least one child aged 2-6 years participating in SNAP-only (n 257), SNAP + HS (n 349), SNAP + WIC (n 132) and SNAP + WIC + HS (n 83).

Results: Compared with other groups, SNAP + HS reported comparatively higher levels of household food security, whereas SNAP + HS + WIC reported lower levels (P < 0·01). SNAP + HS also showed higher levels of nutrition security, dietary choices, perceived availability of healthy foods in stores, fewer healthy food access and utilisation barriers (P < 0·05).

Conclusions: The findings support recent joint policy changes by Administration for Children and Families and Food and Nutrition Service, facilitating SNAP households' access to HS. HS performance standards for nutrition and family engagement can serve as a model for creating healthy HDE. Future research should employ quasi-experimental or longitudinal designs to establish causal relationships between FAP participation and HDE outcomes.

补充营养援助计划(SNAP)和启智计划的联合参与与低收入家庭幼儿健康的家庭饮食环境有关。
目的:比较单独参加补充营养援助计划(SNAP)与联合学前教育(HS)、妇女、婴儿和儿童特殊补充营养计划(WIC)或两者在家庭饮食环境(HDE)指标上的关联:食品安全、营养安全、健康选择、饮食选择、感知食品储备可用性、利用障碍和有幼儿的家庭健康食品获取障碍。设计:本研究是SNAP-Ed内布拉斯加州需求和资产评估“健康人,健康状态”的一部分,采用了横断面设计。采用多变量方差分析(ANCOVA)比较联邦援助计划(FAP)参与组的HDE指标均值,控制显著的人口统计学因素,采用benjamin - hochberg调整P值,比较α = 0.05。环境:内布拉斯加州的低收入家庭。参与者:至少有一名2-6岁儿童参加SNAP-only (257), SNAP + HS (349), SNAP + WIC(132)和SNAP + WIC + HS(83)的家庭(821)。结果:与其他组相比,SNAP + HS的家庭粮食安全水平较高,而SNAP + HS + WIC的家庭粮食安全水平较低(P < 0.01)。SNAP + HS还显示出更高水平的营养安全、饮食选择、健康食品在商店的可获得性、更少的健康食品获取和利用障碍(P < 0.05)。结论:研究结果支持儿童和家庭管理局和食品和营养服务最近的联合政策变化,促进SNAP家庭获得HS。HS在营养和家庭参与方面的绩效标准可作为创建健康HDE的典范。未来的研究应采用准实验或纵向设计来建立FAP参与与HDE结果之间的因果关系。
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来源期刊
Public Health Nutrition
Public Health Nutrition 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.10
自引率
6.20%
发文量
521
审稿时长
3 months
期刊介绍: Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.
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