补充营养援助计划(SNAP)的参与导致饮食质量的适度变化

Christian A. Gregory, M. Ploeg, M. Andrews, Alisha Coleman-Jensen
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引用次数: 74

摘要

最近的研究表明,补充营养援助计划(SNAP)有效地减少了粮食不安全。然而,关于SNAP对成年参与者饮食质量的影响程度仍然存在疑问。这些问题是在与饮食有关的疾病(如糖尿病、高血脂和心脏病)的公共成本不断增加的背景下出现的,并引发了关于限制使用SNAP福利购买某些食品的讨论。本报告检查了参加和不参加SNAP的低收入家庭成年人的健康饮食指数(HEI)得分。为了将是否参与SNAP的选择与饮食选择分开,该模型使用了一个独特的数据集,该数据集将国家层面的SNAP政策变量与来自国家健康与营养检查调查(NHANES)四波的个人层面数据相匹配。两种重要的结果出现了:SNAP对那些选择参加的人的饮食质量的影响,以及在考虑了SNAP的影响后,SNAP参与者和非参与者的总体比较。首先,该报告显示,SNAP的参与导致食用整个水果的可能性大幅增加,而深绿色/橙色蔬菜的消费量略低。第二,该报告发现,SNAP参与者的HEI得分(包括总分和成分)略低于非参与者,这意味着他们的饮食质量略低。然而,他们摄入的饱和脂肪和钠比非参与者少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Supplemental Nutrition Assistance Program (SNAP) Participation Leads to Modest Changes in Diet Quality
Recent research has shown that the Supplemental Nutrition Assistance Program (SNAP) effectively reduces food insecurity. Questions remain, however, about the extent to which SNAP affects the quality of adult participants’ diets. These questions have surfaced in the context of the increasing public costs of diet-related illnesses, such as diabetes, high blood cholesterol, and heart disease, and have led to discussions about restricting the use of SNAP benefits to purchase some food items. This report examines Healthy Eating Index (HEI) scores for adults in low-income households that do and do not participate in SNAP. To disentangle the choice of whether to participate in SNAP from diet choices, this model uses a unique data set that matches State-level SNAP policy variables to individual-level data from four waves of the National Health and Nutrition Examination Survey (NHANES). Two important kinds of results emerge: the effect of SNAP on the diet quality of those who choose to enroll, and a total comparison of SNAP participants and nonparticipants after SNAP’s effects are taken into account. On the first, this report shows that SNAP participation results in a large increase in the likelihood of consuming whole fruit and a slightly lower consumption of dark green/orange vegetables. On the second, the report finds that SNAP participants have slightly lower HEI scores (both total and components) than nonparticipants, meaning that they have slightly lower diet quality. They do, however, consume less saturated fat and sodium than nonparticipants.
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