Dietary Quality of Americans by Supplemental Nutrition Assistance Program Participation Status
Open accessAbstract
Context The Supplemental Nutrition Assistance Program (SNAP) is an effective component in reducing food insecurity in the U.S. In the discussion of strategies to also help SNAP participants maximize diet quality, it is important to know their current dietary patterns and food choices. This paper provides a systematic review of recent U.S. studies on dietary quality, food consumption, and spending among SNAP participants as compared to income-eligible and higher-income nonparticipants.Evidence acquisition The review, completed in 2014, summarized studies that were peer-reviewed, published between January 2003 and August 2014, and provided data on dietary quality and intake of SNAP participants and nonparticipants.Evidence synthesis Twenty-five studies were included in this review. Daily caloric, macronutrient, and micronutrient intake of SNAP participants did not differ systematically from those of income-eligible nonparticipants; however, differences in dietary quality emerged. Adult SNAP participants scored lower on the Healthy Eating Index than either group of nonparticipants. Children's diets were similar among SNAP participants and low-income nonparticipants, but were less nutritious than diets of higher-income children. The evidence regarding sugar-sweetened beverage consumption was mixed, with most studies indicating significantly higher beverage intake among SNAP participants compared with higher-income nonparticipants, but no difference compared to income-eligible nonparticipants.Conclusions SNAP effectively alleviates food insecurity in terms of caloric, macronutrient, and micronutrient intake. Still, SNAP participants are struggling more than income-eligible and higher-income nonparticipants to meet key dietary guidelines. Future policies should ensure that this vital food assistance program addresses diet quality while reducing food insecurity.
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Cites
McCullough, M. L., Feskanich, D., Stampfer, M. J., Giovannucci, E. L., Rimm, E. B., Hu, F. B., Spiegelman, D., Hunter, D. J., Colditz, G. A., & Willett, W. C. (2002) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/76.6.1261 · Cited by 1,191 · see citing works
Rao, M., Afshin, A., Singh, G. M., & Mozaffarian, D. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-004277 · Cited by 779 · see citing works
Food insecurity and dietary quality in US adults and children: a systematic review
Hanson, K. L., & Connor, L. M. (2014) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.084525 · Cited by 660 · see citing works
The cost of US foods as related to their nutritive value
Drewnowski, A. (2010) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.2010.29300 · Cited by 408 · see citing works
The impact of the National School Lunch Program on child health: A nonparametric bounds analysis
Gundersen, C., Kreider, B., & Pepper, J. V. (2011) · Journal of Econometrics · doi:10.1016/j.jeconom.2011.06.007 · Cited by 273 · see citing works
Leung, C. W., Ding, E. L., Catalano, P. J., Villamor, E., Rimm, E. B., & Willett, W. C. (2012) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.040014 · Cited by 252 · see citing works
Food Stamp Program Participation and Food Insecurity: An Instrumental Variables Approach
Yen, S. T., Andrews, M., Chen, Z., & Eastwood, D. B. (2007) · American Journal of Agricultural Economics · doi:10.1111/j.1467-8276.2007.01045.x · Cited by 212 · see citing works
Associations of Food Stamp Participation With Dietary Quality and Obesity in Children
Leung, C. W., Blumenthal, S. J., Hoffnagle, E. E., Jensen, H. H., Foerster, S. B., Nestle, M., Cheung, L., Mozaffarian, D., & Willett, W. C. (2013) · PEDIATRICS · doi:10.1542/peds.2012-0889 · Cited by 127 · see citing works
Effects of Food Assistance and Nutrition Programs on Nutrition and Health
Fox, M. K., Hamilton, W. T., & Lin, B. (2004) · Amber waves · Cited by 102 · see citing works
Mabli, J., Ohls, J., Dragoset, L., et al. (2013) · RePEc: Research Papers in Economics · doi:10.22004/ag.econ.339046 · Cited by 99 · see citing works
Grocery Store Beverage Choices by Participants in Federal Food Assistance and Nutrition Programs
Andreyeva, T., Luedicke, J., Henderson, K. E., & Tripp, A. S. (2012) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2012.06.015 · Cited by 99 · see citing works
Self-citationDietary Energy Density Is Associated with Selected Predictors of Obesity in U.S. Children
Mendoza, J. A., Drewnowski, A., Cheadle, A. D., & Christakis, D. (2006) · Journal of Nutrition · doi:10.1093/jn/136.5.1318 · Cited by 89 · see citing works
Wilde, P. (2007) · Journal of Nutrition · doi:10.1093/jn/137.2.307 · Cited by 89 · see citing works
Food Stamps and Food Insecurity
Gundersen, C., & Kreider, B. (2008) · The Journal of Human Resources · doi:10.3368/jhr.43.2.352 · Cited by 85 · see citing works
Leung, C. W., & Villamor, E. (2010) · Public Health Nutrition · doi:10.1017/s1368980010002090 · Cited by 77 · see citing works
Alleviating Poverty in the United States: The Critical Role of SNAP BenefitsPreprint
Tiehen, L., Jolliffe, D., Gundersen, C., et al. (2012) · RePEc: Research Papers in Economics · doi:10.22004/ag.econ.262233 · Cited by 76 · see citing works
Gundersen, C., & Kreider, B. (2008) · The Journal of Human Resources · doi:10.1353/jhr.2008.0010 · Cited by 76 · see citing works
Hamilton, W. L., & Lin, B. (2004) · RePEc: Research Papers in Economics · Cited by 74 · see citing works
Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2011Preprint
Strayer, M., Eslami, E., & Leftin, J. (2012) · RePEc: Research Papers in Economics · Cited by 73 · see citing works
Socioeconomic influences on bone health in postmenopausal women: findings from NHANES III, 1988–1994
Wang, M., & Dixon, L. B. (2005) · Osteoporosis International · doi:10.1007/s00198-005-1917-1 · Cited by 72 · see citing works
The effects of SNAP and WIC programs on nutrient intakes of children
Yen, S. T. (2010) · Food Policy · doi:10.1016/j.foodpol.2010.05.010 · Cited by 69 · see citing works
Cole, N., & Fox, M. K. (2008) · RePEc: Research Papers in Economics · Cited by 59 · see citing works
Watt, T. T., Appel, L., Roberts, K., Flores, B., & Morris, S. (2012) · Journal of Community Health · doi:10.1007/s10900-012-9641-1 · Cited by 48 · see citing works
Breakfast, lunch, and dinner expenditures away from home in the United States
Liu, M., Kasteridis, P., & Yen, S. T. (2013) · Food Policy · doi:10.1016/j.foodpol.2012.11.010 · Cited by 45 · see citing works
Caloric Beverage Intake Among Adult Supplemental Nutrition Assistance Program Participants
Todd, J. E., & Ploeg, M. V. (2014) · American Journal of Public Health · doi:10.2105/ajph.2014.301970 · Cited by 43 · see citing works
Leung, C. W., Cluggish, S. A., Villamor, E., et al. (2013) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2013.10.001 · Cited by 41 · see citing works
Food Stamps and Food Spending: An Engel Function Approach
Wilde, P., Troy, L. M., & Rogers, B. L. (2009) · American Journal of Agricultural Economics · doi:10.1111/j.1467-8276.2008.01235.x · Cited by 37 · see citing works
Bleich, S. N., Vine, S. M., & Wolfson, J. A. (2013) · Preventive Medicine · doi:10.1016/j.ypmed.2013.10.006 · Cited by 27 · see citing works
Jilcott, S. B., Liu, H., DuBose, K. D., Chen, S. E., & Kranz, S. (2011) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2010.06.001 · Cited by 26 · see citing works
Hilmers, A., Chen, T.-A., Dave, J. M., et al. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.01.016 · Cited by 26 · see citing works
Fey-Yensan, N. L., English, C., Pacheco, H. E., Belyea, M. J., & Schuler, D. (2003) · Journal of the American Dietetic Association · doi:10.1053/jada.2003.50010 · Cited by 25 · see citing works
Food Stamps and Obesity: What Do We Know?Preprint
Ploeg, M. V., & Ralston, K. (2009) · SSRN Electronic Journal · doi:10.2139/ssrn.1354190 · Cited by 23 · see citing works
Can Food Stamps Do More to Improve Food Choices? An Economic PerspectivePreprint
Guthrie, J. F., Andrews, M., Frazão, E., Leibtag, E. S., Lin, B., Mancino, L., Nord, M., Prell, M. A., Smallwood, D. M., Variyam, J. N., et al. (2007) · RePEc: Research Papers in Economics · doi:10.22004/ag.econ.59417 · Cited by 23 · see citing works
Johnson, F. C., Hotchkiss, D. R., Mock, N. B., et al. (1999) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2010.0609 · Cited by 18 · see citing works
Does the Food Stamp Program Affect Food Security Status and the Composition of Food Expenditures?
Pan, S., & Jensen, H. H. (2008) · Journal of Agricultural and Applied Economics · doi:10.1017/s1074070800027954 · Cited by 18 · see citing works
Food Expenditures and Diet Quality Among Low-Income Households and Individuals (Summary)Preprint
Mabli, J., Castner, L., Ohls, J. C., et al. (2010) · RePEc: Research Papers in Economics · Cited by 16 · see citing works
Fernandes, M. (2012) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2012.03.033 · Cited by 14 · see citing works
Mabli, J., & Malsberger, R. (2013) · Monthly labor review · doi:10.21916/mlr.2013.30 · Cited by 13 · see citing works
Are Lower Income Households Willing and Able To Budget for Fruits and Vegetables?Preprint
Stewart, H., Blisard, N., Stewart, H., et al. (2008) · RePEc: Research Papers in Economics · doi:10.22004/ag.econ.56446 · Cited by 8 · see citing works
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Leung, C. W., Fulay, A. P., Parnarouskis, L., Martinez-Steele, E., Gearhardt, A. N., & Wolfson, J. A. (2022) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqac049 · Cited by 141 · see citing works
Assessing the relationship between food insecurity and mortality among U.S. adults
Walker, R. J., Chawla, A., Garacci, E., Williams, J. S., Mendez, C., Ozieh, M. N., & Egede, L. E. (2019) · Annals of Epidemiology · doi:10.1016/j.annepidem.2019.01.014 · Cited by 76 · see citing works
Conrad, Z., Rehm, C. D., Wilde, P., & Mozaffarian, D. (2017) · American Journal of Public Health · doi:10.2105/ajph.2016.303608 · Cited by 53 · see citing works
Singleton, C. R., Young, S. K., Kessee, N., Springfield, S. E., & Sen, B. P. (2020) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2020.101134 · Cited by 31 · see citing works
Stone, B., Amiri, A., Zhao, S., Hamidi, S., Johnson, P., & Bruns, D. (2025) · Healthcare · doi:10.3390/healthcare13192407
- Authors
- Andreyeva, T., Tripp, A. S., & Schwartz, M. B.
- Affiliations
- University of Connecticut (US)
- Yale University (US)
- Corresponding author
- Andreyeva, Tatiana
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 49
- Issue
- 4
- Pages
- 594-604
- ISSN
- 0749-3797 (ISSN-L)
- PMC
- PMC6022372
- OpenAlex
- W1048079032
- Cited by
- 258
- References
- 39
- Citations by year
- 2026: 20 · 2025: 23 · 2024: 16 · 2023: 29 · 2022: 24 · 2021: 28 · 2020: 34 · 2019: 29 · 2018: 27 · 2017: 21 · 2016: 7
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (T32DA031104)
- Topics
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- Supplemental Nutrition Assistance Program, SNAP participation, diet quality, food insecurity, Healthy Eating Index, macronutrient intake, micronutrient intake, sugar-sweetened beverage consumption, children's diet, low-income populations, food assistance policy
- MeSH terms
- Diet, Humans, Nutritional Status, Nutritive Value, Food Assistance
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