Abstract
Objective
Design
Main Outcome Measures
Analysis
Results
Conclusions and Implications
Key Words
Introduction
Trust for America's Health. F as in fat: obesity 2013 report. http://healthyamericans.org/report/108/. Accessed December 3, 2016.
Centers for Disease Control and Prevention. Chronic diseases: the power to prevent, the call to control: at a glance 2009. https://www.cdc.gov/chronicdisease/pdf/2009-power-of-prevention.pdf. Accessed September 17, 2016.
USDA. Supplemental Nutrition Assistance Program. http://www.fns.usda.gov/snap/supplemental-nutrition-assistance-program-snap. Accessed October 2, 2016.
USDA. Supplemental Nutrition Assistance Program. http://www.fns.usda.gov/snap/supplemental-nutrition-assistance-program-snap. Accessed October 2, 2016.
Center on Budget and Policy Priorities Policy Basics: introduction to the Supplemental Nutrition Assistance Program (SNAP). http://www.cbpp.org/research/policy-basics-introduction-to-the-supplemental-nutrition-assistance-program-snap?fa=view&id=2226. Accessed October 3, 2016.
Center on Budget and Policy Priorities. House 2017 budget plan would slash SNAP by more than 150 billon over ten tears. http://www.cbpp.org/research/food-assistance/house-2017-budget-plan-would-slash-snap-by-more-than-150-billion-over-ten. Accessed September 15, 2016.
USDA. Official USDA food plans: cost of food at home at four levels, U.S. average, July 2016. http://www.cnpp.usda.gov/sites/default/files/CostofFoodJul2016.pdf. Accessed September 26, 2014.
USDA. The Cost of Satisfying Fruit and Vegetable Recommendations in the Dietary Guidelines. Economic Research Service. https://www.ers.usda.gov/webdocs/publications/42902/56772_eb27.pdf?v=42426. Accessed January 2, 2017.
Methods
Data Sources
USDA. Retail prices for beef, pork, poultry cuts, eggs and dairy products. https://www.ers.usda.gov/webdocs/DataFiles/Meat_Price_Spreads__17995/cuts.xls?v=42809. Accessed August 1, 2016.
USDA. Retail prices for beef, pork, poultry cuts, eggs and dairy products. https://www.ers.usda.gov/webdocs/DataFiles/Meat_Price_Spreads__17995/cuts.xls?v=42809. Accessed August 1, 2016.
USDA. Quarterly-Food-at-Home-Price-Database 2 (QFAHPD- 2). http://www.ers.usda.gov/data-products/quarterly-food-at-home-price-database.aspx. Accessed August 1, 2016.
USDA. Fruit and vegetable prices. http://www.ers.usda.gov/data-products/fruit-and-vegetable-prices.aspx. Accessed August 1, 2016.
Food Category | Type | Processing | $/Cup | $/Oz |
---|---|---|---|---|
Protein | Lean beef, poultry, eggs | – | 0.21 | – |
Protein (vegetarian) | Beans | Frozen, canned, dried | 0.49 | 0.08 |
Beans | Frozen | 0.64 | 0.10 | |
Protein | Beans | Canned, dried, | 0.42 | 0.07 |
Fruits | Fruit | Fresh | 0.82 | – |
Fruit | Frozen | 0.72 | – | |
Fruit | Canned | 0.89 | – | |
Fruit | Dried | 0.84 | – | |
Vegetables | Vegetables | Fresh j Average prices of acorn squash, artichokes, asparagus, avocados, broccoli, brussels sprouts, butternut squash, cabbage, carrots, cauliflower, sweet corn, cucumbers, green peppers, kale, iceberg lettuce, romaine lettuce, mushrooms, mustard greens, okra, onions, radishes, red peppers, spinach, summer squash, sweet potatoes, tomatoes, and turnip greens | 0.88 | – |
Vegetables | Frozen | 0.92 | – | |
Vegetables | Canned | 0.78 | – | |
Vegetables and beans | Frozen | 0.80 | – | |
Vegetables and beans | Canned, dried | 0.61 | – | |
Dairy | Low-fat dairy | – | 0.27 | – |
Grains | Whole grains | – | – | 0.21 |
Non-whole grains | – | – | 0.12 |
USDA. The Cost of Satisfying Fruit and Vegetable Recommendations in the Dietary Guidelines. Economic Research Service. https://www.ers.usda.gov/webdocs/publications/42902/56772_eb27.pdf?v=42426. Accessed January 2, 2017.
USDA. Food and Nutrition Service. 2016 Supplemental Nutrition Assistance Program (SNAP) Eligibility. http://www.fns.usda.gov/snap/eligibility#Income. Accessed August 3, 2016.
Office for Human Research Protections. Human Subject Regulations Decision Charts. https://www.hhs.gov/ohrp/regulations-and-policy/decision-charts/index.html#c1. Accessed August 3, 2016.
Data Analysis
USDA. MyPlate Dietary Guidelines. https://www.choosemyplate.gov/dietary-guidelines. Accessed November 17, 2016.
USDA, Food and Nutrition Services. Department of Agriculture. Characteristics of Supplemental Nutrition Assistance program households: fiscal year 2015. https://fns-prod.azureedge.net/sites/default/files/ops/Characteristics2015.pdf. Accessed August 15, 2016.
Group | Age, y | Fruit, cups | Vegetables, cups | Grains, oz | Whole Grains, oz | Protein, oz | Dairy, cups |
---|---|---|---|---|---|---|---|
Children | 2–3 | 1 | 1 | 3 | 1.5 | 2 | 2 |
4–8 | 1.25 | 1.5 | 5 | 2.5 | 4 | 2.5 | |
Girls | 9–13 | 1.5 | 2 | 5 | 3 | 5 | 3 |
14–18 | 1.5 | 2.5 | 6 | 3 | 5 | 3 | |
Boys | 9–13 | 1.5 | 2.5 | 6 | 3 | 5 | 3 |
14–18 | 2 | 3 | 8 | 4 | 6.5 | 3 | |
Women | 19–30 | 2 | 2.5 | 6 | 3 | 5.5 | 3 |
31–50 | 1.5 | 2.5 | 6 | 3 | 5 | 3 | |
≥51 | 1.5 | 2 | 5 | 3 | 5 | 3 | |
Men | 19–30 | 2 | 3 | 8 | 4 | 6.5 | 3 |
31–50 | 2 | 3 | 7 | 3 | 6 | 3 | |
≥51 | 2 | 2.5 | 6 | 3 | 5.5 | 3 |
USDA. MyPlate Dietary Guidelines. https://www.choosemyplate.gov/dietary-guidelines. Accessed November 17, 2016.
Age Group, y (Supplemental Nutrition Assistance Program Recipient Data) | Corresponding MyPlate Age Group, y |
---|---|
Children 2–4 | Children 2–3 |
Children 5–7 | Children 4–8 |
Girls 8–11 | Girls 9–13 |
Girls 12–15 | Girls 14–18 |
Girls 16–17 | Girls 14–18 |
Women 18–50 | Women 19–30 and 31–50 |
Women ≥51 | Women ≥51 |
Men 18–50 | Men 19–30 and 31–50 |
Men ≥51 | Men ≥51 |
USDA. MyPlate Dietary Guidelines. https://www.choosemyplate.gov/dietary-guidelines. Accessed November 17, 2016.
USDA, Food and Nutrition Services. Department of Agriculture. Characteristics of Supplemental Nutrition Assistance program households: fiscal year 2015. https://fns-prod.azureedge.net/sites/default/files/ops/Characteristics2015.pdf. Accessed August 15, 2016.
USDA. Official USDA food plans: cost of food at home at four levels, U.S. average, July 2016. http://www.cnpp.usda.gov/sites/default/files/CostofFoodJul2016.pdf. Accessed September 26, 2014.
Ziliak JP. Effective tax rates and guarantees in the Food Stamp Program. University of Kentucky. http://gattonweb.uky.edu/Faculty/ziliak/ERS_FSP_Rates&Guarantees_042308.pdf. Accessed February 1, 2017.
Age–Gender Groups | Estimated Average Supplemental Nutrition Assistance Program Monthly Benefit ($) for Individuals in 2015 |
---|---|
Children | |
2–4 y | 143.00 |
5–7 y | 143.00 |
Girls | |
8–11 y | 143.00 |
12–15 y | 143.00 |
16–17 y | 143.00 |
Boys | |
8–11 y | 143.00 |
12–15 y | 143.00 |
16–17 y | 143.00 |
Women | |
18–50 y | 127.00 |
≥51 y | 127.00 |
Men | |
18–50 y | 126.00 |
≥51 y | 126.00 |
Family of 4 | 465.00 |
USDA, Food and Nutrition Services. Department of Agriculture. Characteristics of Supplemental Nutrition Assistance program households: fiscal year 2015. https://fns-prod.azureedge.net/sites/default/files/ops/Characteristics2015.pdf. Accessed August 15, 2016.
Description of Scenarios
Scenario | Scenario Description | ||||
---|---|---|---|---|---|
Fruits and Vegetables Consumed (%) | Protein | ||||
Fresh | Frozen | Canned | Beans Counted as Vegetable | Vegetarian Diet | |
1 | 100 | 0 | 0 | No | No |
2 | 50 | 50 | 0 | No | No |
2a | 50 | 50 | 0 | Yes | No |
3 | 33 | 33 | 33 | No | No |
3a | 33 | 33 | 33 | Yes | No |
4 | 100 | 0 | 0 | No | Yes |
5 | 50 | 50 | 0 | No | Yes |
6 | 33 | 33 | 33 | No | Yes |
Results
Group | Age, y | 100% Fresh Fruits and Vegetables (Scenario 1) ($) | 50% Fresh, 50% Frozen Fruits and Vegetables (Scenario 2) ($) | 33% Fresh, 33% Frozen, 33% Canned Fruits and Vegetables (Scenario 3) ($) |
---|---|---|---|---|
Children | 2–3 | 1.70 | 1.67 | 1.68 |
4–8 | 2.35 | 2.31 | 2.31 | |
Girls | 9–13 | 2.99 | 2.96 | 2.95 |
14–18 | 3.43 | 3.41 | 3.38 | |
Boys | 9–13 | 3.43 | 3.41 | 3.38 |
14–18 | 4.28 | 4.24 | 4.22 | |
Women | 19–30 | 3.84 | 3.79 | 3.79 |
31–50 | 3.43 | 3.41 | 3.38 | |
≥51 | 2.99 | 2.96 | 2.95 | |
Men | 19–30 | 4.28 | 4.24 | 4.22 |
31–50 | 4.28 | 4.24 | 4.22 | |
≥51+ | 3.84 | 3.79 | 3.79 | |
P a P for the 2-tailed test tested the difference in the costs of consuming 100% fresh fruits and vegetables (Scenario 1) and of consuming an equal portion of fresh, frozen, and canned fruits and vegetables (Scenario 3) across the different age and gender categories. The difference was not statistically significant at the 5% level. | .89 |
USDA. The Cost of Satisfying Fruit and Vegetable Recommendations in the Dietary Guidelines. Economic Research Service. https://www.ers.usda.gov/webdocs/publications/42902/56772_eb27.pdf?v=42426. Accessed January 2, 2017.
USDA. Retail prices for beef, pork, poultry cuts, eggs and dairy products. https://www.ers.usda.gov/webdocs/DataFiles/Meat_Price_Spreads__17995/cuts.xls?v=42809. Accessed August 1, 2016.
USDA. Quarterly-Food-at-Home-Price-Database 2 (QFAHPD- 2). http://www.ers.usda.gov/data-products/quarterly-food-at-home-price-database.aspx. Accessed August 1, 2016.
USDA. Fruit and vegetable prices. http://www.ers.usda.gov/data-products/fruit-and-vegetable-prices.aspx. Accessed August 1, 2016.
Age–Gender Groups | Monthly Cost | |||||||
---|---|---|---|---|---|---|---|---|
Scenario 1 | Scenario 2 | Scenario 2a | Scenario 3 | Scenario 3a | Scenario 4 | Scenario 5 | Scenario 6 | |
Children | ||||||||
2–4 y | 88.34 | 87.50 | 85.54 | 87.69 | 84.58 | 81.17 | 80.33 | 80.52 |
5–7 y | 131.18 | 130.27 | 127.33 | 130.27 | 125.62 | 116.85 | 115.94 | 115.94 |
Girls | ||||||||
8–11 y | 160.16 | 159.18 | 155.26 | 158.99 | 152.79 | 142.25 | 141.27 | 141.08 |
12–15 y | 175.84 | 175.14 | 170.24 | 174.49 | 166.73 | 157.93 | 157.23 | 156.57 |
16–17 y | 175.84 | 175.14 | 170.24 | 174.49 | 166.73 | 157.93 | 157.23 | 156.57 |
Boys | ||||||||
8–11 y | 175.84 | 175.14 | 170.24 | 174.49 | 166.73 | 157.93 | 157.23 | 156.57 |
12–15 y | 217.70 | 216.58 | 210.70 | 216.02 | 206.71 | 194.41 | 193.29 | 192.73 |
16–17 y | 217.7 | 216.58 | 210.70 | 216.02 | 206.71 | 194.41 | 193.29 | 192.73 |
Women | ||||||||
18–50 y, b Monthly cost for women and men aged 18–50 years and aged ≥51 years and families of 4 included the cost of labor for food preparation, which accounted for 40% of total costs based on the estimates of Davis et al.30 MyPlate cost of food including labor was estimated as follows: monthly cost/0.6 for each age and gender category across scenarios | 305.08 | 303.33 | 295.17 | 302.72 | 289.78 | 273.73 | 271.98 | 271.37 |
≥51 y b Monthly cost for women and men aged 18–50 years and aged ≥51 years and families of 4 included the cost of labor for food preparation, which accounted for 40% of total costs based on the estimates of Davis et al.30 MyPlate cost of food including labor was estimated as follows: monthly cost/0.6 for each age and gender category across scenarios | 266.93 | 265.30 | 258.77 | 264.98 | 254.65 | 237.08 | 235.45 | 235.13 |
Men | ||||||||
18–50 y, b Monthly cost for women and men aged 18–50 years and aged ≥51 years and families of 4 included the cost of labor for food preparation, which accounted for 40% of total costs based on the estimates of Davis et al.30 MyPlate cost of food including labor was estimated as follows: monthly cost/0.6 for each age and gender category across scenarios | 355.48 | 353.62 | 343.82 | 352.68 | 337.17 | 318.17 | 316.30 | 315.37 |
≥51 y b Monthly cost for women and men aged 18–50 years and aged ≥51 years and families of 4 included the cost of labor for food preparation, which accounted for 40% of total costs based on the estimates of Davis et al.30 MyPlate cost of food including labor was estimated as follows: monthly cost/0.6 for each age and gender category across scenarios | 317.10 | 314.77 | 306.60 | 314.62 | 301.68 | 284.25 | 281.92 | 281.77 |
Families b Monthly cost for women and men aged 18–50 years and aged ≥51 years and families of 4 included the cost of labor for food preparation, which accounted for 40% of total costs based on the estimates of Davis et al.30 MyPlate cost of food including labor was estimated as follows: monthly cost/0.6 for each age and gender category across scenarios | ||||||||
Family of 4 | ||||||||
Male (18–30 y) | 1,098.07 | 1,038.68 | 1,012.55 | 1,037.91 | 996.53 | 938.31 | 931.19 | 930.42 |
Female (18–30 y) | ||||||||
1 child (2–4 y) | ||||||||
1 child (5–7 y) | ||||||||
Family of 4 b Monthly cost for women and men aged 18–50 years and aged ≥51 years and families of 4 included the cost of labor for food preparation, which accounted for 40% of total costs based on the estimates of Davis et al.30 MyPlate cost of food including labor was estimated as follows: monthly cost/0.6 for each age and gender category across scenarios | ||||||||
Male (31–50 y) | 1,249.15 | 1,243.2 | 1,208.9 | 1,239.47 | 1,185.16 | 1,119.27 | 1,113.32 | 1,109.58 |
Female (31–50 y) | ||||||||
1 child (8–11 y) | ||||||||
1 child (12–17 y) | ||||||||
P c P for the 2-tailed test tested the difference in monthly costs between the costs of consuming 100% fresh fruits and vegetables (scenario 1) and the costs of consuming an equal portion of fresh, frozen, and canned fruits and vegetables (scenario 3) across the different age and gender categories. The difference was not statistically significant at the 5% level. | .96 |
Age–Gender Groups | Monthly Additional Costs Needed | |||||||
---|---|---|---|---|---|---|---|---|
Scenario 1 | Scenario 2 | Scenario 2a | Scenario 3 | Scenario 3a | Scenario 4 | Scenario 5 | Scenario 6 | |
Children | ||||||||
2–4 y | (23.30) | (55.50) | (57.46) | (55.31) | (58.42) | $61.83 | $62.67 | $62.48 |
5–7 y | (11.82) | (12.73) | (15.67) | (12.73) | (17.39) | $26.15 | $27.06 | $27.06 |
Girls | ||||||||
8–11 y | 17.16 | 16.18 | 12.26 | 15.99 | 9.79 | $0.75 | $1.73 | $1.92 |
12–15 y | 32.84 | 32.14 | 27.24 | 31.49 | 23.73 | 14.93 | 14.23 | 13.57 |
16–17 y | 32.84 | 32.14 | 27.24 | 31.49 | 23.73 | 14.93 | 14.23 | 13.57 |
Boys | ||||||||
8–11 y | 32.84 | 32.14 | 27.24 | 31.49 | 23.73 | 14.93 | 14.23 | 13.57 |
12–15 y | 74.70 | 73.58 | 67.70 | 73.02 | 63.71 | 51.41 | 50.29 | 49.73 |
16–17 y | 74.70 | 73.58 | 67.70 | 73.02 | 63.71 | 51.41 | 50.29 | 49.73 |
Women | ||||||||
18–50 y, c Monthly cost for women and men aged 18–50 and ≥51 years and families of 4 include the cost of labor for food preparation, which account for 60% of total costs based on estimates by Davis and You.30 The MyPlate cost of food including labor was estimated as the monthly cost/0.60 for each age and gender category across scenarios. Additional cost was estimated as the MyPlate cost of food including labor minus (SNAP benefits + BRR), where BRR = 20% × average monthly gross income of SNAP recipients. According to the US Department of Agriculture (2015), the average gross income for all SNAP households was $786/mo, and the monthly SNAP benefits were $465 for a family of 4, $127 for female adults, and $126 for male adults. | 20.88 | 19.13 | 10.97 | 18.52 | 5.58 | $10.47 | 12.22 | 12.83 |
≥51 y | (17.27) | (18.90) | (25.43) | (19.22) | (29.55) | (47.12) | (48.75) | (49.07) |
Men | ||||||||
18–50 y, c Monthly cost for women and men aged 18–50 and ≥51 years and families of 4 include the cost of labor for food preparation, which account for 60% of total costs based on estimates by Davis and You.30 The MyPlate cost of food including labor was estimated as the monthly cost/0.60 for each age and gender category across scenarios. Additional cost was estimated as the MyPlate cost of food including labor minus (SNAP benefits + BRR), where BRR = 20% × average monthly gross income of SNAP recipients. According to the US Department of Agriculture (2015), the average gross income for all SNAP households was $786/mo, and the monthly SNAP benefits were $465 for a family of 4, $127 for female adults, and $126 for male adults. | 72.28 | 70.42 | 60.62 | 69.48 | 53.97 | 34.97 | 33.10 | 32.17 |
≥51 y | 33.90 | 31.57 | 23.40 | 31.42 | 18.48 | 1.05 | (1.28) | (1.43) |
Family of 4 c Monthly cost for women and men aged 18–50 and ≥51 years and families of 4 include the cost of labor for food preparation, which account for 60% of total costs based on estimates by Davis and You.30 The MyPlate cost of food including labor was estimated as the monthly cost/0.60 for each age and gender category across scenarios. Additional cost was estimated as the MyPlate cost of food including labor minus (SNAP benefits + BRR), where BRR = 20% × average monthly gross income of SNAP recipients. According to the US Department of Agriculture (2015), the average gross income for all SNAP households was $786/mo, and the monthly SNAP benefits were $465 for a family of 4, $127 for female adults, and $126 for male adults. | 475.87 | 416.48 | 390.35 | 415.71 | 374.33 | 316.11 | 309.00 | 308.22 |
Male (18–30 y) | ||||||||
Female (18–30 y) | ||||||||
1 child (2–4 y) | ||||||||
1 child (5–7 y) | ||||||||
Family of 4 c Monthly cost for women and men aged 18–50 and ≥51 years and families of 4 include the cost of labor for food preparation, which account for 60% of total costs based on estimates by Davis and You.30 The MyPlate cost of food including labor was estimated as the monthly cost/0.60 for each age and gender category across scenarios. Additional cost was estimated as the MyPlate cost of food including labor minus (SNAP benefits + BRR), where BRR = 20% × average monthly gross income of SNAP recipients. According to the US Department of Agriculture (2015), the average gross income for all SNAP households was $786/mo, and the monthly SNAP benefits were $465 for a family of 4, $127 for female adults, and $126 for male adults. | 626.95 | 621.00 | 586.7 | 617.27 | 562.96 | 497.07 | 491.12 | 487.39 |
Male (31–50 y) | ||||||||
Female (30–50 y) | ||||||||
1 child (8–11 y) | ||||||||
1 child (12–17 y) |
USDA, Food and Nutrition Services. Department of Agriculture. Characteristics of Supplemental Nutrition Assistance program households: fiscal year 2015. https://fns-prod.azureedge.net/sites/default/files/ops/Characteristics2015.pdf. Accessed August 15, 2016.
Discussion
USDA. Official USDA food plans: cost of food at home at four levels, U.S. average, July 2016. http://www.cnpp.usda.gov/sites/default/files/CostofFoodJul2016.pdf. Accessed September 26, 2014.
USDA. Official USDA food plans: cost of food at home at four levels, U.S. average, July 2016. http://www.cnpp.usda.gov/sites/default/files/CostofFoodJul2016.pdf. Accessed September 26, 2014.
USDA. The Cost of Satisfying Fruit and Vegetable Recommendations in the Dietary Guidelines. Economic Research Service. https://www.ers.usda.gov/webdocs/publications/42902/56772_eb27.pdf?v=42426. Accessed January 2, 2017.
USDA. The Cost of Satisfying Fruit and Vegetable Recommendations in the Dietary Guidelines. Economic Research Service. https://www.ers.usda.gov/webdocs/publications/42902/56772_eb27.pdf?v=42426. Accessed January 2, 2017.
USDA. The Cost of Satisfying Fruit and Vegetable Recommendations in the Dietary Guidelines. Economic Research Service. https://www.ers.usda.gov/webdocs/publications/42902/56772_eb27.pdf?v=42426. Accessed January 2, 2017.
Implications for Research and Practice
Union of Concerned Scientists. The $11 Trillion Dollar Reward: How Simple Dietary Changes Can Save Lives and Money, and How We Get There. Washington, DC; 2013. http://www.ucsusa.org/sites/default/files/legacy/assets/documents/food_and_agriculture/11-trillion-reward.pdf. Accessed September 3, 2016.
Center on Budget and Policy Priorities Policy Basics: introduction to the Supplemental Nutrition Assistance Program (SNAP). http://www.cbpp.org/research/policy-basics-introduction-to-the-supplemental-nutrition-assistance-program-snap?fa=view&id=2226. Accessed October 3, 2016.
Center on Budget and Policy Priorities. House 2017 budget plan would slash SNAP by more than 150 billon over ten tears. http://www.cbpp.org/research/food-assistance/house-2017-budget-plan-would-slash-snap-by-more-than-150-billion-over-ten. Accessed September 15, 2016.
Acknowledgments
Conflict of Interest
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Conflict of Interest Disclosure: The authors' conflict of interest disclosures can be found online with this article on www.jneb.org.
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