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Impact of Food Insecurity Nutrition Incentives on Household Fruit and Vegetable Expenditures

Published:January 29, 2021DOI:https://doi.org/10.1016/j.jneb.2020.10.022

      Abstract

      Objective

      Evaluate the impact of the Food Insecurity Nutrition Incentive (FINI) grant program on self-reported fruit and vegetable (FV) expenditures.

      Design

      Pre-post quasi-experimental study design.

      Setting

      Farmers markets and grocery stores in states with FINI projects.

      Participants

      A total of 2,471 Supplemental Nutrition Assistance Program (SNAP) households in 4 intervention groups who lived near a FINI retailer (farmers market or grocery store) and 4 matched comparison groups who did not live near a FINI retailer.

      Main Outcome Measures

      Awareness and use of point-of-sale incentives and changes in self-reported monthly household FV expenditures.

      Analysis

      Ordinary least squares intent-to-treat regression model using lagged dependent variable model framework.

      Results

      Awareness of FINI was higher among households who were near a FINI retailer and had shopped there before FINI than those who lived near a FINI retailer but had not shopped there before FINI; the number of information sources from which SNAP participants heard about FINI was positively associated with incentive receipt (P < 0.05). Among those who received incentives, the average amount of incentives received at the last shopping trip ranged from $15 to $23. The FINI program had a positive impact on the average monthly FV expenditures for those in the farmers market shopper, grocery store shopper, and grocery store general intervention groups—increases ranged from $9 to $15 (P < 0.05).

      Conclusions and Implications

      Point-of-sale incentives were associated with an increase in FV expenditures among SNAP households. Further research is needed to examine (1) effective messaging strategies to increase incentive awareness and (2) the long-term impact of incentives on FV expenditures.

      Key Words

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      REFERENCES

      1. US Department of Agriculture, Food and Nutrition Service. Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018. Alexandria, VA: Food and Nutrition Service; 2019.https://www.fns.usda.gov/sites/default/files/resource-files/Characteristics2018.pdf. Accessed August 26, 2020.

      2. US Department of Agriculture, Food and Nutrition Service. Supplemental Nutrition Assistance Program (SNAP).https://www.fns.usda.gov/snap/supplemental-nutrition-assistance-program. Accessed August 26, 2020.

        • US Department of Agriculture
        Office of the Secretary. 7 CFR Parts 1 and 2.
        Federal Register. 2014; 79: 44101-44105
        • Bartlett S
        • Klerman J
        • Olsho L
        • et al.
        Evaluation of the Healthy Incentives Pilot (HIP): Final Report.
        Food and Nutrition Service, Alexandria, VA2014
      3. US Department of Agriculture, Food and Nutrition Service. FINI Grant Program. Past year's awardees. https://www.fns.usda.gov/snap/FINI-Grant-Program. Accessed August 26, 2020.

        • Vericker T
        • Dixit-Joshi S
        • Taylor J
        • et al.
        The Evaluation of Food Insecurity Nutrition Incentives (FINI): Interim Report.
        Food and Nutrition Service, Alexandria, VA2019
        • Elkins MR
        • Moseley AM
        Intention-to-treat analysis.
        J Physiother. 2015; 61: 165-167
        • Community Science
        SNAP Healthy Food Incentives. Cluster Evaluation. 2013 Final Report.
        Community Science, Gaithersburg, MD2013
        • Produce for Better Health Foundation
        State of the Plate, 2015 Study on America's Consumption of Fruits and Vegetables.
        Produce for Better Health Foundation, Brentwood, MO2015
        • Andridge RR
        • Little RJ.
        A review of hot deck imputation for survey non-response.
        Int Stat Rev. 2010; 78: 40-64
        • Duan N
        Smearing estimate: a nonparametric retransformation method.
        J Am Stat Assoc. 1983; 78: 605-610
        • Abrevaya J.
        Computing marginal effects in the Box–Cox model.
        Econ Rev. 2002; 21: 383-393
        • Millen AE
        • Midthune D
        • Thompson FE
        • Kipnis V
        • Subar AF
        The National Cancer Institute diet history questionnaire: Validation of pyramid food servings.
        Am J Epidemiol. 2005; 163: 279-288
      4. US Census Bureau. American Community Survey. 2012-2016 American Community Survey 5-Year Estimates. Suitland, MD: US Census Bureau.https://www.census.gov/programs-surveys/acs/technical-documentation/table-and-geography-changes/2016/5-year.html. Accessed August 25, 2020.

        • Stuart EA
        • Lee BK
        • Leacy FP
        Prognostic score-based balance measures can be a useful diagnostic for propensity score methods in comparative effectiveness research.
        J Clin Epidemiol. 2013; 66: S84-S90.e1
        • Garrido MM
        • Kelley AS
        • Paris J
        • et al.
        Methods for constructing and assessing propensity scores.
        Health Serv Res. 2014; 49: 1701-1720
        • Freedman DA
        • Vaudrin N
        • Schneider C
        • et al.
        Systematic review of factors influencing farmers’ market use overall and among low-income populations.
        J Acad Nutr Die. 2016; 116: 1136-1155
      5. Ver Ploeg M, Mancino L, Todd JE, Clay DM, Scharadin B. Where Do Americans Usually Shop for Food and How Do They Travel to Get There? Initial Findings from the National Household Food Acquisition and Purchase Survey. Washington, DC: US Department of Agriculture; 2015.https://www.ers.usda.gov/webdocs/publications/43953/eib138_errata.pdf?v=42636. Accessed August 26, 2020.

        • US Department of Agriculture, Food and Nutrition Service
        SNAP Retailer Management Year End Summary.
        Food and Nutrition Service, Alexandria, VA2019

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