Hilmers Angela, Chen Tzu-An, Dave Jayna M, Thompson Deborah, Cullen Karen Weber
Johns Hopkins Bloomberg School of Public Health, Department of International Health, 615 N Wolfe St., Baltimore, MD 21205, USA.
Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates Street, Houston, TX 77030-2600, USA.
Prev Med. 2014 May;62:44-8. doi: 10.1016/j.ypmed.2014.01.016. Epub 2014 Feb 12.
Low-income Hispanic women are at greater risk for dietary deficiencies and obesity. We assessed the association between Supplemental Nutrition Assistance Program participation and dietary intake among 661 Hispanic women aged 26-44 years living in Texas.
Cross-sectional data was collected using standard methods. Analysis of variance and logistic regression examined the influence of Supplemental Nutrition Assistance Program on diet after adjusting for household characteristics, body mass index, and food security status.
Most women did not meet recommended dietary guidelines. Supplemental Nutrition Assistance Program participants consumed higher amounts of total sugars, sweets-desserts, and sugar-sweetened beverages than Supplemental Nutrition Assistance Program nonparticipants. High sodium intakes and low dairy consumption were observed in both groups. Only 27% of low-income eligible women received Supplemental Nutrition Assistance Program benefits.
Low-income Hispanic women participating in Supplemental Nutrition Assistance Program reported less healthful dietary patterns than nonparticipants. This may contribute to the increased obesity prevalence and related comorbidities observed in this population.
Supplemental Nutrition Assistance Program should play an important role in enhancing the overall dietary quality of low-income households. Policy initiatives such as limiting the purchase of sugar-sweetened beverages and education to enable women to reduce consumption of high sodium processed foods deserve consideration as means to improve the dietary quality of Supplemental Nutrition Assistance Program participants. Effective measures are needed to increase Supplemental Nutrition Assistance Program participation rates among Hispanics.
低收入西班牙裔女性面临更大的饮食缺乏和肥胖风险。我们评估了德克萨斯州661名年龄在26 - 44岁的西班牙裔女性中,补充营养援助计划(SNAP)参与情况与饮食摄入之间的关联。
采用标准方法收集横断面数据。在调整家庭特征、体重指数和食品安全状况后,通过方差分析和逻辑回归研究补充营养援助计划对饮食的影响。
大多数女性未达到推荐的饮食指南。与未参与补充营养援助计划的女性相比,参与该计划的女性摄入的总糖、甜品和含糖饮料更多。两组均存在高钠摄入和低乳制品消费的情况。只有27%符合条件的低收入女性领取了补充营养援助计划福利。
参与补充营养援助计划的低收入西班牙裔女性的饮食模式不如未参与者健康。这可能导致该人群肥胖患病率及相关合并症增加。
补充营养援助计划应在提高低收入家庭整体饮食质量方面发挥重要作用。诸如限制购买含糖饮料以及开展教育以使女性减少高钠加工食品消费等政策举措,作为改善补充营养援助计划参与者饮食质量的手段值得考虑。需要采取有效措施提高西班牙裔人群对补充营养援助计划的参与率。