Differences in the Neighborhood Retail Food Environment and Obesity Among US Children and Adolescents by SNAP Participation.
Differences in the Neighborhood Retail Food Environment and Obesity Among US Children and Adolescents by SNAP Participation.
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DOI:
10.1002/oby.22184
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发表时间:
2018-06
期刊:
影响因子:
--
通讯作者:
Bleich SN
中科院分区:
文献类型:
--
作者:
Gorski Findling MT;Wolfson JA;Rimm EB;Bleich SN
To understand the association between children’s neighborhood food access and overweight/obesity in a national sample of U.S. households, and whether it differs by Supplemental Nutrition Assistance Program (SNAP) participation or household purchases. Data were from the National Household Food Acquisition and Purchase Survey (2012–2013; n=3,748 children ages 2–18). We used logistic regression to examine associations between neighborhood retail food access (<1-mile from home), food purchases (including sugary beverages), and overweight/obesity, stratified by SNAP status (1,720 participants, 453 eligible non-participants, 1,575 SNAP ineligible). Store types included: supermarkets/grocery, combination grocery/other (independent drug, dollar, and general stores), convenience, fast food, and non-fast food restaurants. Odds of childhood overweight/obesity (OR [95% CI]) were higher with greater access to combination grocery/other stores overall (1.10 [1.03, 1.17]) and for children in SNAP (1.14 [1.05, 1.24]). Eligible non-SNAP children had higher odds of overweight/obesity with greater access to convenience stores (1.11 [1.04, 1.18]). The average child lived in a household with 6.3% of total spending at food outlets on sugary beverages (SNAP: 8.3%, eligible non-SNAP: 7.7%, SNAP ineligible: 5.5%). Greater neighborhood access to combination grocery/other stores is associated with higher obesity prevalence for children overall and those in SNAP.
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