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:
Obesity (Silver Spring, Md.)
影响因子:
--
通讯作者:
Bleich SN
Bleich SN
中科院分区:
其他
文献类型:
--
作者:
Gorski Findling MT;Wolfson JA;Rimm EB;Bleich SN

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了解美国全国家庭样本中儿童获得邻里食物与超重/肥胖之间的关系,以及是否因参与补充营养援助计划(SNAP)或家庭购买而有所不同。数据来自全国家庭食品获取和购买调查(2012-2013年;n=3748名2-18岁的儿童)。我们使用Logistic回归来检验社区零售食品获取(离家1英里)、食品购买(包括含糖饮料)和超重/肥胖之间的关系,并按SNAP状态分层(1,720名参与者,453名符合条件的非参与者,1,575名不符合SNAP条件)。商店类型包括:超市/杂货店、组合杂货店/其他(独立药店、美元店和杂货店)、便利店、快餐店和非快餐店。儿童超重/肥胖的几率(OR[95%CI])更高,总体上更容易进入杂货店/其他商店(1.10[1.03,1.17]),SNAP儿童(1.14[1.05,1.24])。符合条件的非SNAP儿童超重/肥胖的几率更高,去便利店的机会更多(1.11[1.04,1.18])。儿童平均生活在一个家庭中,在食品销售点购买含糖饮料的总支出占6.3%(SNAP:8.3%,符合条件的非SNAP:7.7%,不符合SNAP的:5.5%)。社区更容易进入联合杂货店/其他商店,与儿童总体和SNAP中更高的肥胖率相关。
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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