Abstract
The term obesity paradox was coined to describe potential associations between Supplemental Nutrition Assistance Program (SNAP) participation, food insecurity, and obesity. The study aimed to examine associations between (1) the retail food environment and macronutrients and (2) neighborhood deprivation and macronutrients. During 2010-2011, 57 Kentucky counties participated in the Supplemental Nutrition Assistance Program for Education (SNAP-Ed; n = 1585 total individuals aggregated at the county level) through the University of Kentucky Cooperative Extension. Dietary data were used to create county-level aggregate mean intake on calories, fat, protein, and carbohydrates. The retail food environment was determined by collecting food venue data from InfoUSA 2011, local health departments, and the Kentucky Department of Agriculture. There was a higher mean aggregate consumption of calories (206.23; 95% confidence interval [CI]: 173.93, 418.25) and fat grams (6.50; 95% CI: 3.04, 10.81) among SNAP-Ed participants in counties with 3 or more gas stations with food marts compared to SNAP-Ed participants in counties with less than 3 gas stations with food marts. County-level availability of certain food venues was associated with county-level aggregate dietary intake among SNAP-Ed participants.
| Original language | English |
|---|---|
| Pages (from-to) | 362-377 |
| Number of pages | 16 |
| Journal | Journal of Hunger and Environmental Nutrition |
| Volume | 8 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jul 2013 |
Bibliographical note
Funding Information:The authors acknowledge the Cooperative Extension staff at the University of Kentucky for their assistance with data collection. Funding for this study was provided through the University of Kentucky Research Foundation and the National Institute of Health National Institute of Minority and Health Disparities Loan Repayment Program.
Funding
The authors acknowledge the Cooperative Extension staff at the University of Kentucky for their assistance with data collection. Funding for this study was provided through the University of Kentucky Research Foundation and the National Institute of Health National Institute of Minority and Health Disparities Loan Repayment Program.
| Funders | Funder number |
|---|---|
| National Institute of Health National Institute of Minority and Health Disparities Loan Repayment Program | |
| Northern Kentucky University Research Foundation |
Keywords
- SNAP
- access
- diet
- environment
- food store
ASJC Scopus subject areas
- Health(social science)
- Nutrition and Dietetics
- Public Health, Environmental and Occupational Health
