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Moderation of the relation of county-level cost of living to nutrition by the supplemental nutrition assistance program

Author

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  • Basu, S.
  • Wimer, C.
  • Seligman, H.

Abstract

Objectives. To examine the association of county-level cost of living with nutrition among low-income Americans. Methods. We used the National Household Food Acquisition and Purchase Survey (2012-2013; n = 14 313; including 5414 persons in households participating in the Supplemental Nutrition Assistance Program [SNAP]) to examine associations between county-level cost-of-living metrics and both food acquisitions and the Healthy Eating Index, with control for individual-, household-, and county-level covariates and accounting for unmeasured confounders influencing both area of living and food acquisition. Results. Living in a higher-cost county-particularly one with high rent costs-was associated with significantly lower volume of acquired vegetables, fruits, and whole grains; greater volume of acquired refined grains, fats and oils, and added sugars; and an 11% lower Healthy Eating Index score. Participation in SNAP was associated with nutritional improvements among persons living in higher-cost counties. Conclusions. Living in a higher-cost county (particularly with high rent costs) is associated with poorer nutrition among low-income Americans, and SNAP may mitigate the negative nutritional impact of high cost of living.

Suggested Citation

  • Basu, S. & Wimer, C. & Seligman, H., 2016. "Moderation of the relation of county-level cost of living to nutrition by the supplemental nutrition assistance program," American Journal of Public Health, American Public Health Association, vol. 106(11), pages 2064-2070.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303439_0
    DOI: 10.2105/AJPH.2016.303439
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    Cited by:

    1. Elina T Page & Elizabeth Larimore & John A Kirlin & Mark Denbaly, 2019. "The National Household Food Acquisition and Purchase Survey: Innovations and Research Insights," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 41(2), pages 215-234, June.
    2. Dong, Zefeng & Jaenicke, Edward C. & Kuhns, Annemarie, 2018. "The Effects of Exogenous Changes in Food Environment on Households’ Healthfulness of Food Purchases," 2018 Annual Meeting, August 5-7, Washington, D.C. 273910, Agricultural and Applied Economics Association.
    3. Rebecca Cleary & Alessandro Bonanno & Armen Ghazaryan & Laura Bellows & Morgan McCloskey, 2021. "School meals and quality of household food acquisitions," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 43(4), pages 1385-1442, December.

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