title: American adults eligible for the Supplemental Nutritional Assistance Program consume more sugary beverages than ineligible adults.
abstract: BACKGROUND
  There is considerable debate about whether sugar-sweetened beverages (SSBs) should be allowable purchases with benefits from the Supplemental Nutrition Assistance Program (SNAP).
  
  
  OBJECTIVE
  To examine national patterns in adult consumption of SSBs by SNAP eligibility.
  
  
  METHODS
  Cross-sectional analysis of 24-hour dietary recall data obtained from the National Health and Nutrition Examination Survey 2003-2010 (N=17,198), analyzed in 2013.
  
  
  RESULTS
  In 2003-2010, 65% of adults receiving SNAP consumed SSBs, averaging 307 cal daily, and 74 g of sugar. Compared to adults ineligible for SNAP, adults receiving SNAP consumed a higher percentage of SSBs (65% vs. 59%, p<0.001), more calories from SSB per capita (210 kcal vs. 175 kcal, p=0.001), and more daily calories from SSBs among drinkers (307 kcal vs. 278 kcal, p=0.008). Overall, per capita consumption from SSBs was highest among adults receiving SNAP (210 kcal, 9% total daily intake), followed by adults eligible but not participating in SNAP (192 kcal, 8% total daily intake)--both of which had significantly higher SSB consumption than ineligible adults (175 kcal, 8% total daily intake) (p<0.05).
  
  
  CONCLUSIONS
  Adults eligible for SNAP benefits consume more SSBs than ineligible adults.
authors.affiliation: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, USA. Electronic address: sbleich@jhsph.edu.
authors.forename: Sara N
authors.initials: SN
authors.lastname: Bleich
authors.forename: Seanna
authors.initials: S
authors.lastname: Vine
authors.forename: Julia A
authors.initials: JA
authors.lastname: Wolfson
mesh_terms: D000328:Adult; D000368:Aged; D002253:Carbonated Beverages / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D002149:Energy Intake; D005260:Female; D063105:Food Assistance / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Adults; SNAP; Sugar-sweetened bevearge consumption