title: Fruit and Vegetable, Fat, and Sugar-Sweetened Beverage Intake Among Low-Income Mothers Living in Neighborhoods With Supplemental Nutrition Assistance Program-Education.
abstract: To examine among low-income mothers the consumption of fruits and vegetables (FV), high-fat foods, and sugar-sweetened beverages (SSBs) and overall diet quality in relation to levels of reach of Supplemental Nutrition Assistance Program-Education (SNAP-Ed) interventions across 2,907 California census tracts.
  
  
  
  Cross-sectional telephone survey conducted from April through October, 2014 using the Automated Self-administered 24-Hour Recall dietary assessment.
  
  
  
  Mothers or primary caregivers (n = 6,355) from randomly selected SNAP households. The sample was 42.6% Latina, 25.5% white, and 17.6% African American. The response rate was 60.5%.
  
  
  
  Cups of FV; calories from high-fat foods; and cups of SSBs, overall and from items purchased from fast-food restaurants. Overall diet quality was assessed by the Healthy Eating Index-2010.
  
  
  
  Linear regression controlling for race/ethnicity and education, with significance at P ≤ .05.
  
  
  
  Mothers from high SNAP-Ed reach census tracts ate more cups of FV, consumed fewer calories from high-fat foods, and drank fewer cups of SSBs. Healthy Eating Index-2010 scores did not vary by levels of SNAP-Ed reach.
  
  
  
  Supplemental Nutrition Assistance Program-Education interventions are related to increased intake of FV and decreased consumption of high-fat foods and SSBs, but not overall diet quality. Future studies should include assessment of physical activity to investigate caloric balance in association with levels of SNAP-Ed interventions.
authors.affiliation: Mental Health Services Oversight and Accountability Commission, Sacramento, CA. Electronic address: Fred.Molitor@mhsoac.ca.gov.
authors.forename: Fred
authors.initials: F
authors.lastname: Molitor
authors.affiliation: Public Health Institute Center for Wellness and Nutrition, Sacramento, CA.
authors.forename: Sharon B
authors.initials: SB
authors.lastname: Sugerman
authors.affiliation: Research and Evaluation Section, Nutrition Education and Obesity Prevention Branch, California Department of Public Health, Sacramento, CA.
authors.forename: Stan
authors.initials: S
authors.lastname: Sciortino
mesh_terms: D000328:Adult; D001628:Beverages; D003430:Cross-Sectional Studies; D004032:Diet / Q000706:statistics & numerical data*; D005247:Feeding Behavior; D005260:Female; D063105:Food Assistance; D005638:Fruit; D006801:Humans; D008875:Middle Aged; D009035:Mothers / Q000706:statistics & numerical data*; D009749:Nutrition Surveys; D011203:Poverty; D014675:Vegetables
keywords: 24-hour recall; SNAP-Ed; ecological; fat; fruit; mother; nutrition education; sugar-sweetened beverage; vegetable