title: Household expenditures on dietary supplements sold for weight loss, muscle building, and sexual function: Disproportionate burden by gender and income.
abstract: Dietary supplements sold for weight loss (WL), muscle building (MB), and sexual function (SF) are not medically recommended. They have been shown to be ineffective in many cases and pose serious health risks to consumers due to adulteration with banned substances, prescription pharmaceuticals, and other dangerous chemicals. Yet no prior research has investigated how these products may disproportionately burden individuals and families by gender and socioeconomic position across households. We investigated household (HH) cost burden of dietary supplements sold for WL, MB, and SF in a cross-sectional study using data from 60,538 U.S. households (HH) in 2012 Nielsen/IRi National Consumer Panel, calculating annual HH expenditures on WL, MB, and SF supplements and expenditures as proportions of total annual HH income. We examined sociodemographic patterns in HH expenditures using Wald tests of mean differences across subgroups. Among HH with any expenditures on WL, MB, or SF supplements, annual HH first and ninth expenditure deciles were, respectively: WL $5.99, $145.36; MB $6.99, $141.93; and SF $4.98, $88.52. Conditional on any purchases of the products, female-male-headed HH spent more on WL supplements and male-headed HH spend more on MB and SF supplements compared to other HH types (p-values < 0.01). High-income ($30,000 < annual income < $100,000), compared to low-income (annual income < $30,000) HH, spent more on all three supplements types (p-values < 0.01); however, proportional to income, low-income HH spent 2-4 times more than high-income HH on WL and MB supplements (p-values < 0.01). Dietary supplements sold for WL, MB, and SF disproportionately burden HH by income and gender.
authors.affiliation: Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA.
authors.forename: S Bryn
authors.initials: SB
authors.lastname: Austin
authors.affiliation: Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Yu
authors.affiliation: Department of Nutrition, Simmons College, Boston, MA, USA.
authors.forename: Selena Hua
authors.initials: SH
authors.lastname: Liu
authors.affiliation: Department of Economics, Bates College, Lewiston, ME, USA.
authors.forename: Fan
authors.initials: F
authors.lastname: Dong
authors.affiliation: Department of Economics, Bates College, Lewiston, ME, USA.
authors.forename: Nathan
authors.initials: N
authors.lastname: Tefft
keywords: Dietary supplements; Disparities; Muscle building; Sexual function; Weight loss