Rural independent and corporate Supplemental Nutrition Assistance Program (SNAP)-authorized store owners’ and managers’ perceived feasibility to implement marketing-mix and choice-architecture strategies to encourage healthy consumer purchases

Houghtaling, Bailey; Serrano, Elena; Dobson, Liza; Chen, Susan; Kraak, Vivica; Harden, Samantha M.; Davis, George C.; Misyak, Sarah

doi:10.1093/tbm/ibz091

Cited by 19 publications

(13 citation statements)

References 33 publications

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“…The SNAP-Ed partners have increasingly focused efforts on facilitating healthy retail programming in stores in underserved communities. 10,11 Directing SNAP-Ed resources to formats identified in this research as associated with consumer obesity may be an important step to improve community health outcomes. Likewise, investing in small, independent grocers to facilitate their financial success within communities may be both an important practice and policy approach as small grocers were not associated with obesity prevalence in this research.…”

Section: Discussionmentioning

confidence: 99%

“…Stores were coded by format: grocery or supermarket; drug, mass merchandiser; supercenter; convenience; dollar; club; or other (eg, specialty food store, commissary). 6 Nonfood stores (eg, restaurant and delivery services), farmers markets (included stands), and independent grocery stores (eg, smaller grocers with different business models than corporate/chain stores) 11 were also included to classify the full range of SNAP-authorized stores statewide. Google searches assisted in categorization when store names were unfamiliar.…”

Section: Methodsmentioning

confidence: 99%

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Supplemental Nutrition Assistance Program (SNAP)-Authorized Grocery, Convenience, Dollar, and Restaurant or Delivery Service Settings Are Associated With Increased Obesity Prevalence in Virginia

2020

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Purpose: United States Department of Agriculture Supplemental Nutrition Assistance Program (SNAP) participants use SNAP-authorized stores for dietary purchases. Relationships between obesity prevalence and access to grocery and varied nontraditional (eg, dollar, drug, and convenience) SNAP settings are underexplored. This research aimed to determine the association of a full range of SNAP-authorized stores with obesity prevalence in Virginia. Design: The SNAP Retailer Locator was used to cross-sectionally identify authorized stores, and county health ranking information was applied based on store location. Setting: Virginia, United States. Sample: The SNAP-authorized stores, classified among store categories: grocery or supermarket; drug; mass merchandiser; supercenter; convenience; dollar; club; other; nonfood store; farmers markets; and independent grocery stores. Measures: County-level obesity prevalence with income and rurality as potential confounders. Analysis: Multiple linear regression was used to determine associations between county-level adult obesity prevalence and available SNAP-authorized store formats ( P < .05 a priori). Results: Store format was a predictor of obesity prevalence in Virginia in simple and adjusted models ( R 2 = 0.035, P < .0001 and R 2 = 0.434, P < .0001, respectively). Grocery store or supermarket access was associated with obesity. The SNAP-authorized convenience, dollar, and nonfood stores were associated with a 0.3, 0.5, and 1.3 increase in county obesity prevalence, respectively ( P < .05). Conclusions: Research, practice, and health policy approaches to improve grocery, convenience, dollar, and restaurant or delivery service settings may favorably influence community obesity prevalence in Virginia.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Supplemental Nutrition Assistance Program (SNAP)-Authorized Grocery, Convenience, Dollar, and Restaurant or Delivery Service Settings Are Associated With Increased Obesity Prevalence in Virginia

2020

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“…Prior to implementing such interventions, researchers must identify approaches that can be appropriately translated to these populations to support healthy food choices, with feasibility, cost-effectiveness, cultural competency, and acceptability as key considerations (59,60). Also, given the demonstrated potential of behavioral economicsbased approaches to improve food choices, policy initiatives encouraging alterations to food environments, such as SNAPauthorized retailers, informed by behavioral economics and aimed at promoting healthy food choices is a promising avenue to address poor diet quality (18,19,61). More research is needed across diverse food retail store contexts to determine intervention approaches appropriate for SNAP-authorized retailers that promote the purchase and consumption of healthy foods among low-income populations (18,61).…”

Section: Discussionmentioning

confidence: 99%

Improving Healthy Food Choices in Low-Income Settings in the United States Using Behavioral Economic-Based Adaptations to Choice Architecture

et al. 2021

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Low diet quality is a significant public health problem in the United States, especially among low-income populations. The food environment influences dietary choices. When applied to eating behavior, behavioral economics (BE) recognizes that decision biases instigated by a food environment saturated with unhealthy foods may lead people to purchase such foods, even when they possess the necessary information and skills to make healthy dietary choices. Choice architecture, a BE concept that involves modifying the appeal or availability of choices to “nudge” people toward a certain choice, retains freedom of choice but makes unhealthy options less convenient or visible. Choice architecture has been demonstrated to influence food choices in various settings, including supermarkets, convenience stores, and food pantries. These modifications are low-cost and feasible to implement, making them a viable strategy to help “nudge” patrons toward healthier choices in food establishments serving low-income populations, including food pantries and retailers accepting the Supplemental Nutrition Assistance Program. This narrative review searched, appraised, and underscored the strengths and limitations of extant research studies that used choice architecture adaptations to influence food choices among low-income populations in the United States. Findings from studies in food pantry settings suggest the potential of BE strategies to improve the healthfulness of food choices and dietary intake in low-income populations. In food retail settings, research suggests that BE strategies increase sales of healthy foods, like fruits and vegetables. We identify new areas of research needed to determine if BE-based modifications in low-income settings have sustained impacts on diet quality.

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“…For example, no established tools include indicators for store atmosphere properties, such as music, which could be used to influence the purchase of unhealthy products more broadly (e.g., including SSB). 38 Future research could incorporate measures to assess store owners' and managers' perspectives 37,86,87 about their use of place strategies to sell SSB products to quantify these practices for further investigation.…”

Section: Profile Pricing and Promotion Strategies To Sell Ssb Productsmentioning

confidence: 99%

A rapid review of stocking and marketing practices used to sell sugar‐sweetened beverages in U.S. food stores

et al. 2020

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Summary Sugar‐sweetened beverages (SSBs) are a primary source of added sugars in the American diet. Habitual SSB consumption is associated with obesity and noncommunicable disease and is one factor contributing to U.S. health disparities. Public health responses to address marketing‐mix and choice‐architecture (MMCA) strategies used to sell SSB products may be required. Thus, our goal was to identify original research about stocking and marketing practices used to sell SSB in U.S. food stores. We used Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) and the World Health Organization (WHO) protocol for rapid reviewing. We searched six databases and Google Scholar using key terms focused on store type and SSB products. We characterized results using an MMCA framework with categories place, profile, portion, pricing, promotion, priming or prompting, and proximity. Our search resulted in the identification of 29 articles. Most results focused on profile (e.g., SSB availability) (n = 13), pricing (e.g., SSB prices or discounts) (n = 13), or promotion (e.g., SSB advertisements) (n = 13) strategies. We found some evidence of targeted MMCA practices toward at‐risk consumers and differences by store format, such as increased SSB prominence among supermarkets. The potential for systematic variations in MMCA strategies used to sell SSB requires more research. We discuss implications for public health, health equity, and environmental sustainability.

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Rural independent and corporate Supplemental Nutrition Assistance Program (SNAP)-authorized store owners’ and managers’ perceived feasibility to implement marketing-mix and choice-architecture strategies to encourage healthy consumer purchases

Abstract: Owners and managers of rural stores authorized to accept Supplemental Nutrition Assistance Program (SNAP) benefits perceived strategies that used labeling (prompting) or location (proximity) changes as most feasible to implement to encourage healthy consumer purchases.

Cited by 19 publications

References 33 publications

Supplemental Nutrition Assistance Program (SNAP)-Authorized Grocery, Convenience, Dollar, and Restaurant or Delivery Service Settings Are Associated With Increased Obesity Prevalence in Virginia

Supplemental Nutrition Assistance Program (SNAP)-Authorized Grocery, Convenience, Dollar, and Restaurant or Delivery Service Settings Are Associated With Increased Obesity Prevalence in Virginia

Improving Healthy Food Choices in Low-Income Settings in the United States Using Behavioral Economic-Based Adaptations to Choice Architecture

A rapid review of stocking and marketing practices used to sell sugar‐sweetened beverages in U.S. food stores

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