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The Unhealthy Food Environment Does Not Modify the Association Between Obesity and Participation in the Supplemental Nutrition Assistance Program (SNAP) in Los Angeles County



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  • Personal Author:
  • Description:
    Background: Participation in the Supplemental Nutrition Assistance Program (SNAP) has been linked to an increased risk of obesity, but not much is known about the mechanisms behind this association. The objective of this study was to determine if the neighborhood density of unhealthy food outlets modifies the association between obesity and participation in SNAP. Methods: Data comes from the first wave of the Los Angeles Family and Neighborhood Survey; included are a subsample of adults (18+ years) who were SNAP participants or eligible non-participants (N = 1,176). We carried out multilevel analyses with obesity (BMI >= 30 Kg/m2), SNAP participation, and the neighborhood density of unhealthy food outlets as dependent, independent and modifying variables, respectively, controlling for age, gender, race/ethnicity, marital status, working status, mental health, and neighborhood poverty. Results: SNAP participants had double the odds of obesity compared to eligible non-participants (OR = 2.02; 95%CI = 1.44-2.83). However, the neighborhood density of unhealthy food outlets did not modify this association. Conclusions: SNAP participation was associated with higher odds of obesity in our primarily Hispanic sample in Los Angeles County, with no effect modification found for the unhealthy portion of the food environment. More research is needed with additional food environment measures to confirm our null findings. Additional research is needed to elucidate the mechanisms linking SNAP participation and obesity as they remain unclear. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    1471-2458
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Pages in Document:
    81
  • Volume:
    17
  • NIOSHTIC Number:
    nn:20063772
  • Citation:
    BMC Public Health 2017 Jan; 17:81
  • Contact Point Address:
    Edmund Y. W. Seto, Department of Environmental & Occupational Health Sciences, School of Public Health, University of Washington, Office: HSB F-226C, Box: 357234, Seattle, WA, 98195, USA
  • Email:
    eseto@uw.edu
  • Federal Fiscal Year:
    2017
  • Performing Organization:
    University of Washington
  • Peer Reviewed:
    True
  • Start Date:
    20050701
  • Source Full Name:
    BMC Public Health
  • End Date:
    20250630
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:ed93e3fe24fc62c9f706132299be3a6d4cc240dfe0f583605d0088530df5a2b539d3eafea09c1b45cc49c35ad60ab5d3e9bd23cbca44bdf4f44d54792d06a8d6
  • Download URL:
  • File Type:
    Filetype[PDF - 378.98 KB ]
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