ArticleAmerican journal of public health2016
Moderation of the Relation of County-Level Cost of Living to Nutrition by the Supplemental Nutrition Assistance Program.
Article in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- A Systematic Review on Socioeconomic Differences in the Association between the Food Environment and Dietary Behaviors.Nutrients · 2019Pooled it
- Effect of Personalized Incentives on Dietary Quality of Groceries Purchased: A Randomized Crossover Trial.JAMA network open · 2021Trial
- Effects Of Alternative Food Voucher Delivery Strategies On Nutrition Among Low-Income Adults.Health affairs (Project Hope) · 2019Trial
- Associations between food insecurity and Supplemental Nutrition Assistance Program participation with ultra-processed food acquisitions for home consumption in US households.Public health nutrition · 2026Article
- Methods Used to Evaluate the Health Effects of Social Policies: A Systematic Review.Current epidemiology reports · 2025Article
- The association of increased SNAP benefits during COVID-19 with food insufficiency and anxiety among US adults: a quasi-experimental study.Public health nutrition · 2024Article
- What Is Associated with Changes in Food Security among Low-Income Residents of a Former Food Desert?Nutrients · 2022Article
- Prevalence and nutritional quality of free food and beverage acquisitions at school and work by SNAP status.PloS one · 2021Article
- Article
- In an unhealthy food system, what role should SNAP play?PLoS medicine · 2018Article
- Nutritional profile of Supplemental Nutrition Assistance Program household food and beverage purchases.The American journal of clinical nutrition · 2017Article
- A Public Health of Consequence: Review of the November 2016 Issue of AJPH.American journal of public health · 2016Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo examine the association of county-level cost of living with nutrition among low-income Americans.
methodsWe used the National Household Food Acquisition and Purchase Survey (2012-2013; n = 14 313; including 5414 persons in households participating in the Supplemental Nutrition Assistance Program [SNAP]) to examine associations between county-level cost-of-living metrics and both food acquisitions and the Healthy Eating Index, with control for individual-, household-, and county-level covariates and accounting for unmeasured confounders influencing both area of living and food acquisition.
resultsLiving in a higher-cost county-particularly one with high rent costs-was associated with significantly lower volume of acquired vegetables, fruits, and whole grains; greater volume of acquired refined grains, fats and oils, and added sugars; and an 11% lower Healthy Eating Index score. Participation in SNAP was associated with nutritional improvements among persons living in higher-cost counties.
conclusionsLiving in a higher-cost county (particularly with high rent costs) is associated with poorer nutrition among low-income Americans, and SNAP may mitigate the negative nutritional impact of high cost of living.
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