American adults eligible for the supplemental nutritional assistance program consume more sugary beverages than ineligible adults

摘要

Background: There is considerable debate about whether sugar-sweetened beverages (SSBs) should be allowable purchases with benefits from the Supplemental Nutrition Assistance Program (SNAP). Purpose: To examine national patterns in adult consumption of SSBs by SNAP eligibility. Methods: Cross-sectional analysis of 24-hour dietary recall data obtained from the National Health and Nutrition Examination Survey 2003-2010 (N = 17,198), analyzed in 2013. Results: In 2003-2010, 65% of adults receiving SNAP consumed SSBs, averaging 307. cal daily, and 74. g of sugar. Compared to adults ineligible for SNAP, adults receiving SNAP consumed a higher percentage of SSBs (65% vs. 59%, p < 0.001), more calories from SSB per capita (210. kcal vs. 175. kcal, p = 0.001), and more daily calories from SSBs among drinkers (307. kcal vs. 278. kcal, p = 0.008). Overall, per capita consumption from SSBs was highest among adults receiving SNAP (210. kcal, 9% total daily intake), followed by adults eligible but not participating in SNAP (192. kcal, 8% total daily intake) - both of which had significantly higher SSB consumption than ineligible adults (175. kcal, 8% total daily intake) (p < 0.05). Conclusion: Adults eligible for SNAP benefits consume more SSBs than ineligible adults.