SNAP 营养奖励计划回顾

Dylan Sogocio, Antonia Sawyer, Dennis Savaiano
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摘要

有 4000 多万美国人参加了 "补充营养援助计划"(SNAP),该计划的前身是 "食品券计划"。尽管该计划试图消除贫困线以下 130% 人口的粮食不安全问题,但它在防止 SNAP 参与者与经济状况更稳定的人之间出现营养相关的健康差距方面却收效甚微。几乎每个州都有营养激励计划,试图解决 SNAP 无法解决的营养健康差异问题。为了对其中几项计划进行文献综述,我们在 PubMed、PubAg 和 Google Scholar 数据库中使用 "SNAP "和 "营养激励计划 "等术语进行了搜索,并将日期限制在 2013 年或之后。此次搜索共收到 54 篇文章,但经过筛选后仅采用了其中的 35 篇。纳入的文章首先根据摘要进行筛选,然后根据文章内容确定相关性。文献表明,这些计划通过为 SNAP 参与者提供财务干预措施,让他们在购买和消费食品时做出有营养意识的决定,从而解决营养健康方面的差异。文献中提出了三类干预措施:奖励、折扣和限制。无论采取哪种干预措施,每一类干预措施都受到了 SNAP 参与者的好评。参与者能够购买和消费更多的水果和蔬菜,注重营养,并在经济上支持当地的农贸市场和超市。本综述讨论了这些不同的干预措施,以便利用学术证据制定新的或现有的计划,最好地解决营养健康差异问题。
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A Review of SNAP Nutritional Incentive Programs
There are over 40 million Americans in the Supplemental Nutrition Assistance Program (SNAP), formerly known as the Food Stamps Program. Despite this program attempting to eliminate food insecurity for people 130% below the poverty line, it does little to prevent nutrition related health disparities between SNAP participants and people who are more financially stable. Nearly every state has nutrition incentive programs attempting to address these nutritional health disparities that SNAP does not address. To synthesize a literature review of several of these programs, a search was conducted in PubMed, PubAg, and Google Scholar databases using terms such as “SNAP” and “nutritional incentive program,” along with date restrictions for 2013 or later. This search resulted in a total of 54 articles, however only 35 were used following screening. Included articles were screened first by abstract and then article content to determine relevancy. The literature suggests that programs address nutritional health disparities by providing financial interventions for SNAP participants to make nutritionally conscious decisions about the food they purchase and consume. There were three categories of interventions that were suggested by the literature: incentives, discounts, and restrictions. Regardless of the intervention, each of these categories of intervention were praised by SNAP participants. Participants were able to purchase and consume more fruits and vegetables, focus on nutrition, and financially support local farmers markets and supermarkets. This review discusses these different interventions to allow for new or existing programs to be developed to best address nutritional health disparities using scholarly evidence.
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