This project will examine the barriers and facilitators to delivering SNAP-Ed programming in rural communities with a focus on policy, systems, and environmental (PSE) changes. The goals of this project are: 1) to identify the types of SNAP-Ed programming currently being implemented in rural communities, with a focus on PSE changes; 2) to identify barriers More
This study aimed to examine whether a newly opened supermarket in the Bronx, NY, changed household food availability and consumption of healthy and unhealthy food items among families who lived within half a mile of the new supermarket. Participants were recruited through street intercept surveys, with a subset of respondents later completing a 24-hour dietary More
The association between stress in early life and obesity and overweight in adulthood is well established. There is also increasing evidence of a link between stress exposure in childhood (or in utero) and child and adolescent obesity. Major sources of early life stress include adverse childhood experiences (e.g., abuse), poverty, food insecurity, and poor relationships More
In June 2016, the Philadelphia City Council passed a 1.5 cents per ounce tax on sugar-sweetened beverages (SSBs). Given the tax, the climate for promoting water and discouraging SSB consumption in Philadelphia is ideal for testing interventions that may increase water consumption. Specific aims of this study are to: l) determine the effectiveness of a More
This study aimed to assess the relative impact of the home food environment on children’s diet after the introduction of a new supermarket in a food desert. This study builds upon a natural experiment to longitudinally examine the food-purchasing behaviors and diets among a randomly selected population of households in two major Pittsburgh food desert More
Nutrient content claims, which characterize the level of a nutrient in a food (e.g., “low-sugar”), are a commonly used marketing tactic. The association between claims, the nutritional quality of products, and consumer purchases is unknown. This study examined low-content nutrient claims on more than 80 million packaged food and beverage purchases from a transaction-level database More
Restaurants are key venues for reducing sodium intake in the United States but little is known about consumer perceptions of sodium in restaurant foods. This study aimed to fill this gap by examining the accuracy of consumer estimates of sodium in restaurant meals. In 2013 and 2014, meal receipts and questionnaires were collected from adults More
Improvements in the healthiness of packaged foods and beverages consumed by children and adolescents could have an impact on obesity through improved dietary intake patterns. Food manufacturers have new incentives to reformulate foods in response to changes in the Nutrition Facts label (NFL) and serving sizes scheduled to go into effect in 2018. The overall More
The first 1,000 days describes the period from pre-pregnancy through age 2 years, and is increasingly recognized as a critical period for development of childhood obesity. The overall goal of this study is to develop and refine health messaging for future interventions among families living in Washington Heights, a low-income New York City neighborhood with More
To enhance access to healthier foods, the U.S. Department of Agriculture (USDA) recently proposed new stocking standards for stores eligible to accept Supplemental Nutrition Assistance Program (SNAP) benefits. It is unknown how many stores are currently in compliance with the proposed enhanced retailer standards; what support rural stores need to successfully stock and engage families More
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