Research & Publications | Healthy Eating Research

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A click too far from fresh foods: A mixed methods comparison of online and in-store grocery behaviors among low-income households

A recent policy in the U.S. authorized monthly benefits from the Supplemental Nutrition Assistance Program (SNAP) to be used online to increase grocery access and promote healthy eating. This study examined online grocery attitudes and purchasing behaviors among low-income SNAP-eligible households with young children with and without online grocery experience. An explanatory sequential mixed methods More

Date: April 2022

Resource Type: Journal Article

Focus Areas: Food Retail Nutrition Policy & Programs

Marketing of sugar-sweetened children’s drinks and parents’ misperceptions about benefits for young children

Despite expert recommendations, U.S. parents often serve sugar-sweetened children’s drinks, including sweetened fruit-flavored drinks and toddler milks, to young children. This qualitative research explored parents’ understanding of common marketing tactics used to promote these drinks and whether they mislead parents to believe the drinks are healthy and/or necessary for children. We conducted nine focus groups More

Date: February 2022

Resource Type: Journal Article

Focus Areas: Beverages Early Childhood

The Impact of a Pricing Manipulation Intervention on Food Sales in a Small Community Grocery Store in Baltimore City

This study tested a pricing manipulation strategy in a small grocery store to assess the impact on food sales. The prices of 35 healthy foods were decreased over time while simultaneously increasing the prices of 45 unhealthy foods. Trends in sales were examined across each manipulation period. Total sales of healthy foods remained relatively stable More

Keywords: Grocery store

Date: February 2022

Resource Type: Journal Article

Focus Areas: Food Retail Pricing & Economics

The Impact of Pictorial Health Warnings on Purchases of Sugary Drinks for Children: A Randomized Controlled Trial

This study aimed to examine the impact of pictorial warnings on parents’ purchases of sugary drinks for their children in a naturalistic store laboratory. Parents of children ages 2 to 12 (n = 325, 25% identifying as Black, 20% Hispanic) completed a shopping task in a naturalistic store laboratory in North Carolina. Participants were randomly More

Date: February 2022

Resource Type: Journal Article

Focus Areas: Beverages

A Systematic Scoping Review of the Literacy Literature to Develop a Digital Food and Nutrition Literacy Model for Low-income Adults to Make Healthy Choices in the Online Food Retail Ecosystem to Reduce Obesity Risk

Adults with lower incomes are disproportionately affected by poverty, food insecurity, obesity, and diet-related non-communicable diseases (NCDs). In 2020–2021 amid the coronavirus disease 2019 (COVID-19) pandemic, the United States Department of Agriculture (USDA) expanded the Supplemental Nutrition Assistance Program (SNAP) Online Purchasing Pilot program to enable eligible participants to purchase groceries online in 47 states. More

Date: January 2022

Resource Type: Journal Article

Focus Areas: Nutrition Policy & Programs

An Equity-oriented Systematic Review of Online Grocery Shopping Among Low-income Populations: Implications for Policy and Research

Online grocery services are an emerging component of the food system with the potential to address disparities in access to healthy food. We assessed the barriers and facilitators of equitable access to healthy foods in the online grocery environment, and the psychosocial, purchasing, and dietary behaviors related to its use among low-income, diverse populations. Four More

Date: January 2022

Resource Type: Journal Article

Focus Areas: Food Retail

Front-of-package claims & imagery on fruit-flavored drinks and exposure by household demographics

Young children regularly consume sugary fruit drinks, in part because parents may falsely believe they are healthful due to front-of-package (FOP) claims and imagery. The goal of this study was to assess: 1) the prevalence of FOP claims/imagery on fruit-flavored beverages purchased by U.S. households with 0-5-year-olds, and 2) proportional differences in beverages purchased with More

Date: January 2022

Resource Type: Journal Article

Focus Areas: Beverages Early Childhood

Increasing Healthy Food Access for Low-Income Communities: Protocol of the Healthy Community Stores Case Study Project

Improving healthy food access in low-income communities continues to be a public health challenge. One strategy for improving healthy food access has been to introduce community food stores, with the mission of increasing healthy food access; however, no study has explored the experiences of different initiatives and models in opening and sustaining healthy food stores. More

Date: January 2022

Resource Type: Journal Article

Focus Areas: Food Retail Healthy Communities

Elementary Schools’ Response to Student Wellness Needs during the COVID-19 Shutdown: A Qualitative Exploration Using the R = MC2 Readiness Heuristic

During spring of 2020, the COVID-19 pandemic and accompanying public health advisories forced K-12 schools throughout the United States to suspend in-person instruction. School personnel rapidly transitioned to remote provision of academic instruction and wellness services such as school meals and counseling services. The aim of this study was to investigate how schools responded to More

Keywords: Rural, Urban

Date: December 2021

Resource Type: Journal Article

Focus Areas: School & After School

Content Analysis of Online Grocery Retail Policies and Practices Affecting Healthy Food Access

This study aimed to describe policies and practices of online grocery retailers that may affect healthy food access, including retailers participating in the U.S. Department of Agriculture’s Supplemental Nutrition Assistance Program Online Purchasing Pilot. This was a cross-sectional, quantitative content analysis of 21 online grocery retail websites from November 2019 to January 2020. Most retailers More

Keywords: Supermarket

Date: December 2021

Resource Type: Journal Article

Focus Areas: Food Retail