Published: April 2022

ID #: 77246

Journal: Appetite

Authors: Trude ACB, Ali SH, Lowery CM, Vedovato GM, Lloyd-Montgomery J, Hager E, Black MM

See more related research

Share


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 design was used, including a survey informed by the theory of planned behavior (TPB) and focus groups conducted between November–March 2021. In the quantitative phase, 310 Maryland residents completed an online survey assessing TPB constructs (attitudes, social norms, perceived control), and food purchase frequency online and in-store. Subsequently, 42 participated in the qualitative phase. Online food selection and fees were a common obstacle to online grocery purchasing. Families who had purchased groceries online (57%) had more positive attitudes and perceived fewer barriers to online shopping than those who had not. Self-reported frequency of buying fresh produce, meat and seafood, and sweets were lower online than in-store. Families discussed mistrust of online hired shoppers and fewer impulse purchases online as reasons for less frequent purchases of produce and sweets, respectively. Successful scale-up of the U.S. policy must address barriers to healthier purchasing behaviors to effectively promote equitable food access, such as decreasing delivery fees and improving the online food selection.

Download the accompanying infographic here.

Related Research

January 2022

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

February 2020

Assessing Supplement Nutrition Assistance Program families’ online food purchasing behaviors to inform policies targeting expansion of SNAP benefits

Online grocery services may be a promising strategy to increase food access by creating systems that increase the self-reliance of communities to meet their food needs; however, there may be unintended consequences that should be considered. Despite the potential to increase healthier choices, individuals may purchase more soft drinks and juices online than fresh produce. More

November 2023

Supporting the Wake Forest School of Medicine in implementing a WIC referral program within electronic health records to optimize WIC participation

The United States has an ongoing maternal and infant health crisis, characterized by stark disparities. The WIC program could equitably improve health outcomes, but it is underutilized. Identifying strategies for healthcare systems to efficiently connect pregnant patients with WIC is a public health and policy priority. This study will use the electronic health record (EHR) More