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

Food Marketing Practices of Major Online Grocery Retailers in the United States, 2019-2020

Food marketing influences consumers’ preferences for and selection of marketed products. Although a substantial body of research has described food-marketing practices in brick-and-mortar stores, no research has examined food marketing in online grocery retail despite its growing importance as a source of food-at-home purchases. This study aimed to develop and apply a coding instrument to More

Child-Directed Marketing, Health Claims, and Nutrients in Popular Beverages

Fruit drinks are a major source of added sugar in children’s diets. This study describes the associations between front-of-package child-directed marketing (i.e., sports, fantasy, or child-directed imagery; child-directed text) and (1) health-related claims and (2) nutrient content of fruit drinks, 100% juices, and flavored waters. Beverage purchase data from a national sample of 1,048 households More

Nutrition-related claims lead parents to choose less healthy drinks for young children: a randomized trial in a virtual convenience store

Consumption of sugar-sweetened beverages, including fruit drinks, contributes to childhood obesity. We aimed to examine whether nutrition-related claims on fruit drinks influence purchasing among parents and lead to misperceptions of healthfulness. We conducted an experiment in a virtual convenience store with 2219 parents of children ages 1-5 y. Parents were randomly assigned to view fruit More

Insights from Washington State’s COVID-19 Response: A Mixed-Methods Evaluation of WIC Remote Services and Expanded Food Options Using the RE-AIM Framework

In response to the COVID-19 pandemic, Washington State’s Supplemental Nutrition Program for Women, Infants, and Children (WA WIC) adopted federal waivers to transition to remote service delivery for certification and education appointments. WA WIC also expanded the approved food list without using federal waivers, adding more than 600 new items to offset challenges participants experienced More

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

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

The Online Ordering Behaviors among Participants in the Oklahoma Women, Infants, and Children Program: A Cross-Sectional Analysis

Online ordering is an innovative method being pilot-tested in some stores to facilitate WIC participants’ food benefit redemption, which has become especially important in the COVID-19 pandemic. The present research aimed to examine the online ordering behaviors among 726 WIC households who adopted WIC online ordering in a grocery chain, XYZ (anonymous) store, in Oklahoma More

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