Department of Nutrition Science, Purdue University, West Lafayette, Indiana, USA.
Family Nutrition Program, Health and Human Sciences Cooperative Extension, Purdue University, West Lafayette, Indiana, USA.
Nutr Rev. 2019 Dec 1;77(12):903-921. doi: 10.1093/nutrit/nuz013.
The Supplemental Nutrition Assistance Program-Education (SNAP-Ed) is the nutrition promotion component of SNAP, formerly known as food stamps. SNAP-Ed assists low-income populations in the United States improve dietary intake and reduce food insecurity through nutrition education. This narrative review summarizes current investigations of SNAP-Ed's effectiveness at improving food security and dietary outcomes, and it can help inform future policy and implementation of the program. There was stronger evidence for SNAP-Ed as an effective means of improving food security (n = 4 reports) than for its effects on nutrition or dietary outcomes (n = 10 reports). Inconsistency in measurement tools and outcomes and a lack of strong study designs characterized the studies that sought to evaluate the effectiveness of SNAP-Ed at improving nutrition or dietary outcomes. Additional rigorous study designs in diverse population groups are needed to strengthen the evidence. In the face of reduced financial SNAP benefits, SNAP-Ed may play an important role in helping to eliminate food insecurity and improve dietary outcomes and, ultimately, the health of low-income Americans.
补充营养援助计划教育(SNAP-Ed)是 SNAP 的营养推广部分,前身为食品券。SNAP-Ed 通过营养教育帮助美国的低收入人群改善饮食摄入并减少粮食不安全。这篇叙述性评论总结了当前对 SNAP-Ed 改善粮食安全和饮食结果的有效性的调查,这有助于为该计划的未来政策和实施提供信息。有更强的证据表明 SNAP-Ed 是改善粮食安全的有效手段(n=4 份报告),而不是对营养或饮食结果的影响(n=10 份报告)。试图评估 SNAP-Ed 改善营养或饮食结果的有效性的研究存在测量工具和结果不一致以及缺乏强有力的研究设计的问题。需要在不同人群中进行更多严格的研究设计,以加强证据。在 SNAP 福利减少的情况下,SNAP-Ed 可能在帮助消除粮食不安全和改善饮食结果以及最终改善美国低收入人群的健康方面发挥重要作用。