Chapman Leah Elizabeth, Berkowitz Seth A, Ammerman Alice, De Marco Molly, Ng Shu Wen, Zimmer Catherine, Caspi Caitlin E
Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC 27599, USA.
Center for Health Promotion & Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Public Health Nutr. 2021 Aug;24(11):3552-3565. doi: 10.1017/S1368980021000707. Epub 2021 Feb 26.
In 2018, Minneapolis began phased implementation of an ordinance to increase the local minimum wage to $15/h. We sought to determine whether the first phase of implementation was associated with changes in frequency of consumption of fruits and vegetables (F&V), whole-grain-rich foods, and foods high in added sugars among low-wage workers.
Natural experiment.
The Wages Study is a prospective cohort study of 974 low-wage workers followed throughout the phased implementation of the ordinance (2018-2022). We used difference-in-difference analysis to compare outcomes among workers in Minneapolis, Minnesota, to those in a comparison city (Raleigh, North Carolina). We assessed wages using participants' pay stubs and dietary intake using the National Cancer Institute Dietary Screener Questionnaire.
Analyses use the first two waves of Wages data (2018 (baseline), 2019) and includes 267 and 336 low-wage workers in Minneapolis and Raleigh, respectively.
After the first phase of implementation, wages increased in both cities, but the increase was $0·84 greater in Minneapolis (P = 0·02). However, the first phase of the policy's implementation was not associated with changes in daily frequency of consumption of F&V (IRR = 1·03, 95 % CI: 0·86, 1·24, P = 0·73), whole-grain-rich foods (IRR = 1·23, 95 % CI: 0·89, 1·70, P = 0·20), or foods high in added sugars (IRR = 1·13, 95 % CI: 0·86, 1·47, P = 0·38) among workers in Minneapolis compared to Raleigh.
The first phase of implementation of the Minneapolis minimum wage policy was associated with increased wages, but not with changes in dietary intake. Future research should examine whether full implementation is associated dietary changes.
2018年,明尼阿波利斯开始分阶段实施一项法令,将当地最低工资提高到每小时15美元。我们试图确定实施的第一阶段是否与低薪工人食用水果和蔬菜(F&V)、富含全谷物的食物以及添加糖含量高的食物的频率变化有关。
自然实验。
工资研究是一项对974名低薪工人进行的前瞻性队列研究,在法令分阶段实施期间(2018 - 2022年)对他们进行跟踪。我们使用差异分析来比较明尼苏达州明尼阿波利斯市工人与对照城市(北卡罗来纳州罗利市)工人的结果。我们使用参与者的工资存根评估工资,并使用美国国立癌症研究所饮食筛查问卷评估饮食摄入量。
分析使用工资数据的前两波(2018年(基线)、2019年),分别包括明尼阿波利斯市和罗利市的267名和336名低薪工人。
在实施的第一阶段后,两个城市的工资都有所增加,但明尼阿波利斯市的增幅高出0.84美元(P = 0.02)。然而,该政策实施的第一阶段与明尼阿波利斯市工人相比罗利市工人在F&V每日食用频率(风险比 = 1.03,95%置信区间:0.86,1.24,P = 0.73)、富含全谷物的食物(风险比 = 1.23,95%置信区间:0.89,1.70,P = 0.20)或添加糖含量高的食物(风险比 = 1.13,95%置信区间:0.86,1.47,P = 0.38)方面的变化无关。
明尼阿波利斯最低工资政策的第一阶段实施与工资增加有关,但与饮食摄入量的变化无关。未来的研究应考察全面实施是否与饮食变化有关。