Increases in Sugary Drink Marketing During Supplemental Nutrition Assistance Program Benefit Issuance in New York


      The Supplemental Nutrition Assistance Program (SNAP) is the largest federal food assistance program, providing $67 billion in benefits to 44 million Americans. Some states distribute SNAP benefits over one or a few days each month, which may create an incentive for retailers to heavily promote top-selling products, like sugar-sweetened beverages, when benefits are disbursed.


      A beverage environment scan assessing presence of displays, advertisements, and price promotions for sugar-sweetened, low-calorie, and unsweetened beverages was administered in a census of SNAP-authorized beverage retailers (n=630) in three cities in New York from September to November 2011. Multilevel regression models controlling for store type; county; and percentage SNAP enrollment, poverty, and non-Hispanic white population in the store’s census tract were used to estimate the odds of in-store beverage marketing during the SNAP benefit issuance period compared to other days of the month. Data were analyzed in 2016.


      There were higher odds of in-store sugar-sweetened beverage marketing during SNAP benefit issuance days (first to ninth days of the month) compared with other days of the month, particularly for sugar-sweetened beverage advertisements (OR=1.66, 95% CI=1.01, 2.72) and displays (OR=1.88, 95% CI=1.16, 3.03). In census tracts with high SNAP enrollment (>28%), the odds of a retailer having sugar-sweetened beverage displays were 4.35 times higher (95% CI=1.93, 9.98) during issuance compared with non-issuance days. There were no differences in marketing for low-calorie or unsweetened beverages.


      Increases in sugar-sweetened beverage marketing during issuance may exacerbate disparities in diet quality of households participating in SNAP. Policy changes, like extending SNAP benefit issuance, may mitigate these effects.
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      1. U.S. Department of Agriculture. Supplemental Nutrition Assistance Program Participation and Costs. Updated May 5, 2017. Accessed May 25, 2017.

      2. Executive Office of the President of the United States. Long-Term Benefits of the Supplemental Nutrition Assistance Program. Published December 2015. Accessed December 21, 2017.

        • Kennedy E.
        • Guthrie J.F.
        Nutrition assistance programs: cause or solution to obesity.
        Curr Obes Rep. 2016; 5: 176-183
        • Andreyeva T.
        • Tripp A.S.
        • Schwartz M.B.
        Dietary quality of Americans by Supplemental Nutrition Assistance Program participation status: a systematic review.
        Am J Prev Med. 2015; 49: 594-604
        • Andreyeva T.
        • Luedicke J.
        • Henderson K.E.
        • Tripp A.S.
        Grocery store beverage choices by participants in federal food assistance and nutrition programs.
        Am J Prev Med. 2012; 43: 411-418
        • Franckle R.L.
        • Moran A.
        • Hou T.
        • et al.
        Transactions at a Northeastern supermarket chain: differences by Supplemental Nutrition Assistance Program use.
        Am J Prev Med. 2017; 53: e131-e138
      3. Garasky S, Mbwana K, Romualdo A, Tenaglio A, Roy M. Foods typically purchased by Supplemental Nutrition Assistance Program (SNAP) households. Prepared by IMPAQ International, LLC for U.S. Department of Agriculture, Food and Nutrition Service. Published November 2016. Accessed December 21, 2017.

        • Watt T.T.
        • Appel L.
        • Roberts K.
        • Flores B.
        • Morris S.
        Sugar, stress and the Supplemental Nutrition Assistance Program: early childhood obesity risks among a clinic-based sample of low-income Hispanics.
        J Community Health. 2013; 38: 513-520
        • Chaparro M.P.
        • Harrison G.G.
        • Pebley A.R.
        • Wang M.
        The relationship between obesity and participation in the Supplemental Nutrition Assistance Program (SNAP): is mental health a mediator?.
        J Hunger Environ Nutr. 2014; 9: 512-522
        • Kohn M.J.
        • Bell J.F.
        • Grow H.M.
        • Chan G.
        Food insecurity, food assistance and weight status in U.S. youth: new evidences from NHANES 2007–08.
        Pediatr Obes. 2014; 9: 155-166
        • Leung C.W.
        • Willett W.C.
        • Ding E.L.
        Low-income Supplemental Nutrition Assistance Program participation is related to adiposity and metabolic risk factors.
        Am J Clin Nutr. 2012; 95: 17-24
        • Leung C.W.
        • Blumenthal S.J.
        • Hoffnagle E.E.
        • et al.
        Associations of food stamp participation with dietary quality and obesity in children.
        Pediatrics. 2013; 131: 463-472
        • Schmeiser M.D.
        The impact of long-term participation in the Supplemental Nutrition Assistance Program on child obesity.
        Health Econ. 2012; 21: 386-404
        • Simmons S.
        • Alexander J.L.
        • Ewing H.
        • Whetzel S.
        SNAP participation in preschool-aged children and prevalence of overweight and obesity.
        J Sch Health. 2012; 82: 548-552
        • Nguyen B.T.
        • Shuval K.
        • Bertmann F.
        • Yaroch A.L.
        The Supplemental Nutrition Assistance Program, food insecurity, dietary quality, and obesity among U.S. adults.
        Am J Public Health. 2015; 105: 1453-1459
        • Castner L.
        • Henke J.
        Benefit Redemption Patterns in the Supplemental Nutrition Assistance Program.
        U.S. Department of Agriculture, Food and Nutrition Service, Office of Research and Analysis, Alexandria, VA2011
        • Wilde P.E.
        • Ranney C.K.
        The monthly food stamp cycle: shopping frequency and food intake decisions in an endogenous switching regression framework.
        Am J Agric Econ. 2000; 82: 200-213
        • Hastings J.
        • Washington E.
        The first of the month effect: consumer behavior and store responses.
        Am Econ J Econ Policy. 2010; 2: 142-162
        • Shapiro J.M.
        Is there a daily discount rate? Evidence from the food stamp nutrition cycle.
        J Public Econ. 2005; 89: 303-325
        • Ohri-Vachaspati P.
        • Isgor Z.
        • Rimkus L.
        • Powell L.M.
        • Barker D.C.
        • Chaloupka F.J.
        Child-directed marketing inside and on the exterior of fast food restaurants.
        Am J Prev Med. 2015; 48: 22-30
        • Lee R.E.
        • Heinrich K.M.
        • Reese-Smith J.Y.
        • Regan G.R.
        • Adamus-Leach H.J.
        Obesogenic and youth oriented restaurant marketing in public housing neighborhoods.
        Am J Health Behav. 2014; 38: 218-224
        • Powell L.M.
        • Wada R.
        • Kumanyika S.K.
        Racial/ethnic and income disparities in child and adolescent exposure to food and beverage television ads across the U.S. media markets.
        Health Place. 2014; 29: 124-131
        • Cassady D.L.
        • Liaw K.
        • Soederberg Miller L.M.
        Disparities in obesity-related outdoor advertising by neighborhood income and race.
        J Urban Health. 2015; 92: 835-842
        • Isgor Z.
        • Powell L.
        • Rimkus L.
        • Chaloupka F.
        Associations between retail food store exterior advertisements and community demographic and socioeconomic composition.
        Health Place. 2016; 39: 43-50
      4. National Academy of Medicine. Food marketing to children and youth: treat or opportunity? Published 2005. Accessed June 9, 2017.

        • Adjoian T.
        • Dannefer R.
        • Sacks R.
        • Van Wye G.
        Comparing sugary drinks in the food retail environment in six NYC neighborhoods.
        J Community Health. 2014; 39: 327-335
        • Rose D.
        • Hutchinson P.L.
        • Bodor J.N.
        • et al.
        Neighborhood food environments and body mass index: the importance of in-store contents.
        Am J Prev Med. 2009; 37: 214-219
        • Levy D.E.
        • Riis J.
        • Sonnenberg L.M.
        • Barraclough S.J.
        • Thorndike A.N.
        Food choices of minority and low-income employees: a cafeteria intervention.
        Am J Prev Med. 2012; 43: 240-248
        • Foster G.D.
        • Karpyn A.
        • Wojtanowski A.C.
        • et al.
        Placement and promotion strategies to increase sales of healthier products in supermarkets in low-income, ethnically diverse neighborhoods: a randomized controlled trial.
        Am J Clin Nutr. 2014; 99: 1359-1368
        • Glanz K.
        • Sallis J.F.
        • Saelens B.E.
        • Frank L.D.
        Nutrition environment measures survey in stores (NEMS-S): development and evaluation.
        Am J Prev Med. 2007; 32: 282-289
      5. Kim AE, Loomis BR, Busey AH, Farrelly MC, Willett JG, Harlan JR. Influence of retail cigarette advertising, price promotions, and retailer compliance on youth smoking-related attitudes and behaviors. J Public Health Manag Pract. 2013;19(6):E1–E9.

      6. New York City Department of Health & Mental Hygiene. NYC Food Standards. Revised October 2014. Accessed July 13, 2017.

      7. Hopper J. Waiting for midnight, hungry families on food stamps give Walmart “enormous spike.” NBC New Rock Center with Brian Williams. Published November 28, 2011. Accessed May 26, 2017.

      8. U.S. Department of Agriculture, Food and Nutrition Service. Supplemental Nutrition Assistance Program (SNAP) Monthly Benefit Issuance Schedule. Accessed June 15, 2017.

      9. U.S. Congress House Committee on Agriculture. The Next Farm Bill: The Future of SNAP. Hearings, March 28, 2017. Testimony of Jennifer Hatcher, Chief Public Policy Officer and Senior Vice President Food Marketing Institute. Accessed June 15, 2017.

      10. Florida Department of Children and Families. New SNAP Benefit Schedule Frequently Asked Questions. Accessed June 21, 2017.

        • Lange T.
        • Hoefges M.
        • Ribisl K.M.
        Regulating tobacco product advertising and promotions in the retail environment: a roadmap for states and localities.
        J Law Med Ethics. 2015; 43: 878-896
      11. WHO. Evidence Brief: Tobacco Point-of-Sale Display Bans. Published 2017. Accessed June 15, 2017.

        • Robertson L.
        • McGee R.
        • Marsh L.
        • Hoek J.
        A systematic review on the impact of point-of-sale tobacco promotion on smoking.
        Nicotine Tob Res. 2015; 17: 2-17
        • Pomeranz J.L.
        Outstanding questions in first amendment law related to food labeling disclosure requirements for health.
        Health Aff (Millwood). 2015; 34: 1986-1992
      12. American Heart Association. Warning Labels on Sugary Drinks: AHA Policy Position and Issue Messaging. Accessed June 15, 2017.

        • Roberto C.A.
        • Wong D.
        • Musicus A.
        • Hammond D.
        The influence of sugar-sweetened beverage health warning labels on parents’ choices.
        Pediatrics. 2016; 137: e20153185
        • VanEpps E.M.
        • Roberto C.A.
        The influence of sugar-sweetened beverage warnings: a randomized trial of adolescents’ choices and beliefs.
        Am J Prev Med. 2016; 51: 664-672
        • Bollard T.
        • Maubach N.
        • Walker N.
        • Ni Mhurchu C.
        Effects of plain packaging, warning labels, and taxes on young people's predicted sugar-sweetened beverage preferences: an experimental study.
        Int J Behav Nutr Phys Act. 2016; 13: 95
        • Thorndike A.E.
        • Sunstein C.
        Obesity prevention in the supermarket–choice architecture and the Supplemental Nutrition Assistance Program.
        Am J Public Health. 2017; 107: 1582-1583
        • Nakamura R.
        • Pechey R.
        • Suhrcke M.
        • Jebb S.A.
        • Marteau T.M.
        Sales impact of displaying alcoholic and non-alcoholic beverages in end-of-aisle locations: an observational study.
        Soc Sci Med. 2014; 98: 180-188