Effect of a Multicomponent Food Pantry Intervention in Client Subgroups
Nutrition promotion programs may have varying effects and influence health disparities. SuperShelf promotes healthy choices in food pantries through inventory changes and nudge implementation (e.g., choice architecture). This secondary analysis of the SuperShelf cluster-randomized trial assessed whe...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-03-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/16/6/805 |
| _version_ | 1797239802693681152 |
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| author | Jenny Jia Maria F. Gombi-Vaca Christina Bliss Barsness Hikaru Peterson Rebekah Pratt Julian Wolfson Caitlin E. Caspi |
| author_facet | Jenny Jia Maria F. Gombi-Vaca Christina Bliss Barsness Hikaru Peterson Rebekah Pratt Julian Wolfson Caitlin E. Caspi |
| author_sort | Jenny Jia |
| collection | DOAJ |
| description | Nutrition promotion programs may have varying effects and influence health disparities. SuperShelf promotes healthy choices in food pantries through inventory changes and nudge implementation (e.g., choice architecture). This secondary analysis of the SuperShelf cluster-randomized trial assessed whether the effect of SuperShelf on client diet quality differed by equity characteristics. English-, Spanish-, or Somali-speaking adult clients from 11 food pantries in Minnesota were included (N = 193). We measured change in diet quality by the Healthy Eating Index 2015 (HEI-2015; maximum score 100) using up to two 24 h dietary recalls from pre-intervention and post-intervention periods. We used linear mixed-effects models to determine whether the effect of SuperShelf on diet quality varied by self-reported gender, race/ethnicity, education, and employment status. In separate adjusted models, the interactions of SuperShelf and gender, education, or employment status were not significant. The interaction of SuperShelf and race/ethnicity was significant (<i>p</i>-interaction = 0.008), but pairwise comparisons in diet quality were non-significant in all racial/ethnic subgroups. SuperShelf did not have differential effects on diet quality by gender, race/ethnicity, education, or employment status, suggesting it does not worsen dietary disparities among food pantry clients, though more subgroup analyses are needed to explore potential racial/ethnic disparities in this context. |
| first_indexed | 2024-04-24T17:57:20Z |
| format | Article |
| id | doaj.art-86b85d3691c24a8a88f695dad6344cda |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-04-24T17:57:20Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-86b85d3691c24a8a88f695dad6344cda2024-03-27T13:58:08ZengMDPI AGNutrients2072-66432024-03-0116680510.3390/nu16060805Effect of a Multicomponent Food Pantry Intervention in Client SubgroupsJenny Jia0Maria F. Gombi-Vaca1Christina Bliss Barsness2Hikaru Peterson3Rebekah Pratt4Julian Wolfson5Caitlin E. Caspi6Division of General Internal Medicine, Department of Medicine, Northwestern University, Chicago, IL 60611, USARudd Center for Food Policy and Health, University of Connecticut, Hartford, CT 06103, USADepartment of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN 55455, USADepartment of Applied Economics, University of Minnesota, St. Paul, MN 55108, USADepartment of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN 55455, USADivision of Biostatistics, University of Minnesota, Minneapolis, MN 55455, USARudd Center for Food Policy and Health, University of Connecticut, Hartford, CT 06103, USANutrition promotion programs may have varying effects and influence health disparities. SuperShelf promotes healthy choices in food pantries through inventory changes and nudge implementation (e.g., choice architecture). This secondary analysis of the SuperShelf cluster-randomized trial assessed whether the effect of SuperShelf on client diet quality differed by equity characteristics. English-, Spanish-, or Somali-speaking adult clients from 11 food pantries in Minnesota were included (N = 193). We measured change in diet quality by the Healthy Eating Index 2015 (HEI-2015; maximum score 100) using up to two 24 h dietary recalls from pre-intervention and post-intervention periods. We used linear mixed-effects models to determine whether the effect of SuperShelf on diet quality varied by self-reported gender, race/ethnicity, education, and employment status. In separate adjusted models, the interactions of SuperShelf and gender, education, or employment status were not significant. The interaction of SuperShelf and race/ethnicity was significant (<i>p</i>-interaction = 0.008), but pairwise comparisons in diet quality were non-significant in all racial/ethnic subgroups. SuperShelf did not have differential effects on diet quality by gender, race/ethnicity, education, or employment status, suggesting it does not worsen dietary disparities among food pantry clients, though more subgroup analyses are needed to explore potential racial/ethnic disparities in this context.https://www.mdpi.com/2072-6643/16/6/805food pantriesfood insecuritydiet qualitybehavioral economicsnudge interventionshealth equity |
| spellingShingle | Jenny Jia Maria F. Gombi-Vaca Christina Bliss Barsness Hikaru Peterson Rebekah Pratt Julian Wolfson Caitlin E. Caspi Effect of a Multicomponent Food Pantry Intervention in Client Subgroups Nutrients food pantries food insecurity diet quality behavioral economics nudge interventions health equity |
| title | Effect of a Multicomponent Food Pantry Intervention in Client Subgroups |
| title_full | Effect of a Multicomponent Food Pantry Intervention in Client Subgroups |
| title_fullStr | Effect of a Multicomponent Food Pantry Intervention in Client Subgroups |
| title_full_unstemmed | Effect of a Multicomponent Food Pantry Intervention in Client Subgroups |
| title_short | Effect of a Multicomponent Food Pantry Intervention in Client Subgroups |
| title_sort | effect of a multicomponent food pantry intervention in client subgroups |
| topic | food pantries food insecurity diet quality behavioral economics nudge interventions health equity |
| url | https://www.mdpi.com/2072-6643/16/6/805 |
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