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Improvement in Long‐term Household Food Security among Indiana Households with Children did not Differ between Rural and Urban Counties after a Supplemental Nutrition Assistance Program‐Education Intervention
Author(s) -
Rivera Rebecca L,
Maulding Melissa K,
Abbott Angela R,
Wang Qi,
EicherMiller Heather A
Publication year - 2016
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.30.1_supplement.674.26
Subject(s) - food security , supplemental nutrition assistance program , intervention (counseling) , medicine , environmental health , food insecurity , randomized controlled trial , baseline (sea) , rural area , gerontology , socioeconomics , geography , agriculture , economics , nursing , political science , surgery , archaeology , pathology , law
Objective To determine the relationship of rural and urban county household status to long‐term food security among households with children in Indiana after a Supplemental Nutrition Assistance Program‐Education (SNAP‐Ed) intervention. Methods A randomized, controlled parallel nutrition education intervention study using SNAP‐Ed as the intervention was implemented across 38 Indiana counties from August 2013 to March 2015. Study participants ( n =575) were low‐income SNAP‐Ed eligible adults ≥ 18 years with ≥ 1 child living in the household. SNAP‐Ed paraprofessionals recruited and randomized participants to either the control or intervention treatment group. Intervention group participants received at least the first 4 SNAP‐Ed lessons over an intervention period of 4–10 weeks. All participants completed a baseline, post‐intervention, and 1 year follow‐up assessment. Food security score was assigned using the 18‐item United States Household Food Security Survey Module. Urban or rural county status was assigned using the classifications provided by the United States Office of Management and Budget. A linear mixed regression model adjusted for household characteristics and urban or rural county status was included as an independent variable to compare study treatment group and urban or rural county status effects over time on food security. Results Rural or urban county status was not significantly associated with improvement in household food security score from baseline to 1 year follow‐up assessment ( p =0.6). Conclusion SNAP‐Ed was consistently effective at improving long‐term food security between rural and urban county Indiana households with children. Support or Funding Information Funding: This project was supported with a grant from the University of Kentucky Center for Poverty Research through funding by the U.S. Department of Agriculture, Food and Nutrition Service, contract number AG‐3198‐S‐12‐0044.