The Affordability of a Thrifty Food Plan-based Market Basket in the United States-affiliated Pacific Region

Joshua A Greenberg, Bret Luick, Julia M Alfred, L Robert Barber Jr, Andrea Bersamin, Patricia Coleman, Monique Esquivel, Travis Fleming, Rachael T Leon Guerrero, James Hollyer, Emihner Lorrin Johnson, Rachel Novotny, Shelley deBlair Remengesau, Ashley Yamanaka, Joshua A Greenberg, Bret Luick, Julia M Alfred, L Robert Barber Jr, Andrea Bersamin, Patricia Coleman, Monique Esquivel, Travis Fleming, Rachael T Leon Guerrero, James Hollyer, Emihner Lorrin Johnson, Rachel Novotny, Shelley deBlair Remengesau, Ashley Yamanaka

Abstract

In an effort to characterize food costs in the United States (US)-affiliated Pacific Region, a first-time food cost survey was conducted in March 2014. A market basket survey was developed using an adaptation of the US Department of Agriculture Thrifty Food Plan. Surveys were conducted in the states of Alaska and Hawai'i; Portland, Oregon; the US-affiliated Pacific Islands of American Samoa (American Samoa); Commonwealth of the Northern Mariana Islands; the island of Pohnpei within the Federated States of Micronesia; Guam; Republic of the Marshall Islands; and Republic of Palau. Urban and rural communities were included. Multiple stores in multiple communities were surveyed in each jurisdiction. Food retailers (N = 74) ranged from convenience markets to supermarkets. Not all foods in the market basket survey were available in each of the communities. Inspection of available income data also showed that food costs represented a higher percentage of household income for American Samoa than those of Alaska, Hawai'i, and Portland. Thrifty Food Plan weighted weekly totals for the region ranged from $181.90 to $264.30. Weighting was based on the amount of the item converted to grams required for the Thrifty Food Plan menu. These food costs are significantly higher than those of Portland ($142.00) for the survey period. Protein foods, grains, vegetables, fruit, and dairy were the 5 most costly components, in descending order. Food affordability was assessed by comparing food costs across jurisdictions and examining estimated food costs to reported average jurisdiction incomes. The survey is intended to help inform public health policy and educational programs in the region. A locally adapted food survey would benefit future analyses, regional policy, and educational efforts.

Keywords: Thrifty Food Plan; US-affiliated Pacific Region; food costs; food environment; food security; obesity.

©Copyright 2020 by University Health Partners of Hawai‘i (UHP Hawai‘i).

References

    1. Adams EJ, Grummer-Strawn L, Chavez G. Food insecurity is associated with increased risk of obesity in California women. J Nutr. 2003;133:1070–4.
    1. Holben DH, Taylor CA. Food insecurity and its association with central obesity and other markers of metabolic syndrome among persons aged 12 to 18 years in the United States. J Am Osteopath Assoc. 2015;115:536–43.
    1. Metallinos-Katsaras, Aviva A, Gorman K. A longitudinal study of food insecurity on obesity in preschool children. J Acad. Nutr. Diet. 2012;112:1949–1958.
    1. Jyoti, DF, Frongillo EA, Jones SJ. Food insecurity affects school children's academic performance, weight gain, and social skills. J Nutr. 2005;135:2831–2839.
    1. Casey PH, Szeto KL, Robbins JM, et. al. Child health-related quality of life and household food security. Arch Pediatr Adolesc Med. 2005;159:51–56.
    1. Cook JT, Frank DA, Berkowitz C, et al. Food insecurity is associated with adverse health outcomes among human infants and toddlers. J Nutr. 2004;134((6)):1432–1438.
    1. Alaimo K, Olson CM, Frongillo EA Jr., Briefel RR. Food insufficiency, family income, and health in US preschool and school-aged children. Am J Public Health. 2001;91:781–786.
    1. Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: policy and environmental approaches. Annu. Rev. Public Health. 2008;21:253–72.
    1. Casaday D, Jetter KM, Culp J. Is price a barrier to eating more fruits and vegetables for low-income families? J Am Diet Assoc. 2007;107((11)):1909–1915.
    1. Carlson A, Frazão E. Are healthy foods really more expensive? It depends on how you measure the price. Economic Research Service, US Dept of Agriculture. 2012. May 1, EIB 96.
    1. Braun, KL, Nigg CR, Fialkowski MK, et al. Using the Angelo model to develop the Children's Healthy Living Program multilevel intervention to promote obesity preventing behaviors for young children in the US-affiliated Pacific Region. Childhood Obesity. 2014;10:474–481.
    1. Glanz K, Johnson L, Yaroch AL, Phillips M, Ayala GX, Davis EL. Measures of retail food store environments and sales: review and implications for healthy eating initiatives. J Nutr Educ Behav. 2016;48:280–288.
    1. Carlson A, Lino M, Juan W, Hanson K, Basiotis PP. Thrifty food plan, 2006. Center for Nutrition Policy and Promotion, US Dept of Agriculture. 2007. Apr, CNPP-19.
    1. Cohen B. Community food security assessment toolkit. Economic Research Service, US Dept of Agriculture. 2002. Jul, E-FAN-02-013.
    1. Pérez-Escamilla R, Segall-Corrêa AM, Kurdian Maranha L, Sampaio Md Mde F, Marín-León L, Panigassi G. An adapted version of the US Department of Agriculture Food Insecurity module is a valid tool for assessing household food insecurity in Campinas, Brazil. J. Nutr. 2004;134:1923–1928.
    1. Block D, Kouba J. A comparison of the availability and affordability of a market basket in two communities in the Chicago area. Public Health Nutr. 2006;9:837–845.
    1. Center for Nutrition Policy and Promotion, Official USDA food plans: Cost of food at home at four levels, U.S. average, March 2014. US Dept of Agriculture. 2014. Apr, . Accessed December 6, 2016.
    1. Agricultural Research Service What we eat in America food categories. US Department of Agriculture. No date. . Accessed June 19, 2019.
    1. Wilkens LR, Novotny R, Fialkowski MK, et al. Children's Healthy Living (CHL) Program for remote underserved minority populations in the Pacific region: rationale and design of a community randomized trial to prevent early childhood obesity. BMC Public Health. 2013 Oct 9;13:944.
    1. California Department of Health CX3 Tier 2 – NSF 2-5 Food availability and marketing survey protocol. 2011. Jul,
    1. US Census Bureau American Fact Finder. American Community Survey. US Dept of Commerce. Various years: . Accessed December 6, 2016.
    1. Terminology Committee . Handbook of Food Preparation. American Home Economics Assoc, Food and Nutrition Section. 9 Sub edition. Dubuque, IA: Kendall Hunt Pub Co; 1993. Jun,
    1. Peterson A, McGill B, Thorn B, et al. Assessing the feasibility of implementing SNAP in the Commonwealth of the Northern Mariana Islands. Prepared by Insight Policy Research under Contract No. AG-3198-C-14-0007. Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service; 2016. Aug,
    1. Snowdon W, Raj A, Reeve E, et al. Processed foods available in the Pacific Islands. Globalization and Health. 2013;9 . Accessed December 6, 2016.
    1. Wilde PE, Llobrera J. Using the thrifty food plan to assess the cost of a nutritious diet. Jf Consum Aff. 2009;43:274–304.
    1. Mancino L, Gregory CA. Seattle, WA: 2012. Aug 12, Does More Cooking Mean Better Eating? Estimating the relationship between time spent in food preparation and diet quality. Proceedings Agricultural and Applied Economics Association Annual Meeting; pp. 12–14.
    1. Ziliak JP. Modernizing SNAP Benefits. Hamilton Project, Brookings Inst. May 2016. Policy Proposal 2016-06.
    1. Center for Nutrition Policy and Promotion The thrifty food plan, 1999 administrative report. US Dept of Agriculture. 1999. CNPP-7.
    1. Tran LT, Brewster PJ, Chidambaram V, Hurdle JF. Towards measuring the food quality of grocery purchases: An estimation model of the healthy eating index-2010 using only food item counts. Procedia Food Science. 2015;4:148–59.
    1. Guthrie J, Lin BH, Smith TA. Linking federal food intake surveys provides a more accurate look at eating out trends. USDA-ERS. Amber Waves. June 6, 2016.
    1. Carlson A, Frazão E. Food costs, diet quality and energy balance in the United States. Physiol Behav. 2014;134:20–31.
    1. Hiza HA, Casavale KO, Guenther PM, Davis CA. Diet quality of Americans differs by age, sex, race/ethnicity, income, and education level. J. Acad Nutr Diet. 2013;113:297–306.
    1. Andreyeva T, Long MW, Brownell KD. The impact of food prices on consumption: A systematic review of research on the price elasticity of demand for food. Am J Public Health. 2009;100:216–212.
    1. Andreyeva T, Chaloupka FJ, Brownell KD. Estimating the potential of taxes on sugar-sweetened beverages to reduce consumption and generate revenue. Prev Med. 2011;52:413–416.
    1. Conklin AI, Monsivais P, Khaw KT, Wareham NJ, Forouhi NG. Dietary diversity, diet cost, and Incidence of type 2 diabetes in the United Kingdom: a prospective cohort study. PLoS Med. 2016;13 doi: 10.1371/journal.pmed.1002085. . Accessed December 6, 2016.

Source: PubMed

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