{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:27:06Z","timestamp":1759883226510,"version":"build-2065373602"},"reference-count":39,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"unspecified","delay-in-days":233,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1368980025100864_as1\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>To compare the association of participation in Supplemental Nutrition Assistance Program (SNAP) alone <jats:italic>v<\/jats:italic>. in combination with Head Start (HS), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) or both on household dietary environment (HDE) indicators: food security, nutrition security, healthfulness choice, dietary choice, perceived food store availability, utilisation barriers and healthy food access barriers in families with young children.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980025100864_as2\">\n\t    <jats:title>Design:<\/jats:title>\n\t    <jats:p>This study, part of SNAP-Ed Nebraska\u2019s Needs and Assets Assessment \u2018Healthy People, Healthy State\u2019, utilised a cross-sectional design. HDE indicator means were compared across the federal assistance program (FAP) participation groups using multivariate ANCOVA, controlling for significant demographics, with Benjamini\u2013Hochberg-adjusted <jats:italic>P<\/jats:italic> values compared with <jats:italic>\u03b1<\/jats:italic> = 0\u00b705.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980025100864_as3\">\n\t    <jats:title>Setting:<\/jats:title>\n\t    <jats:p>Nebraska\u2019s low-income households.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980025100864_as4\">\n\t    <jats:title>Participants:<\/jats:title>\n\t    <jats:p>Households (<jats:italic>n<\/jats:italic> 821) with at least one child aged 2\u20136 years participating in SNAP-only (<jats:italic>n<\/jats:italic> 257), SNAP + HS (<jats:italic>n<\/jats:italic> 349), SNAP + WIC (<jats:italic>n<\/jats:italic> 132) and SNAP + WIC + HS (<jats:italic>n<\/jats:italic> 83).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980025100864_as5\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>Compared with other groups, SNAP + HS reported comparatively higher levels of household food security, whereas SNAP + HS + WIC reported lower levels (<jats:italic>P<\/jats:italic> &lt; 0\u00b701). SNAP + HS also showed higher levels of nutrition security, dietary choices, perceived availability of healthy foods in stores, fewer healthy food access and utilisation barriers (<jats:italic>P<\/jats:italic> &lt; 0\u00b705).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980025100864_as6\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>The findings support recent joint policy changes by Administration for Children and Families and Food and Nutrition Service, facilitating SNAP households\u2019 access to HS. HS performance standards for nutrition and family engagement can serve as a model for creating healthy HDE. Future research should employ quasi-experimental or longitudinal designs to establish causal relationships between FAP participation and HDE outcomes.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1368980025100864","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T08:28:15Z","timestamp":1755851295000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Combined participation in the Supplemental Nutrition Assistance Program (SNAP) and Head Start is associated with healthy household dietary environments for young children in low-income families"],"prefix":"10.1017","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6838-2832","authenticated-orcid":false,"given":"Tirna","family":"Purkait","sequence":"first","affiliation":[{"name":"University of Nebraska\u2013Lincoln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipti A","family":"Dev","sequence":"additional","affiliation":[{"name":"University of Nebraska\u2013Lincoln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Koziol","sequence":"additional","affiliation":[{"name":"University of Nebraska\u2013Lincoln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Franzen-Castle","sequence":"additional","affiliation":[{"name":"University of Nebraska\u2013Lincoln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6152-1438","authenticated-orcid":false,"given":"Virginia C","family":"Stage","sequence":"additional","affiliation":[{"name":"NC State University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1559-592X","authenticated-orcid":false,"given":"Alison","family":"Tovar","sequence":"additional","affiliation":[{"name":"Brown University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"S1368980025100864_ref15","unstructured":"15. 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Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service."},{"key":"S1368980025100864_ref20","doi-asserted-by":"publisher","DOI":"10.1007\/BF02310555"},{"key":"S1368980025100864_ref22","unstructured":"22. Coleman-Jensen, A , Rabbitt, MP , Gregory, CA et al. (2017) Statistical Supplement to Household Food Security in the United States in 2016. AP-077. September 2017. Washington, DC: United States Department of Agriculture, Economic Research Service."},{"key":"S1368980025100864_ref25","unstructured":"25. Gretchen Swanson Center for Nutrition (2022) Measures to Assess the Availability, Utilization, and Stability Pillars of Food Security Scoring and Interpretation Guide. https:\/\/static1.squarespace.com\/static\/58a4dda16a49633eac5e02a1\/t\/655e2ffd7f631a6d37bf8e90\/1700671488039\/Other+Pillars+User+Guide_2023_v2.pdf (accessed 12 January 2025)."},{"volume-title":"Guide to Measuring Household Food Security. 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Head Start Program Facts (2023) Fiscal Year 2022 Administration and Federal Budget. eclkc.ohs.acf.hhs.gov. https:\/\/eclkc.ohs.acf.hhs.gov\/sites\/default\/files\/pdf\/hs-program-fact-sheet-2022.pdf (accessed 1 April 2024)."},{"key":"S1368980025100864_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2022.106288"},{"key":"S1368980025100864_ref38","doi-asserted-by":"publisher","DOI":"10.1017\/age.2019.30"},{"key":"S1368980025100864_ref4","doi-asserted-by":"publisher","DOI":"10.32747\/2024.8453401.ers"},{"key":"S1368980025100864_ref18","unstructured":"18. United States Department of Agriculture \u2013 Economic Research Service (2023) Rural-Urban Continuum Codes. Washington, DC: United States Department of Agriculture; available at https:\/\/www.ers.usda.gov\/data-products\/rural-urban-continuum-codes\/ (accessed 21 December 2023)."},{"key":"S1368980025100864_ref16","unstructured":"16. United States Department of Agriculture \u2013 Economic Research Service (2023) Food Security in the U.S.- Measurement. https:\/\/www.ers.usda.gov\/topics\/food-nutrition-assistance\/food-security-in-the-u-s\/measurement\/ (accessed 17 December 2023)."},{"key":"S1368980025100864_ref28","unstructured":"28. United States Department of Agriculture \u2013 Food and Nutrition Service (2023) Head Start and the Supplemental Nutrition Assistance Program. https:\/\/www.fns.usda.gov\/snap\/head-start (accessed 11 January 2024)."},{"key":"S1368980025100864_ref24","unstructured":"24. Gretchen Swanson Center for Nutrition (2022) Measures to Assess Household Nutrition Security, Healthfulness Choice, and Dietary Choice Scoring and Interpretation Guide. https:\/\/static1.squarespace.com\/static\/58a4dda16a49633eac5e02a1\/t\/6529af91748f3d00f307dca2\/1697230739070\/Nutrition+Security+User+Guide_2023.pdf (accessed 12 January 2025)."},{"key":"S1368980025100864_ref3","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2022.306967"},{"key":"S1368980025100864_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980016002329"},{"key":"S1368980025100864_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibae037"},{"key":"S1368980025100864_ref2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.0645"},{"key":"S1368980025100864_ref37","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-019-00765-z"},{"key":"S1368980025100864_ref39","doi-asserted-by":"publisher","DOI":"10.1080\/03004430.2018.1479401"},{"key":"S1368980025100864_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2019.04.004"},{"key":"S1368980025100864_ref33","doi-asserted-by":"publisher","DOI":"10.1086\/679760"},{"key":"S1368980025100864_ref1","doi-asserted-by":"publisher","DOI":"10.32747\/2023.8134351.ers"},{"key":"S1368980025100864_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2013.05.023"},{"key":"S1368980025100864_ref21","unstructured":"21. 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