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Socioeconomic status, energy cost, and nutrient content of supermarket food purchases
Preventive and Behavioral Medicine Publications and Presentations
  • Bradley M. Appelhans, Northwestern University
  • Brandy-Joe Milliron, Arizona State University
  • Kathleen Woolf, New York University
  • Tricia J. Johnson, Rush University Medical Center
  • Sherry L. Pagoto, University of Massachusetts Medical School
  • Kristin L. Schneider, University of Massachusetts Medical School
  • Matthew C. Whited, University of Massachusetts Medical School
  • Jennifer C. Ventrelle, Rush University Prevention Center
UMMS Affiliation
Department of Medicine, Division of Preventive and Behavioral Medicine
Publication Date
Document Type
Adult; Commerce; Data Collection; Dietary Fats; Educational Status; Energy Intake; Female; Food; Food Analysis; Food Labeling; Food Packaging; *Food Preferences; Humans; Male; Middle Aged; *Nutritive Value; Poverty; Socioeconomic Factors; Software; United States
BACKGROUND: The relative affordability of energy-dense versus nutrient-rich foods may promote socioeconomic disparities in dietary quality and obesity. Although supermarkets are the largest food source in the American diet, the associations between SES and the cost and nutrient content of freely chosen food purchases have not been described. PURPOSE: To investigate relationships of SES with the energy cost ($/1000 kcal) and nutrient content of freely chosen supermarket purchases. METHODS: Supermarket shoppers (n=69) were recruited at a Phoenix AZ supermarket in 2009. The energy cost and nutrient content of participants' purchases were calculated from photographs of food packaging and nutrition labels using dietary analysis software. Data were analyzed in 2010-2011. RESULTS: Two SES indicators, education and household income as a percentage of the federal poverty guideline (FPG), were associated with the energy cost of purchased foods. Adjusting for covariates, the amount spent on 1000 kcal of food was $0.26 greater for every multiple of the FPG, and those with a baccalaureate or postbaccalaureate degree spent an additional $1.05 for every 1000 kcal of food compared to those with no college education. Lower energy cost was associated with higher total fat and less protein, dietary fiber, and vegetables per 1000 kcal purchased. CONCLUSIONS: Low-SES supermarket shoppers purchase calories in inexpensive forms that are higher in fat and less nutrient-rich. Elsevier Inc. All rights reserved.
DOI of Published Version
Am J Prev Med. 2012 Apr;42(4):398-402. Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
Citation Information
Bradley M. Appelhans, Brandy-Joe Milliron, Kathleen Woolf, Tricia J. Johnson, et al.. "Socioeconomic status, energy cost, and nutrient content of supermarket food purchases" Vol. 42 Iss. 4 (2012) ISSN: 0749-3797 (Linking)
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