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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 9 of 9 Research Studies DisplayedLondhe S, Ritter G, Schlesinger M
Medicaid expansion in social context: examining relationships between Medicaid enrollment and county-level food insecurity.
This study examined the relationship between states’ expansion of Medicaid and county-level food insecurity. They examined county Medicaid enrollment in early expansion states and found that increased Medicaid enrollment was associated with lower food insecurity during two expansion periods (2009-2012; 2012-2014). In California the most pronounced associations were evident in counties with the largest Medicaid expansions.
AHRQ-funded; HS017589.
Citation: Londhe S, Ritter G, Schlesinger M .
Medicaid expansion in social context: examining relationships between Medicaid enrollment and county-level food insecurity.
J Health Care Poor Underserved 2019;30(2):532-46. doi: 10.1353/hpu.2019.0033..
Keywords: Medicaid, Nutrition, Policy
Cohen JFW, Gorski Findling MT, Rosenfeld L
The impact of 1 year of healthier school food policies on students' diets during and outside of the school day.
In 2012, Massachusetts implemented both the updated national school meal standards and comprehensive competitive food/beverage standards that closely align with current national requirements for school snacks. This study examines the impact of these combined standards on school meal and snack food selections, as well as food choices outside of school. The investigators concluded that with the reduction in the number of unhealthy school snacks, significantly more students selected school meals. Students did not compensate for lack of unhealthy snacks in school by increased consumption of unhealthy snacks outside of school.
AHRQ-funded; HS000055.
Citation: Cohen JFW, Gorski Findling MT, Rosenfeld L .
The impact of 1 year of healthier school food policies on students' diets during and outside of the school day.
J Acad Nutr Diet 2018 Dec;118(12):2296-301. doi: 10.1016/j.jand.2018.07.009..
Keywords: Children/Adolescents, Education, Nutrition, Policy
Jahn JL, Cohen JFW, Gorski-Findling MT
Product reformulation and nutritional improvements after new competitive food standards in schools.
In 2012, Massachusetts enacted school competitive food and beverage standards similar to national Smart Snacks. These standards aim to improve the nutritional quality of competitive snacks. This study assessed whether products were reformulated after standards were implemented; the availability of reformulated products outside schools; and whether compliance with the standards improved the nutrient composition of competitive snacks. The investigators concluded that Massachusetts' law was effective in improving the nutritional content of snacks and product reformulation helped schools adhere to the law.
AHRQ-funded; HS000055.
Citation: Jahn JL, Cohen JFW, Gorski-Findling MT .
Product reformulation and nutritional improvements after new competitive food standards in schools.
Public Health Nutr 2018 Apr;21(5):1011-18. doi: 10.1017/s1368980017003445..
Keywords: Children/Adolescents, Nutrition, Policy
Lee BY, Ferguson MC, Hertenstein DL
Simulating the impact of sugar-sweetened beverage warning labels in three cities.
A number of locations have been considering sugar-sweetened beverage point-of-purchase warning label policies to help address rising adolescent overweight and obesity prevalence. This study exploring the impact of such policies concluded that agent-based simulations showed how warning labels may decrease overweight and obesity prevalence in a variety of circumstances with label efficacy and literacy rate identified as potential drivers.
AHRQ-funded; HS023317.
Citation: Lee BY, Ferguson MC, Hertenstein DL .
Simulating the impact of sugar-sweetened beverage warning labels in three cities.
Am J Prev Med 2018 Feb;54(2):197-204. doi: 10.1016/j.amepre.2017.11.003.
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Keywords: Policy, Nutrition, Obesity, Policy
Payan DD, Lewis LB, Cousineau MR
Advocacy coalitions involved in California's menu labeling policy debate: exploring coalition structure, policy beliefs, resources, and strategies.
Researchers used a qualitative research approach to identify coalition members and explore their expressed beliefs and policy arguments, resources, and strategies. The structure and composition of each coalition varied. Public health (PH) coalition leadership and membership notably increased compared to the industry coalition. The PH coalition promoted a clear and consistent message around informed decision making. The industry coalition, led by a state restaurant association, responded with cost and implementation arguments.
AHRQ-funded; HS000046.
Citation: Payan DD, Lewis LB, Cousineau MR .
Advocacy coalitions involved in California's menu labeling policy debate: exploring coalition structure, policy beliefs, resources, and strategies.
Soc Sci Med 2017 Mar;177:78-86. doi: 10.1016/j.socscimed.2017.01.036.
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Keywords: Policy, Nutrition, Policy, Public Health
Webb M, Fahimi S, Singh GM
Cost effectiveness of a government supported policy strategy to decrease sodium intake: global analysis across 183 nations.
This study quantified the cost effectiveness of a government policy combining targeted industry agreements and public education to reduce sodium intake in 183 countries worldwide. It concluded that a government "soft regulation" strategy combining targeted industry agreements and public education to reduce dietary sodium is projected to be highly cost effective worldwide, even without accounting for potential healthcare savings.
AHRQ-funded; HS000062.
Citation: Webb M, Fahimi S, Singh GM .
Cost effectiveness of a government supported policy strategy to decrease sodium intake: global analysis across 183 nations.
BMJ 2017 Jan 10;356:i6699. doi: 10.1136/bmj.i6699.
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Keywords: Healthcare Costs, Nutrition, Cardiovascular Conditions, Blood Pressure, Policy
Khatibzadeh S, Saheb Kashaf M, Micha R
A global database of food and nutrient consumption.
The authors conducted an empirical assessment of dietary intakes in order for evidence-based policy-making to address global health challenges. They derived The Global Dietary Database, which combines broad global coverage with estimates of food and nutrient consumption by age, sex and time. They believe that these data provide an empirical basis for global dietary surveillance, policy-making and priority setting to address diet-related burdens of disease.
AHRQ-funded; HS000062.
Citation: Khatibzadeh S, Saheb Kashaf M, Micha R .
A global database of food and nutrient consumption.
Bull World Health Organ 2016 Dec;94(12):931-34. doi: 10.2471/blt.15.156323.
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Keywords: Data, Evidence-Based Practice, Nutrition, Policy, Public Health
Whittle HJ, Palar K, Hufstedler LL
Food insecurity, chronic illness, and gentrification in the San Francisco Bay Area: an example of structural violence in United States public policy.
This study sought to explore the experiences and structural determinants of food insecurity among a group of low-income PLHIV in the San Francisco Bay Area. It found that the lived experience of food insecurity among participants included periods of insufficient quantity of food and resultant hunger, as well as long-term struggles with quality of food that led to concerns about the poor health effects of a cheap diet.
AHRQ-funded; HS000046.
Citation: Whittle HJ, Palar K, Hufstedler LL .
Food insecurity, chronic illness, and gentrification in the San Francisco Bay Area: an example of structural violence in United States public policy.
Soc Sci Med 2015 Oct;143:154-61. doi: 10.1016/j.socscimed.2015.08.027..
Keywords: Chronic Conditions, Policy, Social Determinants of Health, Nutrition, Vulnerable Populations
Hoffman JA, Rosenfeld L, Schmidt N
Implementation of competitive food and beverage standards in a sample of Massachusetts Schools: the NOURISH Study (Nutrition Opportunities to Understand Reforms Involving Student Health).
This study examined the extent to which a sample of Massachusetts middle schools and high schools sold foods and beverages that were compliant with the state competitive food and beverage standards after the first year of implementation, and complied with four additional aspects of the regulation. The multilevel models used in the study demonstrated a 47-percentage-point increase in food and 46-percentage-point increase in beverage compliance in Massachusetts schools from 2012 to 2013.
AHRQ-funded; HS000055.
Citation: Hoffman JA, Rosenfeld L, Schmidt N .
Implementation of competitive food and beverage standards in a sample of Massachusetts Schools: the NOURISH Study (Nutrition Opportunities to Understand Reforms Involving Student Health).
J Acad Nutr Diet 2015 Aug;115(8):1299-307.e2. doi: 10.1016/j.jand.2015.04.019..
Keywords: Nutrition, Children/Adolescents, Education, Policy