The Cost of Healthy Eating

Presenter Biography

My name is Diana Prychyna and I am an undergraduate student in my final year at Portland State University (PSU) majoring in Public Health Studies: Health Services Administration and minoring in Business Administration. I joined the BUILD EXITO program at PSU during my second year of undergrad which allowed me to join and work in Dr. Bory Kea's Research Learning Community (RLC) in the Center for Policy and Research in Emergency Medicine (CPR-EM) at Oregon Health & Science University, where I work on several research studies.

Institution

PSU

Program/Major

Public Health Studies: Health Services Administration

Degree

BS

Presentation Type

Poster

Event Website

N/A

Start Date

4-4-2024 1:00 PM

Keywords

Heart Failure Friendly-Diet, SNAP Program, Food Stamps Income, AAHFN Cookbook

Abstract

Abstract

Background

Each year in the United States, 15-20% of 1 million visits to the Emergency Department for Acute Heart Failure result in home discharge, with patients often experiencing adverse health outcomes within 30 days. The study, Get With the Guidelines in Emergency Department Patients With Heart Failure (GUIDED-HF), utilized ‘Self-Care Coaches’ who meet participants via telehealth calls to discuss self-care maintenance after discharge as a strategy to mitigate adverse health outcomes; and offer provisions of resources, including a cookbook by the American Association for Heart Failure Nurses (AAHFN).

During the calls, we observed gaps in self-care for retired older adults (62+), living alone, and receiving food stamps from the federal Supplemental Nutrition Assistance Program (SNAP), who expressed struggles with affording a Heart Failure (HF) friendly diet.

Objective

To investigate if the target population in Portland or Hillsboro can afford an HF-friendly diet on the monthly SNAP income.

Methods

Using the cookbook, we created three sets of meal plans. Utilizing the Fred Meyer website, the cost of ingredients for each meal was collected and aggregated to determine meal plan costs.

Results

SNAP monthly allotment for a one-person household: $291.

Costs of the randomly-selected, least-expensive, and most-expensive meal plans in each city, respectively.

Portland: $1,679.10, $498.90, and $3,927.90.

Hillsboro: $1,676.10, $495.90, and $3,924.90.

Conclusion

We found that all meal plans exceeded the SNAP monthly allotment. However, we assumed full-sized items were purchased, likely overestimating costs. Further investigation is needed to assess the affordability of healthy eating.

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Apr 4th, 1:00 PM

The Cost of Healthy Eating

Abstract

Background

Each year in the United States, 15-20% of 1 million visits to the Emergency Department for Acute Heart Failure result in home discharge, with patients often experiencing adverse health outcomes within 30 days. The study, Get With the Guidelines in Emergency Department Patients With Heart Failure (GUIDED-HF), utilized ‘Self-Care Coaches’ who meet participants via telehealth calls to discuss self-care maintenance after discharge as a strategy to mitigate adverse health outcomes; and offer provisions of resources, including a cookbook by the American Association for Heart Failure Nurses (AAHFN).

During the calls, we observed gaps in self-care for retired older adults (62+), living alone, and receiving food stamps from the federal Supplemental Nutrition Assistance Program (SNAP), who expressed struggles with affording a Heart Failure (HF) friendly diet.

Objective

To investigate if the target population in Portland or Hillsboro can afford an HF-friendly diet on the monthly SNAP income.

Methods

Using the cookbook, we created three sets of meal plans. Utilizing the Fred Meyer website, the cost of ingredients for each meal was collected and aggregated to determine meal plan costs.

Results

SNAP monthly allotment for a one-person household: $291.

Costs of the randomly-selected, least-expensive, and most-expensive meal plans in each city, respectively.

Portland: $1,679.10, $498.90, and $3,927.90.

Hillsboro: $1,676.10, $495.90, and $3,924.90.

Conclusion

We found that all meal plans exceeded the SNAP monthly allotment. However, we assumed full-sized items were purchased, likely overestimating costs. Further investigation is needed to assess the affordability of healthy eating.

https://pdxscholar.library.pdx.edu/publichealthpdx/2024/Posters/13