Supplemental Nutrition Assistance Program issuance timing is associated with sugar-sweetened beverage marketing in the USA

Objective: Prior research has shown that there are more supermarket displays of sugar-sweetened beverages (SSB) during times when Supplemental Nutrition Assistance Program (SNAP) benefits are distributed ('issuance periods'). This may contribute to inequitable purchasing and consumption. This study examines whether SSB marketing in weekly supermarket circulars, which retailers use to advertise products, is more prevalent during issuance periods compared to non-issuance periods. Design: We conducted longitudinal, difference-in-differences analyses of data extracted from weekly supermarket circulars of randomly selected SNAP-authorised retailers in six states. Analyses tested whether SSB advertisements ('ads') were more prevalent during SNAP issuance periods compared to non-issuance periods within states with distinct issuance periods (3, 5, 10 or 15 d), compared to one state with continuous benefit issuance (28 d; the 'control' state). Setting: Weekly online supermarket circulars collected from August to September 2019 were analysed in 2021. Participants: The study sample included 5152 circulars from 563 SNAP-authorised retailers in the states California, Connecticut, Nebraska, New Jersey and Texas (distinct issuance period states) as well as Florida ('control' state). Results: The estimated mean percentage of beverage ads classified as SSB ads during issuance days was 51<middle dot>5 % compared to 48<middle dot>4 % during non-issuance days (P < 0<middle dot>001). In difference-in-differences analyses comparing to the 'control' state with continuous issuance, SSB ad counts were 2<middle dot>9 % higher (95 % CI 1<middle dot>9 %, 3<middle dot>9 %) during SNAP issuance relative to non-issuance. Conclusions: SSB ads are slightly more prevalent in weekly supermarket circulars during SNAP issuance periods. Future research should explore the linkages between circular ads and SSB purchasing and consumption.