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Abstract
The number of major drugstore chains (such as Walgreens, CVS, and Rite Aid) that accept Supplemental Nutrition Assistance Program (SNAP) benefits in North Carolina as dramatically increased. From 2000 to 2015, the number of stores accepting SNAP increased from 7 to 796 stores. This study examines the availability of food and beverage items among a sample of SNAP-authorized drugstores in three regions of North Carolina. Observations were made on 53 possible food and beverage items offered at 108 stores across three major chains (36 Walgreens, 36 CVS, and 36 Rite Aid). The frequency and percent of stores that offered each food and beverage item were calculated. Chi-square tests were employed to compare available food and beverage items by stores located in rural and urban locations, stores located in areas with majority white and majority minority residents, and stores located in food deserts. Results show only 3% of drugstores offered fresh fruit and 4% offered fresh vegetables. More than 90% of drugstores offered the following items: frozen entrees, whole or 2% milk, 100% fruit juice, white rice, peanut butter, dry pasta, low-sugar cereal, potato chips, low-sugar granola or cereal bars, soda, beer, and wine. The frequency of food and beverage items offered did not differ by rural/urban location, neighborhood race majority, or food desert status. In conclusion, while drugstores may not be used as a primary source for groceries, there are many SNAP-authorized drugstores in North Carolina. Researchers studying community food environment are encouraged to consider the role of drugstores as a food resource for SNAP recipients.