The diets of most Americans fall short of the Dietary Guidelines for Americans. This exploratory analysis examines dietary patterns of low-income individuals classified as healthy and less healthy eaters based on their score on the Healthy Eating Index (HEI)-2005. The HEI-2005 is a 100-point score that measures how well populations adhere to the Dietary Guidelines for Americans. 

The Child and Adult Care Food Program subsidizes nutritious meals and snacks served to participants in child care nationwide, providing different levels or “tiers” of meal reimbursement based on the income level of participating children, providers, and nearby geographic areas. Policymakers have long been concerned that programs such as CACFP are not as accessible to eligible children in rural areas as in urban areas.