This study used 2011–2016 National Health and Nutrition Examination Survey (NHANES) data to examine the relationship between estimated program participation, diet quality, indicators of nutrition and health, food consumption patterns, and nutrient intakes. 

The U.S. Department of Agriculture (USDA) provides nutrition assistance to Tribal communities through the Food Distribution Program on Indian Reservations (FDPIR). The last nationally representative study of FDPIR was based on 1989 data. Since that time, there have been many changes in FDPIR affecting eligibility, warehouse operations and distribution, customer service, and improvements in the types and variety of products offered in the food package. This report provides an update of FDPIR participant characteristics and program operations, based on a nationally representative sample of participants and sites.

This report presents historical data on the availability of nutrients in the U.S. food supply from 2000-2006. The data and trends presented in this report are invaluable for monitoring the potential of the food supply to meet nutritional needs; for examining relationships between food supplies, diet, and health; and for examining dietary trends of Americans. 

In this report, data from the NFSPS are used to address three important areas of interest to FNS that relate to the quality of FSP customer service: (1) the monetary and nonmonetary costs of participating, (2) client satisfaction with services provided, and (3) the accessibility of the FSP to eligible households.