Double Up Food Bucks Heartland: A Qualitative Analysis of a Bi-State Nutrition Incentive Program for SNAP Participants

15.8 (AE 3.4) out of 49 points (range of scores from 8.3 to 28.3).The mean score was 5.9 AE 2.8 for healthy food groups out of 32, and 9.8 AE 1.8 for unhealthy food groups out of 17; higher scores indicate better diet quality for both groups.Low scores for healthy food groups were due to low intake of deep orange fruits, cruciferous vegetables and deep orange tubers, whereas higher scores for unhealthy food groups were due to low intake of processed meat and purchased deep-fried foods.No statistically significant association was reported between GDQS quartiles and having controlled hypertension (OR: 1.06, 95%CI: 0.77, 1.46,.Conclusions: To our knowledge, we are the first to report use of the GDQS in Peru.We found poor diet quality among Peruvian adults with hypertension, which was characterized by low intake of healthy food groups.Inferences are based on the GDQS distribution in our study participants and larger samples are needed to better understand the impact of diet quality on hypertension control.