Loss Of SNAP Is Associated With Food Insecurity And Poor Health In Working Families With Young Children.


Journal

Health affairs (Project Hope)
ISSN: 1544-5208
Titre abrégé: Health Aff (Millwood)
Pays: United States
ID NLM: 8303128

Informations de publication

Date de publication:
05 2019
Historique:
entrez: 7 5 2019
pubmed: 7 5 2019
medline: 10 9 2020
Statut: ppublish

Résumé

The Supplemental Nutrition Assistance Program (SNAP) helps working families meet their nutritional needs. Families whose earned income increases in a given month may have their SNAP benefits abruptly reduced or cut off in the following month. Using sentinel sample data from 2007-15 for families with children younger than age four, we investigated how SNAP benefit reductions or cutoffs resulting from increased income were related to economic hardships (food and energy insecurity, unstable housing, forgone health and/or dental care, and health cost sacrifices) and to caregiver and child health. After we controlled for covariates, we found that the groups whose SNAP benefits were reduced or cut off had significantly increased odds of household and child food insecurity, compared to a group with consistent participation in SNAP. Reduced benefits were associated with 1.43 and 1.22 times greater odds of fair or poor caregiver and child health, respectively. Policy modifications to smooth changes in benefit levels as work incomes improve may protect working families with young children from increased food insecurity, poor health, and forgone care.

Identifiants

pubmed: 31059367
doi: 10.1377/hlthaff.2018.05265
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

765-773

Auteurs

Stephanie Ettinger de Cuba (S)

Stephanie Ettinger de Cuba ( sedc@bu.edu ) is executive director of Children's HealthWatch in the Department of Pediatrics, Boston University School of Medicine, in Massachusetts.

Mariana Chilton (M)

Mariana Chilton is a professor of health management and policy at the Dornsife School of Public Health, Drexel University, in Philadelphia, Pennsylvania.

Allison Bovell-Ammon (A)

Allison Bovell-Ammon is deputy director of policy strategy at Children's HealthWatch in the Department of Pediatrics, Boston Medical Center, in Massachusetts.

Molly Knowles (M)

Molly Knowles is a clinical research coordinator in the Division of General Internal Medicine, Penn Center for Community Health Workers, Perelman School of Medicine, University of Pennsylvania, in Philadelphia.

Sharon M Coleman (SM)

Sharon M. Coleman is a statistical analyst at the Biostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health.

Maureen M Black (MM)

Maureen M. Black is a professor of pediatrics at the University of Maryland School of Medicine, in Baltimore, and distinguished fellow with RTI International in Research Triangle Park, North Carolina.

John T Cook (JT)

John T. Cook is an associate professor of pediatrics at the Boston University School of Medicine.

Diana Becker Cutts (DB)

Diana Becker Cutts is an associate professor of pediatrics at the Hennepin County Medical Center, in Minneapolis, Minnesota.

Patrick H Casey (PH)

Patrick H. Casey is a professor of pediatrics at the University of Arkansas School of Medicine, in Little Rock.

Timothy C Heeren (TC)

Timothy C. Heeren is a professor of biostatistics at the Boston University School of Public Health.

Deborah A Frank (DA)

Deborah A. Frank is a professor of child health and well-being at the Boston University School of Medicine.

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