The Association of Food Hardship With Family Resilience and Connection: Does Participation in Supplemental Nutrition Assistance Program Modify This Association?

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2025-03-03 DOI:10.1016/j.acap.2025.102807

Madeline Frank MPH, MSW , Anna E. Austin PhD, MPH

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引用次数: 0

Abstract

Objective

The aims of this nationally representative cross-sectional study were to examine 1) the association of food hardship with family resilience and connection among families with children ages 6 to 17 years and 2) whether participation in Supplemental Nutrition Assistance Program (SNAP) benefits modified this association.

Methods

We used 2019–21 data from the National Survey of Children’s Health. We conducted multivariable generalized linear regression to calculate risk ratios (RRs) and 95% confidence intervals (CIs) examining the association of food hardship with an established measure of family resilience and connection. Then, among households with incomes <200% of the federal poverty level (FPL), we examined whether the association of food hardship with family resilience and connection differed among households participating and not participating in SNAP. We adjusted analyses for household characteristics and participation in other social safety net programs.

Results

Families who experienced food hardship were less likely (RR = 0.73, 95% CI 0.69, 0.76) to have high family resilience and connection compared to families who did not experience food hardship. SNAP participation did not modify this association among households with incomes <200% FPL (RR = 0.71, 95% CI 0.65, 0.78 for SNAP-participating households; RR = 0.71, 95% CI 0.65, 0.77 for nonparticipating households).

Conclusions

Results add to evidence demonstrating that food hardship is a risk factor for lower family resilience and connection. Results highlight the need for further programs and policies, in addition to SNAP, to support families experiencing food hardship and promote family resilience and connection.

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食物困难与家庭恢复力和联系的联系：参与SNAP是否会改变这种联系？

目的：这项具有全国代表性的横断面研究的目的是检验1)有6-17岁儿童的家庭中食物困难与家庭适应力和联系的关联，以及2)参加补充营养援助计划（SNAP）福利是否改变了这种关联。方法：我们使用2019-2021年全国儿童健康调查（NSCH）的数据。我们进行了多变量广义线性回归来计算风险比（rr）和95%置信区间（ci），以检验食物困难与家庭恢复力和联系的既定衡量标准之间的关联。结果：与没有经历食物困难的家庭相比，经历食物困难的家庭不太可能（RR=0.73, 95% CI 0.69, 0.76）具有高家庭弹性和联系。参与SNAP并没有改变家庭收入之间的这种关联。结论：研究结果进一步证明，粮食困难是家庭恢复力和联系较低的一个风险因素。结果表明，除了紧急粮食援助计划外，还需要制定更多的计划和政策来支持面临粮食困难的家庭，并促进家庭抵御能力和联系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.