Megan R. Winkler PhD, RN , Rachel Clohan BS , Kelli A. Komro PhD, MPH , Melvin D. Livingston PhD , Sara Markowitz PhD
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引用次数: 0
Abstract
Introduction
The Earned Income Tax Credit is a key program to reducing U.S. child poverty. Approximately half of U.S. states have augmented the federal Earned Income Tax Credit, leading to wide variation in state Earned Income Tax Credit access and generosity. Yet, questions remain around the effectiveness of state tax credits in improving basic child needs, such as food security, and whether the policy can equitably narrow longstanding disparities. The purpose of this study was to evaluate the effects of the state Earned Income Tax Credit on food insecurity among economically at-risk U.S. households with children and explore differential effects across sociodemographic groups.
Methods
The authors used an intent-to-treat causal inference design and household-level data from all 50 U.S. states available from the Current Population Survey. The authors estimated the effect of state variation in Earned Income Tax Credit generosity on food insecurity from 2001 to 2022 among a sample of 153,683 households with children and limited parent educational attainment. Analyses were performed in 2024.
Results
Compared with households living in states without a refundable state Earned Income Tax Credit, those living in states with the most generous refundable tax credits experienced significant declines in food insecurity (0.25 percentage point reduction [95% CI= −0.42, −0.09]). In addition, beneficial reductions in food insecurity were observed to be larger for single-headed than for partnered households and for non-Hispanic Black than for non-Hispanic White households.
Conclusions
Findings indicate that state legislatures that elected to implement a more generous refundable state Earned Income Tax Credit have also improved childhood food security among households at high risk for economic hardship.
期刊介绍:
The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health.
Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.