C. Ross Hatton PhD, MPA , Erin R. Hager PhD , Alyssa J. Moran ScD, MPH, RD , Jason P. Block MD, MPH , Joshua Petimar ScD
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引用次数: 0
Abstract
Introduction
To mitigate increases in food insecurity during the COVID-19 pandemic, the U.S. Department of Agriculture allowed states to distribute emergency allotments to households participating in the Supplemental Nutrition Assistance Program, which substantially increased benefit amounts. Emergency allotments were available through March 2023, but 18 states chose to withdraw from emergency allotments early. The purpose of this study is to estimate the effect of early emergency allotment withdrawal among Supplemental Nutrition Assistance Program–eligible households.
Methods
Data were obtained from the Household Pulse Survey from January 2021 to February 2023. Analyses were restricted to 290,752 households that were estimated to be Supplemental Nutrition Assistance Program eligible on the basis of state-specific eligibility criteria. Staggered difference-in-differences models estimated effects of Supplemental Nutrition Assistance Program emergency allotments withdrawal on food insufficiency overall and by household income because relatively higher-income households experienced greater reductions in benefits. Analyses were conducted in 2024.
Results
Twenty-three percent of households reported experiencing food insufficiency before early emergency allotments withdrawal. Emergency allotments withdrawal was associated with a 3.6 (95% CI=1.0, 6.3) percentage-point increase in household food insufficiency, a relative increase of 16%. Food insufficiency increased more for higher-income households (change=7.9 percentage points, 95% CI=2.0, 13.8) than for the lowest-income households (change=2.2 percentage points, 95% CI= −0.9, 5.5).
Conclusions
Early withdrawal of Supplemental Nutrition Assistance Program emergency allotments was associated with increased household food insufficiency, especially for households that experienced the greatest reduction in benefits. Higher Supplemental Nutrition Assistance Program benefit amounts may be warranted given the large number of households that continue to experience food insufficiency in the aftermath of the COVID-19 pandemic.
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.