Supplemental Nutrition Assistance Program Expansion and Risk of Bullying Among Adolescents.

IF 4.5 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

American Journal of Preventive Medicine Pub Date : 2025-09-23 DOI:10.1016/j.amepre.2025.108135

Nicole F Kahn, Abigail M Hatcher, Anna E Austin

{"title":"Supplemental Nutrition Assistance Program Expansion and Risk of Bullying Among Adolescents.","authors":"Nicole F Kahn, Abigail M Hatcher, Anna E Austin","doi":"10.1016/j.amepre.2025.108135","DOIUrl":null,"url":null,"abstract":"Objective: To examine associations between state-level expansion of Supplemental Nutrition Assistance Program (SNAP) eligibility and adolescent bullying.Methods: This cross-sectional ecologic study used data from the SNAP Policy Database and the Youth Risk Behavior Survey (2013-2021) in 41 states. Log-binomial regression compared the risk of any bullying, school bullying, and e-bullying among adolescents (grades 9-12) in states that had both broad-based categorical eligibility (BBCE) policies to expand SNAP eligibility (i.e., asset test eliminated and income limit increased) and that had the asset test eliminated only to adolescents in states with neither policy.Results: In primary analyses (2013-2019) including 645,244 adolescents, those in states with both BBCE policies had lower risk of experiencing any bullying (RR=0.87, 95% CI 0.84, 0.89), school bullying (RR=0.86, 95% CI 0.83, 0.89), and e-bullying (RR=0.85, 95% CI 0.82, 0.88) compared to adolescents in states with neither policy. Similarly, adolescents in states with the asset test eliminated only had lower risk of experiencing any bullying, school bullying, and e-bullying compared to adolescents in states with neither policy. Secondary analyses that included 2021, a COVID-19 pandemic year, showed that adolescents in states with both policies had lower risk of experiencing each type of bullying, while adolescents in states with the asset test eliminated only had lower risk of experiencing e-bullying, compared to adolescents in states with neither policy.Conclusions: State BBCE policies were associated with a lower risk of adolescent bullying. Results suggest that expanding SNAP eligibility, including through state BBCE policies, may contribute to reductions in bullying.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108135"},"PeriodicalIF":4.5000,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Preventive Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.amepre.2025.108135","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To examine associations between state-level expansion of Supplemental Nutrition Assistance Program (SNAP) eligibility and adolescent bullying.

Methods: This cross-sectional ecologic study used data from the SNAP Policy Database and the Youth Risk Behavior Survey (2013-2021) in 41 states. Log-binomial regression compared the risk of any bullying, school bullying, and e-bullying among adolescents (grades 9-12) in states that had both broad-based categorical eligibility (BBCE) policies to expand SNAP eligibility (i.e., asset test eliminated and income limit increased) and that had the asset test eliminated only to adolescents in states with neither policy.

Results: In primary analyses (2013-2019) including 645,244 adolescents, those in states with both BBCE policies had lower risk of experiencing any bullying (RR=0.87, 95% CI 0.84, 0.89), school bullying (RR=0.86, 95% CI 0.83, 0.89), and e-bullying (RR=0.85, 95% CI 0.82, 0.88) compared to adolescents in states with neither policy. Similarly, adolescents in states with the asset test eliminated only had lower risk of experiencing any bullying, school bullying, and e-bullying compared to adolescents in states with neither policy. Secondary analyses that included 2021, a COVID-19 pandemic year, showed that adolescents in states with both policies had lower risk of experiencing each type of bullying, while adolescents in states with the asset test eliminated only had lower risk of experiencing e-bullying, compared to adolescents in states with neither policy.

Conclusions: State BBCE policies were associated with a lower risk of adolescent bullying. Results suggest that expanding SNAP eligibility, including through state BBCE policies, may contribute to reductions in bullying.

查看原文本刊更多论文

补充营养援助计划的扩展和青少年欺凌的风险。

目的：探讨国家层面扩大补充营养援助计划（SNAP）资格与青少年欺凌之间的关系。方法：这项横断面生态学研究使用了来自41个州的SNAP政策数据库和青少年风险行为调查（2013-2021）的数据。对数二项回归比较了在具有广泛的分类资格（BBCE）政策以扩大SNAP资格（即取消资产测试并提高收入限制）的州和仅对没有任何政策的州的青少年取消资产测试的州中青少年（9-12年级）的任何欺凌，学校欺凌和电子欺凌的风险。结果：在包括645,244名青少年的初步分析（2013-2019年）中，与没有政策的州相比，拥有两项BBCE政策的州的青少年遭受任何欺凌（RR=0.87, 95% CI 0.84, 0.89）、学校欺凌（RR=0.86, 95% CI 0.83, 0.89）和电子欺凌（RR=0.85, 95% CI 0.82, 0.88）的风险较低。同样，与没有任何政策的州相比，在取消资产测试的州，青少年经历欺凌、校园欺凌和电子欺凌的风险较低。包括2021年（2019冠状病毒病大流行年）在内的二次分析表明，与没有任何政策的青少年相比，在实施这两项政策的州，青少年遭受每种类型欺凌的风险较低，而在取消资产测试的州，青少年遭受电子欺凌的风险较低。结论：国家BBCE政策与较低的青少年欺凌风险相关。结果表明，扩大SNAP资格，包括通过州BBCE政策，可能有助于减少欺凌行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American Journal of Preventive Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

8.60

自引率

1.80%

发文量

395

审稿时长

32 days

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.