American Journal of Preventive Medicine最新文献

{"title":"Medical Cannabis and Psychological Well-Being in Illinois’ Opioid Alternative Pilot Program","authors":"Cerina Dubois PhD, MPH, CPH ,&nbsp;Julie Bobitt PhD ,&nbsp;Lei Ding PhD ,&nbsp;Dean T. Eurich PhD ,&nbsp;Ashley A. Knapp PhD ,&nbsp;Neil Jordan PhD","doi":"10.1016/j.amepre.2025.107941","DOIUrl":"10.1016/j.amepre.2025.107941","url":null,"abstract":"<div><h3>Introduction</h3><div>In Illinois, the Opioid Alternative Pilot Program was implemented to provide individuals access to medical cannabis as a direct substitute for opioids. Despite medical cannabis being frequently used for mental health symptoms, little is known about medical cannabis’ role on overall psychological well-being. Hence, the objective of this study is to examine the association of medical cannabis use with psychological well-being among the first Opioid Alternative Pilot Program cohort.</div></div><div><h3>Methods</h3><div>A survey was sent from February–July 2019 to those who enrolled in the Opioid Alternative Pilot Program. Cannabis users (<em>n</em>=626) were compared with nonusers (<em>n</em>=234) to determine whether there was an association between cannabis use within the past year and psychological well-being. Psychological well-being was measured on a scale of 1–5 (1 being poor and 5 being excellent). Backward stepwise regression models were used. Sensitivity analysis was also conducted to determine whether there was an association between regular cannabis use (using 3 or more times a week) and no cannabis use.</div></div><div><h3>Results</h3><div>The study sample included 860 participants. The average age was 47 (SD=14.2) years; 60% of the cohort was male; 72% were not of Hispanic, Latino, or Spanish origin; 67% were married; and 67% of cannabis users reported having a disability. The average perceived psychological well-being was 3.18 (SD=0.94) (good), with no statistically significant difference in psychological well-being between the 2 groups (users: 3.21 [SD=1.01]; nonusers: 3.12 [SD=0.71]; <em>p</em>=0.18).</div></div><div><h3>Conclusions</h3><div>In this cohort of Opioid Alternative Pilot Program participants, there was no clinically meaningful difference in psychological well-being between cannabis users and nonusers.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107941"},"PeriodicalIF":4.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in the Prevalence of Concussion Before, During, and After COVID-19 Among U.S. Adolescents","authors":"Phil T. Veliz PhD ,&nbsp;Jingze Li MS ,&nbsp;Karam Mattar ,&nbsp;Chaewon Lim MS","doi":"10.1016/j.amepre.2025.107946","DOIUrl":"10.1016/j.amepre.2025.107946","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107946"},"PeriodicalIF":4.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cannabis-related healthcare encounters among U.S. commercially insured adults.","authors":"Silvia Perez-Vilar, Sruthi Adimadhyam, Jillian Burk, Rose Radin, Eric N Fung, Viola Spahiu, Gifty Brisbane, Fatma M Shebl, Christina Greene, Meredith Epperson, José J Hernández-Muñoz, Mayura Shinde, David J Graham","doi":"10.1016/j.amepre.2025.107936","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107936","url":null,"abstract":"<p><p>Introduction Recent studies among U.S. older adults showed increases in cannabis-related healthcare encounters, with the highest rates in states that legalized adult and medical cannabis use. To understand how increased cannabis access results in healthcare encounters among younger adults, a study was conducted to assess temporal trends in cannabis-related healthcare encounters among commercially insured adults aged 18-64 years. Methods A descriptive study using administrative claims from four national health insurers contributing to the US Food and Drug Administration's Sentinel Distributed Database was conducted. Healthcare encounters with evidence of cannabis use, cannabis-related disorder, or poisoning from 2017 through 2022, were defined using ICD-10-CM diagnosis codes. Annual encounter rates, overall, by care setting, age group, and state/territory cannabis legal status were assessed. Analyses were conducted in 2023-24. Results Among 115,187,493 eligible persons, 963,345 (0.8%) contributed 5,601,233 cannabis-related encounters. Annual rates increased from 44.0 per 10,000 eligible person-years (95% CI: 43.8, 44.2) in 2017 to 75.1 per 10,000 eligible person-years (95% CI: 74.8, 75.4) in 2022 (Ƭ=1.0; p=0.01), with outpatient and emergency department encounters largely accounting for the upward trend and increasing trends across all age groups. Differences by cannabis legal status at the state/territory of residence were not identified. Conclusions Our findings are consistent with an evolving landscape where cannabis use, legalization, and products' potency are increasing, and the public perception of risk is decreasing. Although results were stratified by age and cannabis legal status, determinants such as race, socioeconomic status, and clinical characteristics might have an impact on our estimates.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107936"},"PeriodicalIF":4.3,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiometabolic Diseases and Mental Health Disorders in Korean Adults With Disabilities: A 3-Year Retrospective Analysis and Risk Comparison","authors":"Shiva Raj Acharya PhD ,&nbsp;NamKwen Kim PhD ,&nbsp;Navin Ray MS ,&nbsp;Diwash Timilsina MS","doi":"10.1016/j.amepre.2025.107938","DOIUrl":"10.1016/j.amepre.2025.107938","url":null,"abstract":"<div><h3>Introduction</h3><div>Evidence suggests that adults with disabilities are more prone to cardiometabolic diseases and mental health disorders. However, most studies have focused on single conditions or small-scale samples. This study aimed to investigate the risk and prevalence of multiple cardiometabolic and mental health conditions in Korean adults with disabilities and compare them with those in nondisabled adults.</div></div><div><h3>Methods</h3><div>This retrospective study utilized nationally representative data from the Korea Health Panel Survey, spanning the years 2019 to 2021. A total of 32,166 adults, including 2,356 adults with disabilities, were analyzed. Cardiometabolic diseases included hypertension, diabetes, and obesity; mental health disorders included stress, anxiety, depression, and suicide ideation. Multivariable-adjusted regression models were employed to determine the factors associated with and the risk of cardiometabolic diseases and mental health disorders in adults with disabilities.</div></div><div><h3>Results</h3><div>The overall prevalence of hypertension, diabetes, obesity, stress, depression, anxiety, and suicide ideation was 51.7%, 27.2%, 33.9%, 26.6%, 12.0%, 8.9%, and 8.7%, respectively. Adults with disabilities exhibited an increased risk of hypertension (OR=1.24), diabetes (OR=1.52), obesity (OR=1.25), stress (OR=1.21), depression (OR=1.75), anxiety (OR=1.91), and suicide ideation (OR=1.73) compared with nondisabled adults. Being female, increased age, unemployment, overweight/obesity, urban residency, physical inactivity, and alcohol intake were significant factors associated with the risk of cardiometabolic diseases and mental health disorders.</div></div><div><h3>Conclusions</h3><div>Adults with disabilities exhibit a higher prevalence and increased risk of cardiometabolic diseases and mental health disorders. Sex-specific interventions, including personalized nutrition, lifestyle plans, and tailored mental health services, are essential to mitigate these risks in this vulnerable population.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107938"},"PeriodicalIF":4.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of loneliness states among the US adult population: Findings from the 2022 HINTS-6.","authors":"Juan Rafael Albertorio-Diaz, Christopher W Wheldon","doi":"10.1016/j.amepre.2025.107935","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107935","url":null,"abstract":"<p><strong>Introduction: </strong>In 2023 the U.S. Surgeon General declared loneliness and social isolation as significant public health issues, linked to adverse outcomes such as chronic disease, mental health disorders, and mortality. This study aimed to provide population-based estimates of loneliness states among U.S. adults and identify differences across sociodemographic, contextual, and health-related factors.</p><p><strong>Methods: </strong>We conducted a secondary analysis of the 2022 Health Information National Trends Survey (HINTS-6). Loneliness was measured using the PROMIS Social Isolation Short form. Weighted percentages and 95% confidence intervals were generated using the Korn-Graubard method for complex surveys for each variable. Logistic regression was used to examine correlates of moderate-severe loneliness.</p><p><strong>Results: </strong>Approximately 37.4% of the US adult population experienced moderate to severe loneliness (i.e., 23.5% moderate and 14.0% severe loneliness). There were several disparities across sociodemographic groups (e.g., lesbian and gay individuals), those with social isolation proxies (e.g., never married), those with poor health, and general and chronic health conditions. In a fully adjusted model, younger age, lower income, gay or lesbian identity, being divorced or widowed, short sleep duration, and depression were consistently associated with higher odds of moderate-severe loneliness states.</p><p><strong>Conclusions: </strong>Loneliness is a critical public health challenge in the U.S., with pronounced disparities across sociodemographic and health-related factors. These findings compel the necessity for preventive targeted interventions aimed at addressing loneliness within public health initiatives. Enhancing public health surveillance to capture loneliness more effectively is imperative to mitigate its impact.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107935"},"PeriodicalIF":4.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-Term Effects of Peer-Bullying Victimization on Intimate Partner Violence","authors":"Marie C.D. Stoner PhD ,&nbsp;Erica N. Browne MS ,&nbsp;Marissa Raymond-Flesch MD, MPH ,&nbsp;Megan Comfort PhD ,&nbsp;Alexandra M. Minnis PhD","doi":"10.1016/j.amepre.2025.107943","DOIUrl":"10.1016/j.amepre.2025.107943","url":null,"abstract":"<div><h3>Introduction</h3><div>Although research has established associations between peer-bullying victimization and increased risk of intimate partner violence from a partner, most research has been cross-sectional and, therefore, unable to account for prior experiences of bullying and the cyclical nature of the bullying intimate partner violence relationship.</div></div><div><h3>Methods</h3><div>The goal of this study was to provide a robust evaluation of the effects of physical and psychological peer-bullying victimization on intimate partner violence victimization using longitudinal data from 2015 to 2017 that bridge the transition between middle and high school among youth from a predominately Latine agricultural region in California (analysis was performed in 2025). The authors explored whether physical and psychological peer bullying increased the risk for intimate partner violence and assessed contextual factors that may modify the relationship between bullying and intimate partner violence to identify intervention targets. To account for this time-varying confounding, the authors used sequential conditional mean models.</div></div><div><h3>Results</h3><div>All forms of bullying from a peer, including physical (AOR=1.77; 95% CI=1.32, 2.37; <em>p</em>&lt;0.001) and psychological (AOR=1.58; 95% CI=1.10, 2.25; <em>p</em>=0.01) bullying, similarly increased the risk of intimate partner violence in the short term after accounting for prior experiences of bullying and intimate partner violence. In addition, the authors found that contextual factors, including increased neighborhood disorder and decreased social cohesion, modified the relationship between bullying and intimate partner violence.</div></div><div><h3>Conclusions</h3><div>There is a short-term immediate effect of bully victimization on intimate partner violence despite reoccurring and cyclical experiences of both bullying and intimate partner violence. Increasing social support from community members is a critical intervention target for preventing intimate partner violence among youth.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107943"},"PeriodicalIF":4.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geographic Disparities in Glucagon Prescriptions Across North Carolina","authors":"Edward T. Chiyaka PhD ,&nbsp;Shawn R. Taylor PharmD ,&nbsp;Evan S. Drake PharmD ,&nbsp;Michelle D. Chaplin PharmD","doi":"10.1016/j.amepre.2025.107944","DOIUrl":"10.1016/j.amepre.2025.107944","url":null,"abstract":"<div><h3>Introduction</h3><div>Geographic disparities in healthcare access cause substantial difficulties for patients with diabetes, particularly in accessing emergency medicines such as glucagon. In this study, the authors examine the spatial distribution of glucagon, insulin, and sulfonylureas prescription claims for Medicaid recipients in North Carolina counties and consider how these differences affect the management of diabetes and public health policy.</div></div><div><h3>Methods</h3><div>Glucagon, insulin, and sulfonylureas claim counts in each North Carolina county as reported by the North Carolina Medicaid from January 2022 to July 2023 were used. The authors also used the medical provider density data, county classification data, and pharmacy data, all at the county level, for the state of North Carolina. The authors compared prescribing patterns across urbanicity categories using descriptive statistics and investigated spatial patterns using data visualization.</div></div><div><h3>Results</h3><div>Of the 100 North Carolina counties, 38% had zero glucagon claims reported, and all were rural counties. The average number of claims was higher in urban counties than in rural counties: insulin (922.2 vs 120.7), glucagon (123.7 vs 14.6), and sulfonylureas (10.0 vs 2.8). The study revealed significant disparities in diabetes care across North Carolina, with rural counties reporting the lowest glucagon, insulin, and sulfonylureas claims. Urban counties had higher healthcare provider densities and medication claims, with urban areas being 7.6 times more likely to report insulin claims than rural areas, highlighting geographic inequities in care access.</div></div><div><h3>Conclusions</h3><div>By emphasizing the significance of addressing glucagon prescribing trends, this analysis recommends focused efforts to promote the equitable distribution of life-saving medicines for severe hypoglycemia.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107944"},"PeriodicalIF":4.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Statewide Universal School Meal Policies and Food Insecurity in Households with Children.","authors":"Dania Orta-Aleman, Marlene B Schwartz, Anisha I Patel, Michele Polacsek, Christina Hecht, Kenneth Hecht, Monica D Zuercher, Lorrene Ritchie, Juliana Cohen ScM, Wendi Gosliner","doi":"10.1016/j.amepre.2025.107942","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107942","url":null,"abstract":"<p><strong>Introduction: </strong>Food insecurity disproportionately affects US households with children, causing adverse health and developmental outcomes. During COVID-19, federal waivers enabled free meals for all K-12 students, but these waivers expired in 2022. Subsequently, some states adopted their own School Meals for All (SMFA) policies. This study examined whether households in states with SMFA policies experienced lower food insecurity than states reverting to means-tested programs and whether associations varied by family income.</p><p><strong>Methods: </strong>A cross-sectional survey of 3,377 caregivers from eight states (four with SMFA policies, four without) was conducted in spring/summer 2023 and analyzed in 2024. Household food security was measured with the USDA six-item module. Generalized estimating equation models estimated the association of SMFA with food insecurity, adjusting for sociodemographic factors, pre-policy county-level food insecurity data, and state-level clustering. Interaction terms tested differential effects by free/reduced-price meal (FRPM) eligibility.</p><p><strong>Results: </strong>Households in SMFA states had a 12% lower prevalence of food insecurity than those without SMFA (adjusted Prevalence Ratio [aPR] = 0.88, 95% CI: 0.82, 0.94). This association was most pronounced among households eligible for free meals (19% lower prevalence, aPR = 0.81, 95% CI: 0.76, 0.86) and those near FRPM eligibility thresholds (aPR = 0.82, 95% CI: 0.67, 0.98).</p><p><strong>Conclusions: </strong>Statewide SMFA policies were associated with lower household food insecurity, particularly among those with low or near-low income. These findings support SMFA as a strategy to reduce food insecurity and suggest that expanding SMFA could further benefit families with school-aged children. Future research should assess SMFA's long-term impacts.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107942"},"PeriodicalIF":4.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State Nonmedical Cannabis Laws and U.S. Young Adults’ Cannabis-Related Experiences","authors":"Carla J. Berg PhD, MBA ,&nbsp;Sabrina Ruchelli JD ,&nbsp;Elizabeth Platt JD, MA ,&nbsp;Patricia Cavazos-Rehg PhD ,&nbsp;Katelyn F. Romm PhD ,&nbsp;Yan Wang MD, DrPH ,&nbsp;Cassidy R. LoParco PhD ,&nbsp;Yuxian Cui MA, MSPH ,&nbsp;Y. Tony Yang ScD, LLM, MPH ,&nbsp;Hannah S. Szlyk PhD ,&nbsp;Scott Burris JD","doi":"10.1016/j.amepre.2025.107939","DOIUrl":"10.1016/j.amepre.2025.107939","url":null,"abstract":"<div><h3>Introduction</h3><div>This study investigated the associations between cannabis retail laws and relevant experiences (e.g., advertising exposure) among young adults, who have the highest use prevalence.</div></div><div><h3>Methods</h3><div>Three categories of nonmedical cannabis retail-related laws were examined: (1) operational restrictions (e.g., operating hours, zoning restrictions), (2) advertising restrictions (by media channels, health claims, giveaways/discounts), and (3) required warnings (in ads, at retailers). Dependent variables were from surveys of U.S. young adults in 19 states with nonmedical cannabis retail (June–November 2023), including frequency of cannabis retailer visits, advertising exposure; driving after use; and (for those with past-year retailer visits and past-month use) noticing minimum-age signage, health claims, giveaways, and discounts at retailers. Multivariable analyses examined retail-related laws in relation to relevant outcomes.</div></div><div><h3>Results</h3><div>Among all participants (N=1,847), associations were found between retail license limits and fewer retailer visits, restricting billboard ads and less billboard ad exposure, and requiring driving-related warnings in ads and less likely driving after use. Among those who visited retailers (<em>n</em>=843), there were associations between zoning restrictions for youth-oriented facilities (but not schools) and noticing minimum-age signage, restricting health claims on products and lower health claim exposure, restricting giveaways and less often noticing giveaways, and restricting discounts and more often noticing discounts. There were no other significant associations (e.g., restricting online advertising and exposure, required warnings with risk perceptions).</div></div><div><h3>Conclusions</h3><div>Certain laws were associated with anticipated experiences among young adults; however, other laws showed no association with outcomes. Ongoing research assessing population impact and industry compliance is needed to inform regulations and implementation.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107939"},"PeriodicalIF":4.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Supplemental Nutrition Assistance Program Emergency Allotment Withdrawal and Household Food Insufficiency","authors":"C. Ross Hatton PhD, MPA ,&nbsp;Erin R. Hager PhD ,&nbsp;Alyssa J. Moran ScD, MPH, RD ,&nbsp;Jason P. Block MD, MPH ,&nbsp;Joshua Petimar ScD","doi":"10.1016/j.amepre.2025.107940","DOIUrl":"10.1016/j.amepre.2025.107940","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107940"},"PeriodicalIF":4.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}