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Loss Of SNAP Is Associated With Food Insecurity And Poor Health In Working Families With Young Children
Author(s) -
Stephanie Ettinger de Cuba,
Mariana Chilton,
Allison Bovell-Ammon,
Molly Knowles,
S. M. Coleman,
Maureen M. Black,
John T. Cook,
Diana B. Cutts,
Patrick H. Casey,
Timothy Heeren,
Deborah A. Frank
Publication year - 2019
Publication title -
health affairs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.837
H-Index - 178
eISSN - 2694-233X
pISSN - 0278-2715
DOI - 10.1377/hlthaff.2018.05265
Subject(s) - supplemental nutrition assistance program , snap , odds , food insecurity , environmental health , medicine , odds ratio , health care , gerontology , demography , food security , logistic regression , economic growth , economics , geography , computer graphics (images) , archaeology , pathology , sociology , computer science , agriculture
The Supplemental Nutrition Assistance Program (SNAP) helps working families meet their nutritional needs. Families whose earned income increases in a given month may have their SNAP benefits abruptly reduced or cut off in the following month. Using sentinel sample data from 2007-15 for families with children younger than age four, we investigated how SNAP benefit reductions or cutoffs resulting from increased income were related to economic hardships (food and energy insecurity, unstable housing, forgone health and/or dental care, and health cost sacrifices) and to caregiver and child health. After we controlled for covariates, we found that the groups whose SNAP benefits were reduced or cut off had significantly increased odds of household and child food insecurity, compared to a group with consistent participation in SNAP. Reduced benefits were associated with 1.43 and 1.22 times greater odds of fair or poor caregiver and child health, respectively. Policy modifications to smooth changes in benefit levels as work incomes improve may protect working families with young children from increased food insecurity, poor health, and forgone care.

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