Department of Agricultural and Consumer Economics, University of Illinois, Urbana, USA.
Adv Nutr. 2013 Jan 1;4(1):36-41. doi: 10.3945/an.112.003244.
Food insecurity is a leading public health challenge in the United States today. This is primarily due to the magnitude of the problem, ∼50 million persons are food insecure (i.e., they were uncertain of having, or unable to acquire, enough food because they had insufficient money or other resources), and the serious negative health and other outcomes associated with being food insecure. This paper defines the measure used to delineate whether a household is food insecure. The measure, the Core Food Security Module, is based on 18 questions about a household's food situation. From the responses, a household is defined as food secure, low food secure, or very low food secure, with the latter 2 categories defined as "food insecure." I next discuss the extent of food insecurity in the US across various dimensions and the key determinants of food insecurity. The key policy tool used to address food insecurity is the Supplemental Nutrition Assistance Program (SNAP; formerly known as the Food Stamp Program). During the current economic downturn, >40 million persons are enrolled in SNAP, with total benefits of >$70 billion. This makes it the largest food assistance program and the largest near-cash assistance program in the US. After defining the eligibility criteria, I review the literature, which has demonstrated the effectiveness of SNAP in addressing its key goal, namely the alleviation of food insecurity in the US. I conclude with 4 suggestions for how SNAP can maintain and even improve its effectiveness in alleviating food insecurity.
当今,食物不安全是美国面临的主要公共卫生挑战之一。主要是因为这个问题的严重程度,大约有 5000 万人面临食物不安全(即他们不确定是否拥有或无法获得足够的食物,因为他们资金或其他资源不足),以及与食物不安全相关的严重负面健康和其他后果。本文定义了用于划定家庭是否面临食物不安全的衡量标准。该衡量标准,即核心食物安全模块,基于有关家庭食物状况的 18 个问题。根据这些问题的回答,家庭被定义为食物安全、低食物安全或非常低食物安全,后两个类别被定义为“食物不安全”。接下来,我将讨论美国在不同维度上的食物不安全程度以及食物不安全的主要决定因素。解决食物不安全问题的关键政策工具是补充营养援助计划(SNAP;以前称为食品券计划)。在当前的经济衰退期间,超过 4000 万人参加了 SNAP,福利总额超过 700 亿美元。这使其成为美国最大的食品援助计划和最大的准现金援助计划。在定义资格标准后,我回顾了文献,这些文献证明了 SNAP 在实现其主要目标,即缓解美国的食物不安全方面的有效性。最后,我提出了 4 条建议,以帮助 SNAP 保持甚至提高其缓解食物不安全的有效性。