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SNAP 流失与有年幼子女的工作家庭的粮食不安全和健康状况不佳有关。

Loss Of SNAP Is Associated With Food Insecurity And Poor Health In Working Families With Young Children.

机构信息

Stephanie Ettinger de Cuba (

Mariana Chilton is a professor of health management and policy at the Dornsife School of Public Health, Drexel University, in Philadelphia, Pennsylvania.

出版信息

Health Aff (Millwood). 2019 May;38(5):765-773. doi: 10.1377/hlthaff.2018.05265.

Abstract

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.

摘要

补充营养援助计划(SNAP)帮助有工作的家庭满足其营养需求。在某一个月内,家庭的劳动收入增加,那么在下一个月,他们的 SNAP 福利可能会突然减少或被切断。我们使用了 2007-15 年有 4 岁以下儿童的家庭的哨兵样本数据,调查了由于收入增加而导致的 SNAP 福利减少或中断与经济困难(食品和能源不安全、住房不稳定、放弃健康和/或牙科保健以及健康费用牺牲)以及照顾者和儿童健康之间的关系。在控制了协变量之后,我们发现与持续参与 SNAP 的群体相比,SNAP 福利减少或中断的群体的家庭和儿童食品不安全的几率显著增加。福利减少分别与照顾者和儿童健康状况一般或较差的几率增加 1.43 倍和 1.22 倍相关。对福利水平进行平滑调整的政策修改,以适应工作收入的提高,可能会保护有年幼子女的工作家庭免受食品不安全、健康状况不佳和放弃保健的影响。

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