Heflin Colleen M, Arteaga Irma, Ndashimye Jean Felix, Rabbitt Matthew P
Public Administration and International Affairs, Syracuse University, 426 Eggers Hall, Syracuse, NY, 13244-1020, USA.
University of Missouri, Columbia, USA.
BMC Pediatr. 2020 Jun 17;20(1):297. doi: 10.1186/s12887-020-02084-y.
Currently in the United States, childhood injuries are the leading cause of mortality and morbidity, resulting in an estimated 9.2 million emergency department visits and $17 billion annually in medical costs. For preschoolers, it is also the leading cause of disability.
We use linked administrative data for SNAP and Medicaid in Missouri from January 2010 to December 2013 to explore monthly patterns in the association between SNAP receipt and ER claims due to childhood injury for children age 0-5 and to examine if these patterns are sensitive to the timing of SNAP benefits. We chose the state of Missouri because unlike most states that disburse SNAP benefits within the first 10 days of the calendar month, Missouri pays SNAP benefits between the first twenty-two days of the month, based on the recipient's birthdate and last name.
SNAP benefits received later in the calendar month are associated with reductions in ER claims for childhood injuries. Furthermore, the final week in the SNAP benefit month is associated with an increase in ER claims for childhood injuries.
In terms of public policy, our results suggest that having SNAP disbursement later in the month may have benefits for households.
目前在美国，儿童伤害是导致死亡和发病的主要原因，估计每年有920万人次前往急诊科就诊，医疗费用达170亿美元。对于学龄前儿童而言，它也是导致残疾的主要原因。
我们使用2010年1月至2013年12月密苏里州补充营养援助计划（SNAP）和医疗补助计划的关联行政数据，以探究0至5岁儿童领取SNAP与因儿童伤害导致的急诊索赔之间关联的月度模式，并检验这些模式是否对SNAP福利发放时间敏感。我们选择密苏里州是因为，与大多数在每月前10天发放SNAP福利的州不同，密苏里州根据受助者的出生日期和姓氏在每月的前22天发放SNAP福利。
在日历月后期领取的SNAP福利与儿童伤害急诊索赔的减少有关。此外，SNAP福利月的最后一周与儿童伤害急诊索赔的增加有关。
在公共政策方面，我们的结果表明，在每月晚些时候发放SNAP福利可能对家庭有益。
