Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Vassar College, Poughkeepsie, New York, USA.
Health Serv Res. 2023 Feb;58(1):60-66. doi: 10.1111/1475-6773.14033. Epub 2022 Jul 27.
We measured the impact of Supplemental Nutrition Assistance Program (SNAP) work requirements on mental health care use.
We used 2015-2018 West Virginia Medicaid and SNAP data.
Nine counties were exposed to SNAP work requirements. Using an event study framework, we assessed how this changed the probability and number of visits for depression and anxiety in the treatment versus the control group.
DATA COLLECTION/EXTRACTION METHODS: The sample included individuals aged 18-49, enrolled in both SNAP and Medicaid at the start of the study. Dually eligible individuals were excluded.
At baseline, the probability of having a mood disorder visit was 6.1% among women and 5.3% among men, rising by 0.9 percentage points (SE 0.4, relative change +14.1%) among women and 0.7 percentage points (SE 0.3, relative change +13.0%) among men after exposure to work requirements. The probability of having an anxiety visit rose by 1.0 (SE 0.4) percentage points among women, a 17.8% relative increase over the baseline of 5.8%. Among men, the likelihood of having an anxiety visit increased by 1.0 percentage points (SE 0.5), a relative change of 24.3% over a baseline probability of 5.0%, though this effect occurred much more gradually compared to women.
Exposure to SNAP work requirements was associated with increases in health care use for mood disorders and anxiety among enrollees. The policy's effect differed between men and women.
我们衡量了补充营养援助计划（SNAP）工作要求对精神卫生保健利用的影响。
我们使用了 2015-2018 年西弗吉尼亚州医疗补助和 SNAP 数据。
有九个县受到 SNAP 工作要求的影响。我们使用事件研究框架，评估了这如何改变了治疗组和对照组中抑郁和焦虑的就诊概率和数量。
数据收集/提取方法：样本包括在研究开始时同时参加 SNAP 和医疗补助的 18-49 岁个体。排除了双重合格的个人。
在基线时，女性中患有情绪障碍就诊的概率为 6.1%，男性中为 5.3%，在暴露于工作要求后，女性中增加了 0.9 个百分点（SE 0.4，相对变化+14.1%），男性中增加了 0.7 个百分点（SE 0.3，相对变化+13.0%）。女性中患有焦虑症就诊的概率增加了 1.0（SE 0.4）个百分点，相对于基线的 5.8%增加了 17.8%。在男性中，患有焦虑症就诊的可能性增加了 1.0 个百分点（SE 0.5），相对于基线的 5.0%增加了 24.3%，尽管与女性相比，这种影响发生得更加缓慢。
接触 SNAP 工作要求与参保者情绪障碍和焦虑症的医疗保健利用增加有关。该政策的效果在男性和女性之间存在差异。
