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在 COVID-19 大流行期间,SNAP 家庭儿童的心理健康和情绪健康状况是否有所改善?

Did mental and emotional health of SNAP families' children improve during the COVID-19 pandemic?

机构信息

Department of Agricultural Economics at Texas A&M University, Texas A&M, College Station, United States of America.

Department of Agricultural Economics at Texas A&M University, Texas A&M, College Station, United States of America.

出版信息

Prev Med. 2023 Apr;169:107456. doi: 10.1016/j.ypmed.2023.107456. Epub 2023 Feb 20.

Abstract

The onset of the COVID-19 pandemic disproportionately affected low-income households in the United States. As part of the government's response to the pandemic, households with children participating in the Supplemental Nutrition Assistance Program (SNAP) benefited from several temporary provisions. This study examines whether the mental/emotional well-being of children in SNAP families was influenced by the SNAP temporary provisions, overall and across subpopulations by race/ethnicity and school meal programs (SMP) participation status of children. Cross-sectional data from the 2016-2020 National Survey of Children Health (NSCH) were used to study the occurrence of mental, emotional, developmental, or behavioral (MEDB) health of children (6-17 years) in SNAP families. Difference-in-Differences (DID) analyses were conducted to assess the association between MEDB health of children in SNAP families and the implementation of the SNAP provisions. Overall, finding show that between 2016 and 2020, children in SNAP families were more likely to face adverse MEDB conditions than children in non-SNAP families (p < 0.05). DID analyses indicate that children's MEDB health was not statistically affected following the first year of SNAP temporary provisions (p > 0.1). Additionally, no differential results were found by race/ethnicity of children or SMP participation (p > 0.1). Results are robust to the use of different well-being measures. These results suggest that SNAP provisions may have been associated with the reduction of the adverse effects of the pandemic on children's well-being.

摘要

新冠疫情大流行的爆发对美国的低收入家庭造成了不成比例的影响。作为政府应对疫情措施的一部分,参与补充营养援助计划(SNAP)的家庭受益于几项临时规定。本研究考察了 SNAP 临时规定是否影响了 SNAP 家庭中儿童的心理/情绪健康,以及这些影响在不同种族/族裔和儿童是否参加学校供餐计划(SMP)的群体中是否存在差异。本研究使用了 2016-2020 年全国儿童健康调查(NSCH)的横断面数据,研究了 SNAP 家庭中儿童(6-17 岁)的心理、情感、发育或行为(MEDB)健康的发生情况。采用差分法(DID)分析来评估 SNAP 规定的实施与 SNAP 家庭中儿童 MEDB 健康之间的关联。总体而言,研究结果表明,2016 年至 2020 年间,SNAP 家庭中的儿童比非 SNAP 家庭中的儿童更有可能面临不良的 MEDB 状况(p<0.05)。DID 分析表明,在 SNAP 临时规定实施的第一年,儿童的 MEDB 健康没有受到统计学上的影响(p>0.1)。此外,儿童的种族/族裔或 SMP 参与情况没有差异结果(p>0.1)。使用不同的幸福感衡量标准,结果仍然稳健。这些结果表明,SNAP 规定可能与减轻疫情对儿童福祉的不利影响有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4064/9939388/ea305e50bd60/gr1_lrg.jpg

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