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扩大补充营养援助计划的资格范围和寄养率。

State expansion of Supplemental Nutrition Assistance Program eligibility and rates of foster care entries.

机构信息

Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, United States of America; Injury Prevention Research Center, University of North Carolina at Chapel Hill, United States of America.

Injury Prevention Research Center, University of North Carolina at Chapel Hill, United States of America; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, United States of America.

出版信息

Child Abuse Negl. 2023 Nov;145:106399. doi: 10.1016/j.chiabu.2023.106399. Epub 2023 Aug 15.

Abstract

BACKGROUND

State expansion of Supplemental Nutrition Assistance Program (SNAP) eligibility under broad-based categorical eligibility (BBCE) is associated with decreases in household poverty and food insecurity, child protective services investigations, and mental health and substance use disorders among adults, key contributors to foster care entry.

OBJECTIVE

To examine the association of state expansion of SNAP eligibility under BBCE with rates of foster care entries.

PARTICIPANTS

Foster care entries among children ages <18 years.

METHODS

We used 2005-2019 data from the SNAP Policy Database and the Adoption and Foster Care Analysis and Reporting System (AFCARS). We conducted difference-in-differences analyses and generated event study plots adjusting for state economic conditions (percent population unemployed, median household income) and policies (minimum wage, refundable Earned Income Tax Credits, maximum Temporary Assistance for Needy Families benefit for a family of 3).

RESULTS

On average, there were 1.8 fewer foster care entries (95 % confidence interval (CI) -2.8, -0.8) per 1000 children per year in states that expanded SNAP eligibility than there would have been if they had not expanded eligibility. Average decreases in foster care entries were similar among young (-1.7 per 1000 children per year, 95 % -3.1, -0.3) and school-age (-1.8 per 1000 children per year, 95 % CI -2.7, -0.8) children and larger among Black non-Hispanic (-5.6 per 1000 children per year, 95 % CI -9.1, -2.0) than among White non-Hispanic (-1.4 per 1000 children per year, 95 % CI -2.2, -0.6) children. The magnitude of these decreases increased with greater time since policy adoption.

CONCLUSIONS

Results add to growing evidence that programs and policies that support and stabilize household economic and material conditions may contribute to reductions in foster care entries at the population-level.

摘要

背景

根据广泛类别资格(BBCE)扩大补充营养援助计划(SNAP)的资格,与家庭贫困和粮食不安全、儿童保护服务调查以及成年人的心理健康和物质使用障碍的减少有关,这些都是导致寄养进入的关键因素。

目的

研究根据 BBCE 扩大 SNAP 资格对寄养进入率的关联。

参与者

年龄<18 岁的儿童的寄养进入。

方法

我们使用了 2005-2019 年来自 SNAP 政策数据库和收养和寄养分析和报告系统(AFCARS)的数据。我们进行了差异中的差异分析,并生成了事件研究图,调整了州经济状况(失业人口百分比、家庭中位数收入)和政策(最低工资、可退还的所得税抵免、家庭为 3 人的最高临时援助贫困家庭福利)。

结果

平均而言,在扩大 SNAP 资格的州,每 1000 名儿童每年减少 1.8 个寄养进入(95%置信区间(CI)-2.8,-0.8),而不是如果他们没有扩大资格。在年轻的儿童(每年每 1000 名儿童减少 1.7 人,95%CI-3.1,-0.3)和学龄儿童(每年每 1000 名儿童减少 1.8 人,95%CI-2.7,-0.8)中,寄养进入的平均减少量相似,在黑人非西班牙裔儿童(每年每 1000 名儿童减少 5.6 人,95%CI-9.1,-2.0)中比在白人非西班牙裔儿童(每年每 1000 名儿童减少 1.4 人,95%CI-2.2,-0.6)中更大。这些减少的幅度随着政策采用时间的增加而增加。

结论

结果增加了越来越多的证据表明,支持和稳定家庭经济和物质条件的计划和政策可能有助于在人口层面减少寄养进入。

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