Whitney Wells, University of California San Francisco, San Francisco, California.
Kaitlyn Jackson, Harvard University, Boston, Massachusetts.
Health Aff (Millwood). 2024 Oct;43(10):1464-1474. doi: 10.1377/hlthaff.2023.01566.
In response to economic distress and food insecurity during the COVID-19 pandemic, Congress expanded the Supplemental Nutrition Assistance Program (SNAP) by introducing emergency allotments to increase monthly benefits, starting in March 2020. In March 2023, emergency allotments expired in the thirty-five states and territories still offering them. We provide some of the first evidence of the impacts of this loss of nutrition support-in some cases, more than $250 a month-for economically disadvantaged households. Our quasi-experimental study examined the effects of the program's expiration on food insufficiency, mental health, and financial well-being, using data from the Census Bureau's Household Pulse Survey. In difference-in-differences analyses, we compared pre-post differences among SNAP participants with pre-post differences among income-eligible nonparticipants. The emergency allotment expiration led to a substantial increase in food insufficiency (8.4 percentage points) and greater food pantry use (2.1 percentage points) and difficulty paying expenses (2.0 percentage points). Non-Hispanic Black SNAP participants experienced a greater increase in anxiety symptoms compared with non-Hispanic White SNAP participants. This study has implications for ongoing policy making with respect to nutrition and safety-net programs to support vulnerable families, especially amid inflated food prices.
针对 COVID-19 大流行期间的经济困境和粮食不安全问题,国会通过引入紧急发放来增加每月福利,从 2020 年 3 月开始扩大补充营养援助计划 (SNAP)。2023 年 3 月,仍在提供紧急发放的 35 个州和地区的紧急发放已经到期。我们提供了一些关于失去营养支持(在某些情况下,每月超过 250 美元)对经济困难家庭的影响的首批证据。我们的准实验研究使用人口普查局的家庭脉搏调查数据,考察了该计划到期对食品不足、心理健康和财务状况的影响。在差分分析中,我们比较了 SNAP 参与者的前后差异与收入合格但未参加者的前后差异。紧急拨款的到期导致食品不足(增加 8.4 个百分点)、食品储藏室使用增加(增加 2.1 个百分点)和支付费用困难(增加 2.0 个百分点)大幅增加。与非西班牙裔白人 SNAP 参与者相比,非西班牙裔黑人 SNAP 参与者的焦虑症状增加更多。这项研究对正在制定的营养和安全网计划政策具有重要意义,以支持弱势家庭,特别是在食品价格高涨的情况下。