Loss of SNAP is associated with food insecurity and poor health in working families with young children

Health Aff

The Supplemental Nutrition Assistance Program (SNAP) helps working families meet their nutritional needs. Families whose earned income increases in a given month may have their SNAP benefits abruptly reduced or cut off in the following month. Using sentinel sample data from 2007-15 for families with children younger than age four, we investigated how SNAP benefit reductions or cutoffs resulting from increased income were related to economic hardships (food and energy insecurity, unstable housing, forgone health and/or dental care, and health cost sacrifices) and to caregiver and child health. After we controlled for covariates, we found that the groups whose SNAP benefits were reduced or cut off had significantly increased odds of household and child food insecurity, compared to a group with consistent participation in SNAP. Reduced benefits were associated with 1.43 and 1.22 times greater odds of fair or poor caregiver and child health, respectively. Policy modifications to smooth changes in benefit levels as work incomes improve may protect working families with young children from increased food insecurity, poor health, and forgone care.

Ettinger de Cuba S, Chilton M, Bovell-Ammon A, et al. Loss of SNAP is associated with food insecurity and poor health in working families with young children. Health Aff (Millwood). 2019;38(5):765-773. PMID: 31059367. DOI: 10.1377/hlthaff.2018.05265.

Publication Year: 
2019
Resource Type: 
Peer Reviewed Research
Study Design: 
Other Study Design
Social Determinant of Health: 
Food/Hunger
Outcomes: 
Social Needs/ SDH
Health & Health Behaviors
Screening Research: 
No