Supplemental Nutrition Assistance Program Emergency Allotments and Food Security, Hospitalizations, and Hospital Capacity.
Supplemental Nutrition Assistance Program Emergency Allotments and Food Security, Hospitalizations, and Hospital Capacity.
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DOI：
10.1001/jamanetworkopen.2023.26332
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发表时间：
2023-08-01
影响因子：
13.8
通讯作者：
Abuelezam NN
中科院分区：
文献类型：
--
作者：
Lavallee M;Galea S;Abuelezam NN
这项横断面研究使用调查数据评估了内布拉斯加州补充营养援助计划政策的变化与2019冠状病毒病大流行期间公共卫生措施的关联。在COVID-19大流行期间，取消额外的补充营养援助计划对卫生和公共卫生资源的资助有什么关联？在这项使用合成控制方法和对1591006名受访者的调查数据进行的横断面研究中，拒绝向弱势群体提供额外的补充营养援助计划资金与粮食不安全以及因COVID-19和非COVID-19原因住院的增加有关。19原因。这些研究结果表明，社会政策的变化可能对健康和公共卫生资源产生不利影响。了解社会政策如何影响健康是国家的优先事项，特别是在COVID-19大流行的背景下。了解在COVID-19大流行期间，内布拉斯加州补充营养援助计划（SNAP）政策的政治动机变化与公共卫生措施之间的关联。这项横断面研究使用综合控制方法来估计内布拉斯加州的决定，拒绝紧急拨款的SNAP与食品安全和医院的能力指标的关联。内布拉斯加州的反事实是通过对美国其他地区的数据进行加权而产生的。包括内布拉斯加州2020年3月至2021年3月期间的州一级变化。数据来自人口普查局的家庭脉搏调查，涉及个人食品安全和心理健康指标，以及美国疾病控制和预防中心的医院能力指标。数据分析于2022年10月至2023年6月期间进行。从2020年8月至11月，内布拉斯加州拒绝为低收入家庭提供额外的SNAP资金。粮食不安全和住院床位使用指标（即，住院床位已满、COVID-19患者已满的住院床位以及COVID-19住院患者）。分析了2020年5月至2020年11月的1 591 006名受访者的调查数据，其中24 869人（1.56%）居住在内布拉斯加州。内布拉斯加州的人口中，白色人的比例（平均值[SD]，88.70% [0.29%] vs 78.28% [0.26%]; P < .001），2019年收入超过20万美元的人较少（4.20% [0.45%] vs 5.22% [0.12%]; P < .001），与其他州相比，1至3岁的家庭更多（63.41% [2.29%] vs 61.13% [1.10%]; P = .03）。内布拉斯加州拒绝为SNAP接受者提供额外资金与粮食不安全的增加有关（原始平均值[SD]差异1.61% [1.30%];相对差异，19.63%; P = .02），COVID-19患者占住院床位的百分比（原始平均值[SD]差异，0.19% [1.55%];相对差异，3.90%; P = 0.02），以及住院床位填充百分比（原始平均值[SD]差异，2.35% [1.82%];相对差异，4.10%; P = 0.02）。在这项横断面研究中，社会政策，粮食安全，健康和公共卫生资源之间的关联进行了检查，并在内布拉斯加州的紧急拨款的拒绝与增加粮食不安全。此外，这种干预与COVID-19和非COVID-19原因的住院率增加有关。
This cross-sectional study assesses the association of changes to Nebraska’s Supplemental Nutrition Assistance Program policy with public health measures during the COVID-19 pandemic using survey data. What is the association of a removal of additional Supplemental Nutrition Assistance Program funding on health and public health resources during the COVID-19 pandemic? In this cross-sectional study using synthetic control methods and survey data of 1 591 006 respondents, the rejection of additional Supplemental Nutrition Assistance Program funding to vulnerable groups was associated with increased food insecurity and hospitalizations for COVID-19 and non–COVID-19 causes. These findings suggest that changes to social policy can have detrimental impacts on health and public health resources. Understanding how social policies shape health is a national priority, especially in the context of the COVID-19 pandemic. To understand the association between politically motivated changes to Nebraska’s Supplemental Nutrition Assistance Program (SNAP) policy and public health measures during the COVID-19 pandemic. This cross-sectional study used synthetic control methods to estimate the association of Nebraska’s decision to reject emergency allotments for the SNAP with food security and hospital capacity indicators. A counterfactual for Nebraska was created by weighting data from the rest of the US. State-level changes in Nebraska between March 2020 and March 2021 were included. Data were acquired from the Census Bureau’s Household Pulse Survey on individual food security and mental health indicators and from the US Centers for Disease Control and Prevention on hospital-level capacity indicators. Data analysis occurred between October 2022 and June 2023. The rejection of additional SNAP funds for low-income households in Nebraska from August to November 2020. Food insecurity and inpatient bed use indicators (ie, inpatient beds filled, inpatient beds filled by patients with COVID-19, and inpatients with COVID-19). The survey data of 1 591 006 respondents from May 2020 to November 2020 was analyzed, and 24 869 (1.56%) lived in Nebraska. Nebraska’s population was composed of proportionally more White individuals (mean [SD], 88.70% [0.29%] vs 78.28% [0.26%]; P < .001), fewer individuals who made more than $200 000 in 2019 (4.20% [0.45%] vs 5.22% [0.12%]; P < .001), and more households sized 1 to 3 (63.41% [2.29%] vs 61.13% [1.10%); P = .03) compared with other states. Nebraska’s rejection of additional funding for SNAP recipients was associated with increases in food insecurity (raw mean [SD] difference 1.61% [1.30%]; relative difference, 19.63%; P = .02), percentage of inpatient beds filled by patients with COVID-19 (raw mean [SD] difference, 0.19% [1.55%]; relative difference, 3.90%; P = .02), and percentage of inpatient beds filled (raw mean [SD] difference, 2.35% [1.82%]; relative difference, 4.10%; P = .02). In this cross-sectional study, the association between social policy, food security, health, and public health resources was examined, and the rejection of emergency allotments in Nebraska was associated with increased food insecurity. Additionally, this intervention was associated with an increased rate of hospitalizations for COVID-19 and non–COVID-19 causes.
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影响因子：
3.7
作者：
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影响因子：
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作者：
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DOI：
10.1016/j.lana.2022.100224
发表时间：
2022-06
期刊：
Lancet regional health. Americas
影响因子：
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