Association of the Implementation of Child Tax Credit Advance Payments With Food Insufficiency in US Households.
Association of the Implementation of Child Tax Credit Advance Payments With Food Insufficiency in US Households.
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DOI:
10.1001/jamanetworkopen.2021.43296
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发表时间:
2022-01-04
影响因子:
13.8
通讯作者:
Raifman J
中科院分区:
文献类型:
--
作者:
Shafer PR;Gutiérrez KM;Ettinger de Cuba S;Bovell-Ammon A;Raifman J
Was the introduction of advance payments for the Child Tax Credit associated with food insufficiency in US households? In this cross-sectional study using repeated surveys of a nationally representative sample of US households, the introduction of advance payments for the Child Tax Credit was associated with a significant reduction in household food insufficiency of approximately 26%. This study suggests that the Child Tax Credit advance payments acted as a buffer against food insufficiency among households with children. A key component of the American Rescue Plan Act of 2021 included an expansion of the Child Tax Credit with advance payments beginning in July 2021, a “child allowance” that was projected to dramatically reduce child poverty. Food insufficiency has increased markedly during the economic crisis spurred by the COVID-19 pandemic, with disparities among marginalized populations, and may be associated with substantial health care and social costs. To assess whether the introduction of advance payments for the Child Tax Credit in mid-July 2021 was associated with changes in food insufficiency in US households with children. This cross-sectional study used data from several phases of the Household Pulse Survey, conducted by the US Census Bureau from January 6 to August 2, 2021. The survey had 585 170 responses, representing a weighted population size of 77 165 153 households. The first advance Child Tax Credit payment, received on July 15, 2021. Household food insufficiency. The weighted sample of 585 170 respondents was mostly female (51.5%) and non-Hispanic White (62.5%), with a plurality aged 25 to 44 years (48.1%), having a 4-year degree or more (34.7%) and a 2019 household income of $75 000 to $149 999 (23.1%). In the weeks after the first advance payment of the Child Tax Credit was made (July 21 to August 2, 2021), 62.4% of households with children reported receiving it compared with 1.1% of households without children present (P < .001). There was a 3.7–percentage point reduction (95% CI, –0.055 to –0.019 percentage points; P < .001) in household food insufficiency for households with children present in the survey wave after the first advance payment of the Child Tax Credit, corresponding to a 25.9% reduction, using an event study specification. Difference-in-differences (−16.4%) and modified Poisson (−20.8%) models also yielded large estimates for reductions in household food insufficiency associated with the first advance payment of the expanded Child Tax Credit. This study suggests that the Child Tax Credit advance payment increased household income and may have acted as a buffer against food insufficiency. However, its expansion and advance payment are only a temporary measure for 2021. Congress must consider whether to extend these changes or make them permanent and improve implementation to reduce barriers to receipt for low-income families. This cross-sectional study uses data from the Household Pulse Survey to assess whether the introduction of advance payments for the Child Tax Credit in mid-July 2021 was associated with changes in food insufficiency in US households with children.
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