Strengthening the Public Health Impacts of the Supplemental Nutrition Assistance Program Through Policy.

IF 21.4 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Annual Review of Public Health Pub Date : 2020-04-02 DOI:10.1146/annurev-publhealth-040119-094143

Sara N Bleich, Alyssa J Moran, Kelsey A Vercammen, Johannah M Frelier, Caroline G Dunn, Anthony Zhong, Sheila E Fleischhacker

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引用次数: 26

Abstract

The US Department of Agriculture (USDA) Supplemental Nutrition Assistance Program (SNAP) is the cornerstone of the US nutrition safety net. Each month, SNAP provides assistance to 40 million low-income Americans-nearly half of them children. A number of changes could strengthen the public health impacts of SNAP. This review first presents a framework describing the mechanisms through which SNAP policy can influence public health, particularly by affecting the food security, the diet quality, and, subsequently, the health of SNAP participants. We then discusspolicy opportunities with the greatest potential to strengthen the public health impacts of SNAP, organized into three areas: (a) food production and distribution, (b) benefit allocation, and (c) eligibility and enrollment. For each section, we describe current policy and limitations of the status quo, suggest evidence-based opportunities for policy change to improve public health, and identify important areas for future research.

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通过政策加强补充营养援助计划对公共卫生的影响。

美国农业部(USDA)补充营养援助计划(SNAP)是美国营养安全网的基石。SNAP每个月向4000万低收入美国人提供援助，其中近一半是儿童。一些变化可能会加强SNAP对公共卫生的影响。本综述首先提出了一个框架，描述了SNAP政策影响公共卫生的机制，特别是通过影响粮食安全、饮食质量以及随后影响SNAP参与者的健康。然后，我们讨论了最有可能加强SNAP对公共卫生影响的政策机会，分为三个方面:(a)食品生产和分配，(b)福利分配，(c)资格和登记。对于每个部分，我们描述了当前的政策和现状的局限性，提出了基于证据的政策改变机会，以改善公共卫生，并确定了未来研究的重要领域。

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来源期刊

Annual Review of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

26.60

自引率

1.40%

发文量

审稿时长

>12 weeks

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