城市和农村人口对参与 SNAP 的好处和挑战的看法

IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Nutrition Education and Behavior Pub Date : 2024-08-01 DOI:10.1016/j.jneb.2024.05.077
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引用次数: 0

摘要

背景参与补充营养援助计划(SNAP)是最大的联邦食品援助计划,有助于缓解低收入家庭的食品不安全问题。虽然确定影响 SNAP 参与度的具体因素对于确保计划的公平覆盖至关重要,但对城市和农村人口参与度差异的探讨却很有限。研究目的确定并比较影响内布拉斯加州城市和农村地区 SNAP 参与度的可感知利益和挑战。研究设计、环境、参与者这项横断面研究是 SNAP-Ed 内布拉斯加州需求和资产评估调查 "健康人群、健康州 "的一部分,重点关注至少有一名 6 岁或以下儿童的低收入家庭(n=1,316 [n=1032 城市;n=284 农村])。可衡量的结果/分析计算描述性统计以确定百分比,并使用卡方检验(SPSS v27)检查城市和农村人口在感知到的 SNAP 好处、参与挑战和申请困难方面的显著差异(p < .05)。在 SNAP 参与者中,经济需求成为注册的主要驱动因素,农村人口(69.7%)明显高于城市人口(47.5%,P < 0.001)。在符合 SNAP 资格的人群中,复杂的申请程序是参加 SNAP 的最大障碍(农村为 25.4%,城市为 23.4%)。城市参与者对依赖政府援助的担忧明显高于农村参与者(15.2% 对 10.6%,p<0.5)。关于申请过程中遇到的困难,农村参与者在申请 SNAP 过程中遇到的困难(53.9% 对 38.8%,p<0.001)明显高于城市参与者,而城市参与者对语言可及性的担忧则明显高于农村参与者(18.4% 对 3.9%,p<0.001)。结论为提高 SNAP 的参与率并确保公平的食物获取,需要解决以下问题:减轻农村地区的经济困难并简化申请程序,克服城市地区的语言障碍和耻辱感,并注重文化和地域上有针对性的推广和教育。
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Perceived Benefits and Challenges of SNAP Participation Across Urban and Rural Population

Background

Participation in the Supplemental Nutrition Assistance Program (SNAP), the largest federal food assistance initiative, helps to mitigate food insecurity in low-income families. While identifying the specific factors influencing SNAP participation is crucial for ensuring equitable program reach, there is limited exploration of the disparities in participation between urban and rural populations.

Objective

To identify and compare the perceived benefits and challenges that influence SNAP participation across urban and rural Nebraska.

Study Design, Settings, Participants

This cross-sectional study, conducted as part of the SNAP-Ed Nebraska Needs and Assets Assessment Survey 'Healthy People, Healthy State,' focusing on low-income families with at least one child aged 6 or younger (n=1,316 [n=1032 urban; n=284 rural]).

Measurable Outcome/Analysis

Descriptive statistics were calculated to determine the percentages and chi-square tests were used (SPSS v27) to examine significant differences (p < .05) in perceived benefits, participation challenges, and application difficulties for SNAP across urban and rural populations.

Results

A larger proportion of survey participants highlighted the benefits of participating in SNAP over the challenges, underscoring its importance in addressing food insecurity. Among SNAP participants, financial need emerged as a key driver for enrollment, notably higher in rural (69.7%) than urban populations (47.5%, p < 0.001). In the SNAP-eligible population, complex application process stood out as the most prevalent barrier to SNAP participation (25.4% rural, 23.4% urban). Urban participants expressed significantly greater concerns about relying on government assistance compared to rural (15.2% vs. 10.6%, p<0.5). Regarding perceived difficulties about the application process, rural participants reported significantly greater difficulty (53.9% vs. 38.8%, p < 0.001) with the SNAP application process compared to urban, while language accessibility concerns were significantly higher for urban participants (18.4% vs. 3.9%, p < 0.001).

Conclusions

To improve SNAP participation and ensure equitable food access, the following need to be addressed: alleviate financial hardships and streamline application procedures in rural settings, overcome language barriers and stigma in urban settings, and focus on culturally and geographically targeted outreach and education.

Funding

Supplemental Nutrition Assistance Program - Education

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来源期刊
CiteScore
4.20
自引率
11.50%
发文量
379
审稿时长
44 days
期刊介绍: The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.
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