在 COVID-19 大流行期间,SNAP 紧急拨款对州级 SNAP 福利和注册的影响。

Health affairs scholar Pub Date : 2024-08-28 eCollection Date: 2024-09-01 DOI:10.1093/haschl/qxae109
David R Steffen, David D Kim
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摘要

在 COVID-19 大流行期间,美国各州都向参加补充营养援助计划 (SNAP) 的人提供了紧急拨款 (EA),以缓解日益严重的粮食不安全问题。然而,在 SNAP-EA 计划于 2023 年 2 月正式到期之前,有 18 个州选择退出该计划。我们利用交错差分模型来考虑各州选择退出 SNAP-EA 决策时间上的差异,分析了来自美国农业部食品与营养服务局的 SNAP 和 SNAP-EA 数据,以量化各州选择退出 SNAP 决策对 SNAP 福利规模和注册人数的影响。我们发现,在 18 个选择退出 SNAP 的州中,平均每位受益人每月的 SNAP 福利减少了 183 美元(95% 置信区间 [CI]:-214 美元,-152 美元)。在选择退出的州中,加入 SNAP 计划的州人口比例略微下降了 0.35 个百分点(95% 置信区间:-0.61, -0.10)。此外,我们还采用逻辑回归模型将各州的退出决定与州一级的特征联系起来。我们发现,州长所在的政党是共和党是预测州选择退出决策的唯一重要因素。我们的研究结果有助于解释为什么选择退出 SNAP-EA 与较高的食物不足率有关,并揭示了选择退出 SNAP-EA 的政治决策对数百万美国人生活的影响。
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The effects of SNAP emergency allotments on state-level SNAP benefits and enrollment during the COVID-19 pandemic.

During the COVID-19 pandemic, all US states provided emergency allotments (EA) to enrollees of the Supplemental Nutrition Assistance Program (SNAP) to alleviate rising food insecurity. However, 18 states opted out of the SNAP-EA program before its official expiration in February 2023. Using a staggered difference-in-differences model to account for state-level variation in the timing of the SNAP-EA opt-out decisions, we analyzed SNAP and SNAP-EA data from the US Department of Agriculture Food and Nutrition Service to quantify the impact of state opt-out decisions on SNAP benefit size and enrollment. We found that the average SNAP monthly benefit among 18 SNAP opt-out states was reduced by $183 (95% confidence interval [CI]: -$214, -$152) per beneficiary. The percentage of the state population enrolled in the SNAP program among the opt-out states modestly decreased by 0.35 (95% CI: -0.61, -0.10) percentage points. Additionally, we employed logistic regression models to associate state opt-out decisions with state-level characteristics. We found that the state governor's political party being Republican was the only significant predictor for the state's opt-out decisions. Our findings help explain why opting out of SNAP-EA has been associated with higher food insufficiency and shed light on the impact of political decisions to opt out of SNAP-EA on the lives of millions of Americans.

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