ArticlePublic health nutrition2019
Chronic disease self-management within the monthly benefit cycle of the Supplemental Nutrition Assistance Program.
Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The lived experience of food insecurity among adults with obesity: a quantitative and qualitative systematic review.Journal of public health (Oxford, England) · 2024Pooled it
- SNAP disruption during a government shutdown and implications for chronic disease self-management: a qualitative study.Health affairs scholar · 2026Article
- The Monthly Cycling of Food Insecurity in Latinas at Risk for Diabetes: Methods, Retention, and Sample Characteristics for a Microlongitudinal Design.JMIR formative research · 2025Article
- Review
- The Relationship between Household SNAP Participation, Parent Feeding Styles, and Child Eating Behaviors.Journal of hunger & environmental nutrition · 2024Article
- New measures to assess the "Other" three pillars of food security-availability, utilization, and stability.The international journal of behavioral nutrition and physical activity · 2023Article
- Strategies to Reduce Food Insecurity for People With Diabetes: A Call to Action.Diabetes care · 2023Article
- Medically tailored meals for food insecurity and type 2 diabetes: Protocol for the Food as Medicine for Diabetes (FAME-D) trial.Contemporary clinical trials · 2023Article
- Factors associated with food insecurity among the chronically ill population during the COVID-19 pandemic in the United States.Frontiers in public health · 2023Article
- Food Allergies in Inner-City Schools: Addressing Disparities and Improving Management.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022Review
- The SNAP Cycle and Diabetes Management During a One-Time Change in Disbursement Schedule.Diabetes care · 2022Article
- Addressing patient's unmet social needs: disparities in access to social services in the United States from 1990 to 2014, a national times series study.BMC health services research · 2022Article
- Social Determinants of Health and Diabetes: A Scientific Review.Diabetes care · 2020Review
- Food and financial coping strategies during the monthly Supplemental Nutrition Assistance Program cycle.SSM - population health · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe present study explored chronic disease management over the monthly benefit cycle among primary food shoppers from households receiving Supplemental Nutrition Assistance Program (SNAP) benefits in Philadelphia, PA, USA.
designIn-depth interviews, participant observation and surveys were conducted with the primary food shopper of SNAP households.
settingInterviews and surveys were conducted in a clinical setting at Children's Hospital of Philadelphia, at participants' homes, and in food procurement settings including grocery stores, food pantries and soup kitchens.
participantsEighteen adults who received SNAP; five with a diet-related chronic condition, five managing the chronic condition of a family member and thirteen with overweight or obesity.
resultsAll households had at least one member with a chronic disease or condition. Households reported that the dietary demands of managing chronic illnesses were expensive and mentally taxing. Food and financial shortfalls at the end of the benefit cycle, as well as reliance on charitable food assistance programmes, often had negative impacts on chronic disease self-management.
conclusionsDrawing from nearly 50 h of in-depth qualitative interviews with SNAP participants, the study highlights the dual cognitive burden of poverty and chronic disease and elucidates the particular challenges of food procurement and maintenance of diet quality throughout the benefit month faced by SNAP households with diet-related chronic diseases. Interventions targeted at reducing the cost of medically appropriate, healthy foods may help to improve chronic disease self-management within SNAP populations.
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