Evidence map›Paper›PMID 34482850›Full record

ArticlePublic health nutrition2021

SNAP participation and the health and health care utilisation of low-income adults and children.

Daniel P Miller, Taryn W Morrissey

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Daniel P MillerBoston University, School of Social Work, 264 Bay State Road, Boston, MA02215, USA.ORCID 0000-0002-1455-2805
Taryn W MorrisseyAmerican University, School of Public Affairs, Washington, DC, USA.
American University · USBay State College · US

Funding

EPA EP-C-16-016
6 · The paper itself

Abstract

objectiveThis article examined whether participation in the Supplemental Nutrition Assistance Program (SNAP) produced changes to adult and child health and health care utilisation during a period of economic recession.

designInstrumental variables analysis relying on variation in state SNAP policies to isolate exogenous variation in household SNAP participation.

settingNationally representative data on child and adult health from the 2008 to 2013 National Health Interview Survey.

participantsParticipants were 92 237 adults and 45 469 children who were either eligible for SNAP based on household income and state eligibility rules or were low income but not eligible for SNAP benefits.

resultsFor adults, SNAP participation increased the probability of reporting very good or excellent health, and for both adults and children, reduced needing but having to go without dental care or eyeglasses. The size of these benefits was especially pronounced for children. However, SNAP participation increased the probability of needing but not being able to afford prescription medicine, and increased psychological distress for adults and behavioural problems for children under age 10.

conclusionsSNAP's benefits for adult health and improved access to dental and vision care for adults and children suggest benefits from the program's expansions during the current COVID-induced crisis. Predicted negative effects of SNAP participation suggest the need for attention to program and benefit structure to avoid harm and the need for continued research to explore the causal effects of program participation.

Indexed as

COVID-19Food AssistanceAdultChildFood SupplyHumansPatient Acceptance of Health CarePovertySurveys and QuestionnairesAdult healthChild healthFood stampsHealth care utilisationInstrumental variablesSNAPState policy

Identifiers

PMID34482850
PMCPMC11148611
OpenAlexW3198738721

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.