Evidence map›Paper›PMID 39938562›Full record

ArticlePediatrics2025

Missed Opportunities to Address SNAP for Nonenrolled Children.

Alexandra T Geanacopoulos, Claire E Branley, Arvin Garg, Margaret E Samuels-Kalow, Jonathan M Gabbay, Alon Peltz

Abstract read
In one paragraph

Article in Pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Alexandra T GeanacopoulosDivision of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts.
Claire E BranleyDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts.
Arvin GargChild Health Equity Center, Department of Pediatrics, UMass Chan Medical School, UMass Memorial Children's Medical Center, Worcester, Massachusetts.
Margaret E Samuels-KalowDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Jonathan M GabbayDivision of Pediatric Hospital Medicine, Children's Hospital at Montefiore, New York, New York.
Alon PeltzDivision of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts.

Funding

Prevention And Control of Cancer: Training for Change in Individuals and SystemsT32CA172009 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEMON, STEPHENIE C., OCKENE, JUDITH K · 2019 to 2023
$1.5M
Sociomarkers to Predict Asthma Control and Emergency Room Visits (SPACER)K23HL155425 · NHLBI · HARVARD PILGRIM HEALTH CARE, INC. · PI PELTZ, ALON · 2021 to 2025
$847k
AHRQ HHS T32 HS000063NCI NIH HHS T32 CA172009NHLBI NIH HHS K23 HL155425
6 · The paper itself

Abstract

backgroundPrimary care is an important setting to identify and support children who are eligible but not enrolled in the Supplemental Nutrition Assistance Program (SNAP) (the SNAP Gap), although there is concern that these programs may be limited in reach. We sought to identify patterns of health care use among eligible but unenrolled children.

methodsWe conducted a cross-sectional analysis of the 2021 Medical Expenditure Panel Survey. We identified 975 SNAP eligible/nonenrolled children with household incomes less than 200% of federal poverty level. SNAP eligibility was modeled using income, employment, and household composition and SNAP enrollment was self-reported. We categorized health care encounters across 9 visit types and calculated annual primary care attendance rates. Multivariable logistic regression was used to measure associations with race, language, and chronic conditions.

resultsSNAP eligible/nonenrolled children received an average of 6.04 health care encounters in 2021. Only half (52.9%) received a primary care visit. Primary care attendance was lowest for Black children (odds ratio [OR] = 0.40 [95% CI 0.20-0.81], P = .01), children speaking languages other than English (OR = 0.53 [95% CI 0.32-0.89], P = .02) and children without a chronic condition (OR = 0.08 [95% CI 0.04-0.15], P < .001). Visits to medical specialists (20.4% of all visits), behavioral health clinicians (10.9%), and dentists (10.0%) were the most common nonprimary care services received by SNAP eligible/nonenrolled children.

conclusionIn a nationally representative sample of children who were potentially eligible but nonenrolled in SNAP, we found low primary care attendance in 2021 with evidence of racial and linguistic disparities. Clinicians beyond the primary care system are well-positioned to support children who jointly underuse government nutrition programs and primary care services.

Identifiers

PMID39938562
PMCPMC12676578

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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.