Evidence map›Paper›PMID 42280372›Full record

ArticleNutrients2026

Changes in Food Security and Diet Quality After the 2021 SNAP Benefit Increase in Massachusetts, USA.

Mary Kathryn Poole, Lauren G Fiechtner, Erin O'Dwyer, Cara F Ruggiero, Eric B Rimm, Matthew M Lee, Kate Adams, Erica L Kenney

Abstract read
In one paragraph

Article in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mary Kathryn PooleDivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA 94305, USA.
Lauren G FiechtnerDivision of General Academic Pediatrics, Department of Pediatrics, Mass General for Children, Boston, MA 02114, USA.
Erin O'DwyerDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.ORCID 0009-0007-6692-4184
Cara F RuggieroDivision of General Academic Pediatrics, Department of Pediatrics, Mass General for Children, Boston, MA 02114, USA.ORCID 0000-0001-6498-991X
Eric B RimmDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Matthew M LeeDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Kate AdamsThe Greater Boston Food Bank, Boston, MA 02118, USA.
Erica L KenneyDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.

Funding

CVD Epidemiology Training Program in Behavior, the Environment and Global HealthT32HL098048 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Goodarz Danaei, ERIC B RIMM · 2009 to 2026
$6.9M
Identifying an implementation strategy to maximize the public health nutrition impact of the Child and Adult Care Food ProgramK01DK125278 · NIDDK · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI KENNEY, ERICA LAUREN · 2021 to 2025
$743k
Hunger to Health Collaboratory N/AMassachusetts General Hospital Claflin Distinguished Scholar GrantNHLBI NIH HHS T32HL098048NIDDK NIH HHS K01DK125278United States Department of Agriculture Reach and Resiliency Grant
6 · The paper itself

Abstract

BACKGROUND/

objectivesThe Supplemental Nutrition Assistance Program (SNAP) is the largest food assistance program in the United States providing income-eligible households with cash-like assistance to spend on food. In October 2021, a historic policy change permanently increased benefit amounts by 21 percent. This study assessed differences in diet quality and food security, supplemented by participant descriptions of using SNAP, among adults with low incomes residing in the state of Massachusetts from before (October 2020-January 2021) to after (December 2021-February 2022) the benefit increases.

methodsDerived from The Greater Boston Food Bank's Annual Statewide Survey, our sample included adults with household incomes ≤300% of the federal poverty level who completed diet and food security measures. We calculated Prime Diet Quality Scores (PDQSs), with higher scores reflecting more nutritious diets on a scale of 0-70. Adjusted difference-in-difference regression models evaluated differences in PDQS and food security between SNAP participants and non-participants from before to after the benefit increases. Reflexive thematic analysis of write-in responses summarized experiences with SNAP.

resultsComplete data were available for 1051 respondents before and 801 respondents after SNAP benefit increases. We found no significant differences in diet quality or household food security for SNAP participants, compared to non-participants, from before to after the benefit increases. In write-in comments, respondents expressed gratitude for increased benefits but also fear of them being rescinded. Increased benefits helped some better meet food needs, yet many noted rising costs of living prevented benefits from stretching as far.

conclusionsIncreased SNAP benefits did not impact food security or diet quality among this sample. SNAP benefits may need to be further increased to meet the nutritional needs of families.

Indexed as

DietFood AssistanceFood SecurityAdultFemaleFood SupplyHumansMaleMassachusettsMiddle AgedPovertydiet qualityfood securityfood stampsSupplemental Nutrition Assistance ProgramThrifty Food Plan

Identifiers

PMID42280372
PMCPMC13258475

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.