Association of loss of Supplemental Nutrition Assistance Program benefits with food insecurity and dietary intake of adults and children.

ABSTRACT

BACKGROUND: Supplemental Nutrition Assistance Program (SNAP) disenrollment among income-eligible households could limit their ability to access food. OBJECTIVES: To assess the association of loss of SNAP benefits on food security status and dietary intake of household members, using 2011-2016 NHANES data. METHODS: SNAP participation status among those with a household income ≤130% of the federal poverty level was categorized as 1) current participants, 2) former participants with benefits cut off in the past year, and 3) former participants with benefits cut off for more than a year. Logistic regression examined associations of SNAP participation status with odds of household (n = 7387), adult (n = 7387), and child (n = 5898) food security. Linear regression examined associations of participation status with Healthy Eating Index-2015 (HEI-2015) total and component scores in adults (n = 2784) and children/adolescents (n = 2553). RESULTS: Former SNAP participants with benefits cut off in the past year had greater odds of severe household (OR 2.18; 95% CI 1.25, 3.78) and adult (OR 2.09; 95% CI 1.24, 3.54) food insecurity compared with current participants. Benefit cutoff in the past year was significantly related to low child food security (OR 1.80; 95% CI 1.04, 3.11) and lower child/adolescent greens and beans score (estimate -0.40; SE 0.18). Loss of benefits for more than a year was significantly associated with increased marginal child food security odds (OR 2.07; 95% CI 1.23, 3.47), lower adult dairy score (estimate -0.63; SE 0.24), and lower child/adolescent greens and beans (estimate -0.34; SE 0.16), whole grains (estimate -0.50; SE 0.21), and dairy scores (estimate -0.93; SE 0.29). CONCLUSIONS: This study suggests that loss of benefits may increase household food insecurity. Although child/adolescent intakes of certain HEI-2015 adequacy components were lower among former SNAP participants, overall diet quality score did not differ. Findings collectively imply the need for policies that protect households from the adverse effects of benefits loss.