Search results

This article estimates the causal effect of benefit levels on elderly enrollment in two public assistance programs by using the variation in eligibility and benefit levels introduced by old-age pension benefits. The findings are threefold. First, the low take-up among the elderly is not driven by changes in the composition of the eligible pool. Second, old-age pensions decrease the use of public assistance programs by decreasing the gain of participation – the potential benefits. Third, we find program-specific responses: a $100 increase in potential Supplemental Security Income (SSI) benefits leads to a 4–6 percentage point increase in the take-up probability, but we are unable to estimate consistent results for the Supplemental Nutrition Assistance Program (SNAP). Together with the fact that eligible individuals who begin receiving old-age pensions continue to participate in SSI more often than they maintain SNAP enrollment, the different program response could be due to preference for cash over in-kind transfers.

Workers in the United States who lose their job may benefit from temporary assistance programs and may apply for Disability Insurance (DI) and Supplemental Security Income (SSI). We measure whether participation in four temporary assistance programs (Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), Unemployment Insurance (UI), and Temporary Disability Insurance programs (TDI)) influence application for DI, SSI, and re-employment. We instrument temporary assistance participation using variation in policies across states and over time. Results from our instrumental variables models suggest that increased access to UI benefits reduces applications for DI. This result is robust to different sensitivity checks. We also find less robust evidence that UI participation increases the probability of return to work and reduces the probability of claiming SSI benefits. In contrast, some of our results suggest a positive effect of SNAP participation on claiming SSI.

Although anemia during pregnancy is common in the USA, socio-demographic factors make pregnant women enrolled in Women, Infants and Children (WIC) program more vulnerable than the general population. The purpose of this study was to examine the socio-demographic characteristics, blood hemoglobin concentrations, nutrition knowledge and potential associations among these factors in a sample of pregnant women participating in the WIC program.

A cross-sectional study using survey methodology was conducted. In total, 60 pregnant women who were between 12 and 24 weeks of gestation and were carrying a single fetus were recruited from two WIC clinics. Overall nutrition knowledge was assessed with 42 questions arranged into three subscales. Participants’ scores were transformed into tertiles. WIC program records were used to record blood hemoglobin values. Principal component analysis was used to validate the knowledge subscales. Correlational and multivariate regression analyses were conducted to examine the relationship among variables.

Prevalence of anemia among the participants was higher than the national averages. Only 10 per cent of participants scored in the high tertile for nutrition knowledge. Anemia-during-pregnancy knowledge score was positively correlated with blood hemoglobin concentrations (r = 0.23, p < 0.05), and it was also a predictor of blood hemoglobin levels (R2 = 0.364, p = 0.02).

This is the first study to report on the knowledge of anemia, anemia during pregnancy and preventive measures among pregnant women enrolled in the WIC program.

This chapter explores Food for Change, a social entrepreneurial program created by the Houston Food Bank. Food for Change explicitly considers the interlinkages of social problems within an individual. Food for Change collaborates with educational and training organizations and healthcare providers to use supplemental food resources to address clients' needs antecedent to food insecurity. We propose a model to conceptualize how food insecurity is influenced by multiple levels of social determinants. We then describe the Food for Change program and offer lessons about the holistic nature of clients, the productivity and challenges of interorganizational collaborations to address the roots of social problems, and the forethought and courage of organizational leadership to try to create self-sufficient clients who might become liberated from their services.

Millions of children face food insecurity in the United States. Schools play a major role in addressing the problem of food insecurity through the National School Lunch Program and the School Breakfast Program which provide meals to children at little to no cost. During the COVID-19 pandemic, schools abruptly closed leaving students without their primary source of nutrition. This chapter highlights responses from federal, state, and local agencies. Additionally, responses from local organizations and school districts are discussed. The researchers review a partnership built to address emergency food relief after the school closures. Data from an impact and need study conducted by the South Texas community partnership demonstrate gaps in programs which left the most vulnerable populations in severe need of assistance. This study reinforces the need for and importance of community partnerships to identify and address gaps in the current programs.

As a movement for alternative means of food production and consumption has grown, so, too, have civic efforts to make alternative food accessible to low-income persons (LIPs). This article examines the impact of alternative food institutions (AFIs) on low-income communities in the United States and Canada, focusing on research published since 2008.

Through a three-stage literature search, I created a database of 110 articles that make empirical or theoretical contributions to scholarly knowledge on the relationship of AFIs to low-income communities in North America. I used an in vivo coding scheme to categorize the impacts that AFIs have on LIPs and to identify predominant barriers to LIPs’ engagement with AFIs.

The impacts of AFIs span seven outcome categories: food consumption, food access and security, food skills, economic, other health, civic, and neighborhood. Economic, social and cultural barriers impede LIPs’ engagement with AFIs. AFIs can promote positive health outcomes for low-income persons when they meet criteria for affordability, convenience and inclusivity.

This review exposes productive avenues of dialogue between health scholars and medical sociology and geography/environmental sociology. Health scholarship offers empirical support for consumer-focused solutions. Conversely, by constructively critiquing the neoliberal underpinnings of AFIs’ discourse and structure, geographers and sociologists supply health scholars with a language that may enable more systemic interventions.

This article is the first to synthesize research on five categories of alternative food institutions (farmers’ markets, CSAs, community gardens, urban farms, and food cooperatives) across disciplinary boundaries.

The purpose of this paper is to demonstrate the value of broadening the horizons of social marketing with a transformative approach. Through an investigation focused on the intersections of food, poverty and health, the lived experience of Supplemental Nutrition Assistant Program (SNAP) is identified and described. This depth of insight is useful to achieve research-informed public policy and social marketing efforts.

This ethnographic research design combines shadow shopping and phenomenological interviewing. The research site is an outreach center of a south Texas food bank and the targeted sample are SNAP recipients visiting that outreach center. Audio and visual recordings along with field notes were used to document the process.

The findings are presented as two emergent themes identified as SNAP but no food and SNAP, health and food. These two themes demonstrate the intersections between food, poverty and health and effectively capture some of the complexities within these connections.

An underlying assumption of this study is the context-dependency of the findings. In focusing this research on SNAP recipients visiting an outreach center of a Texas food bank, the findings are limited to this context and this context only. Generalizability is not the goal but rather providing a depth of insight on the lived experience of food, poverty and health for impoverished consumers is the goal.

Practical implications of this paper include implications for policy implications targeting impoverished consumers. More specifically, evidence shows value in investing in SNAP rather than divesting or reducing funding.

This research demonstrates that this outreach center offers the community not only a food hub but also a social hub.

This paper demonstrates the usefulness of adopting a transformative consumer research approach for social marketing. Documentation of the lived experience of SNAP enables research-informed public policy and research-informed social marketing strategies. Broadening the horizons of social marketing with a transformative approach is, therefore, advantageous for impoverished consumers, policymakers and social marketers.

The COVID-19 pandemic has caused many households to experience income shocks because of the unprecedented job loss, resulting in the demand for public and private food assistance programs and a surge in unemployment insurance filing in the USA. This study aims to investigate the association between social safety programs (e.g. supplementary nutritional assistance programs (SNAP), unemployment insurance and charitable food assistance) and household food sufficiency during the COVID-19 pandemic in the country.

The authors used the Household Pulse Surveys (HPS) conducted by the US Census Bureau from August 2020 to March 2021. And, the authors used an ordered probit model for the empirical analysis because the indicator of food sufficiency constructed from the HPS is an ordinal variable with four categories. The indicator identifies four groups of households: severe food insufficiency, moderate food insufficiency, mild food sufficiency and food sufficiency.

The results show that food sufficiency is significantly higher among the SNAP, unemployment insurance and charitable food assistance recipients than non-recipients. Furthermore, the results indicate that food sufficiency is significantly lower among black, Asian, Hispanic and other races than white households. Concerning the intersectional effect of social safety net programs and race/ethnicity on household food sufficiency, the authors find that the household food sufficiency is significantly higher among white, black and Asian households who benefited from SNAP, compared with non-beneficiary households. On the other hand, the authors find no evidence that participation in SNAP increases food sufficiency significantly among Hispanics and other races. In addition, the likelihood of food sufficiency increases significantly among white, black, Asian, Hispanic and other races that received unemployment insurance and charitable food assistance during the COVID-19 pandemic compared with those who did not benefit from the programs.

These results underscore the critical role collective America’s social safety net programs played in increasing food sufficiency among Americans during the COVID-19 pandemic. Specifically, the results suggest that families' basic needs (food sufficiency) would have been at risk if these safety net programs were not available to households during the pandemic. This, therefore, highlights the important role that government- and non-government-supported food emergency assistance programs can play in preventing people from facing food insufficiency problems in a tough time or during a crisis in the USA.

This study highlights the dynamic relationship between Americans’ social safety net programs and household food sufficiency during the COVID-19 pandemic.