TY  - JOUR
AU  - Wang, Melinda
AU  - Levi, Ronli
AU  - Seligman, Hilary
PY  - 2021
TI  - New SNAP Eligibility in California Associated With Improved Food Security and Health
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E28
VL  - 18
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  In California, Supplemental Security Income beneficiaries were ineligible to receive Supplemental Nutrition Assistance Program (SNAP) benefits until a June 2019 policy change. The objective of this study was to determine whether SNAP eligibility was associated with changes in food insecurity and health among older adults and adults with disabilities. METHODS  We administered a survey to SSI recipients (N = 213) before (May-August 2019) and after (September 2019-January 2020) the policy change. We examined changes in food insecurity (primary outcome), health status, stress, medication adherence, and dietary intake from baseline to follow-up. Multivariable analyses adjusted for age, sex/gender, race/ethnicity, and education. RESULTS  Of 213 participants at baseline, 56.8% were male, 43.7% were Black/African American, 88.7% had an annual income of less than $15,000, and 89.7% were currently housed. Of 157 participants at follow-up, 114 (72.6%) were newly enrolled in SNAP. At follow-up, compared with baseline, participants were less likely to report food insecurity (83.1% vs 67.5%, P < .001), required less additional money for food ($73.33 vs $47.72 weekly, P < .001), were more likely to report excellent/very good health (26.8% vs 27.6%, P < .001), and were less likely to report cost-related medication nonadherence (24.1% vs 17.7%, P < .001) or use free food programs (82.6% vs 74.5%, P < .001). We found no changes in dietary intake. CONCLUSION  SNAP uptake rates were high after the policy change. Policies that support older adults and adults with disabilities to enroll in or maintain SNAP benefits may improve health outcomes.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd18.200587
DO  - 10.5888/pcd18.200587
ER  - 
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