The Nutrition Benefits Participation Gap: Barriers to Uptake of SNAP and WIC Among Latinx American Immigrant Families

Pelto, Debra J.; Ocampo, Alex; Garduño-Ortega, Olga; López, Claudia Teresa Barraza; Macaluso, Francesca; Ramirez, Julia; González, Javier; Gany, Francesca

doi:10.1007/s10900-019-00765-z

Cited by 37 publications

(33 citation statements)

References 6 publications

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“…These findings are further supported by the fact that only families who reported being able to use their SNAP benefits experienced smaller spikes in FI or no spikes at all when schools closed, suggesting that families who had trouble using these federal supports fared worse at onset of the pandemic. Plus, given that a large proportion of Power Packs families are Latinx, it is possible that some were ineligible for federal benefits due to their undocumented status, or reluctant to use these services due to fears of the public charge rule, which made obtaining a permanent residence more difficult for immigrants if they received public assistance such as SNAP (Barofsky et al, 2020;Inadmissibility on Public Charge Grounds, 2019;Pelto et al, 2020). Thus, some families may have been reticent or unable to rely on federal aid during the spring, which could have made Power Packs a more viable source of food assistance when they were struggling.…”

Section: Patterns Of Food Insecurity Amid the Pandemicmentioning

confidence: 99%

Understanding patterns of food insecurity and family well‐being amid the COVID‐19 pandemic using daily surveys

et al. 2021

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This paper investigates economic and psychological hardship during the COVID‐19 pandemic among a diverse sample (61% Latinx; 16% White; 9% Black; 14% mixed/other race) of socioeconomically disadvantaged parents (90% mothers; mean age = 35 years) and their elementary school‐aged children (ages 4–11; 49% female) in rural Pennsylvania ( N = 272). Families participating in a local food assistance program reported on food insecurity (FI) and parent and child mood and behavior daily from January to May 2020. Longitudinal models revealed that FI, negative parent and child mood, and child misbehavior significantly increased when schools closed; only FI and parent depression later decreased. FI decreased most among those who received the local food assistance program; Supplemental Nutrition Assistance Program receipt uniquely predicted decreases in child FI.

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Section: Patterns Of Food Insecurity Amid the Pandemicmentioning

confidence: 99%

Understanding patterns of food insecurity and family well‐being amid the COVID‐19 pandemic using daily surveys

et al. 2021

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“…84 A host of antiimmigrant threats are creating a climate of fear in many immigrant communities, making it more difficult for families to access federal nutrition programs and other safety net programs. 85,86 Pediatricians should provide up-to-date information to immigrant families about their eligibility for program benefits as well as what benefits do not count against immigration status. The Table provides information on eligibility for the federal nutrition programs (see footnote for immigrant eligibility).…”

Section: T a G G E D H 1 Policy Recommendations For Protecting And Strengthening The Federal Nutrition Programst A G G E D E N Dmentioning

confidence: 99%

Food Insecurity and Health: Practices and Policies to Address Food Insecurity among Children

Hartline‐Grafton¹,

Hassink²

2021

Academic Pediatrics

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T A G G E D P PEDIATRICIANS CAN AND should play a critical role in addressing food insecurity, a health-related social need with harmful impacts on child health, development, and well-being. 1 Food insecurity is a term defined by the US Department of Agriculture (USDA) that indicates that the availability of nutritionally adequate and safe food, or the ability to acquire such food, is limited or uncertain for a household. 2 A variety of strategies exist for pediatricians to address food insecurity among children in the United States, including screening for food insecurity in health care settings, connecting children and their families to the benefits in the federal nutrition programs, and advocating for policies to alleviate food insecurity and its root causes. 1 This commentary will briefly describe the prevalence of and risk factors for food insecurity among children, consequences of food insecurity for children, federal nutrition programs that improve household food security and child health, and actions pediatricians can take in their practice and through advocacy to meaningfully address food insecurity among children.

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“…One possible explanation for this study's finding is that Hispanic/Latinx households may be less likely to attend medical visits or to admit to FI on surveys, possibly due to uncertainty in the context of "public charge" and/ or fear of deportation, especially if there is mixed immigration status among family members [30,31]. Studies have shown that children living in immigrant families are less likely to access health care resources or public benefits, even if the qualifying child is a US citizen [28,[32][33][34][35].…”

Section: Discussionmentioning

confidence: 73%

“…Third, during the second year, participants would have been 1 year older, making FI risk lower since households with older children are at lower FI risk [1]. A fourth possibility is that participants stopped admitting to FI on the paper-based survey, either due to survey fatigue, lack of confidence in clinic-based interventions, stigma, or fear of public charge [24][25][26][27][28][29]. A fifth possible explanation is that, because of the transient nature of FI, the screening occurred during a season or family circumstance in which the family had food security, although the HVS assesses FI over the previous 12month period, which would have accounted for all four seasons.…”

Section: Discussionmentioning

confidence: 99%

Trends in food insecurity rates at an academic primary care clinic: a retrospective cohort study

et al. 2021

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Background Healthcare organizations are increasingly screening and addressing food insecurity (FI); yet, limited data exists from clinic-based settings on how FI rates change over time. The objective of this study was to evaluate household FI trends over a two-year period at a clinic that implemented a FI screening and referral program. Methods In this retrospective cohort study, data were extracted for all visits at one academic primary care clinic for all children aged 0–18 years whose parents/guardians had been screened for FI at least once between February 1, 2018 to February 28, 2019 (Year 1) and screened at least once between March 1, 2019 to February 28, 2020 (Year 2). Bivariate analyses tested for differences in FI and demographics using chi-square tests. Mixed effects logistic regression was used to assess change in FI between Years 1 and 2 with random intercept for participants controlling for covariates. The interaction between year and all covariates was evaluated to determine differences in FI change by demographics. Results Of 6182 patients seen in Year 1, 3691 (59.7%) were seen at least once in Year 2 and included in this study. In Year 1, 19.6% of participants reported household FI, compared to 14.1% in Year 2. Of those with FI in Year 1, 40% had FI in Year 2. Of those with food security in Year 1, 92.3% continued with food security in Year 2. Compared to Hispanic/Latinx participants, African American/Black (OR: 3.53, 95% CI: 2.33, 5.34; p < 0.001) and White (OR: 1.88, 95% CI: 1.06, 3.36; p = 0.03) participants had higher odds of reporting FI. African American/Black participants had the largest decrease in FI between Years 1 and 2 (− 7.9, 95% CI: − 11.7, − 4.1%; p < 0.0001). Conclusions Because FI is transitional, particularly for racial/ethnic minorities, screening repeatedly can identify families situationally experiencing FI.

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The Nutrition Benefits Participation Gap: Barriers to Uptake of SNAP and WIC Among Latinx American Immigrant Families

Cited by 37 publications

References 6 publications

Understanding patterns of food insecurity and family well‐being amid the COVID‐19 pandemic using daily surveys

Understanding patterns of food insecurity and family well‐being amid the COVID‐19 pandemic using daily surveys

Food Insecurity and Health: Practices and Policies to Address Food Insecurity among Children

Trends in food insecurity rates at an academic primary care clinic: a retrospective cohort study

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