Food and financial coping strategies during the monthly Supplemental Nutrition Assistance Program cycle

被引:36
|
作者
Kinsey, Eliza Whiteman [1 ]
Oberle, Megan [2 ,3 ]
Dupuis, Roxanne [4 ]
Cannuscio, Carolyn C. [5 ]
Hillier, Amy [6 ]
机构
[1] Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, New York, NY 10032 USA
[2] Univ Minnesota, Sch Med, Dept Pediat, Div Endocrinol & Diabet, Minneapolis, MN 55455 USA
[3] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA
[4] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA
[5] Univ Penn, Perelman Sch Med, Dept Family Med & Community Hlth, Philadelphia, PA USA
[6] Univ Penn, Sch Social Policy & Practice, Philadelphia, PA USA
关键词
QUALITATIVE RESEARCH; MEDICAL LITERATURE; COGNITIVE LOAD; USERS GUIDES; DIET-QUALITY; HEALTH-CARE; INSECURITY; SUFFICIENCY; DISPARITIES; MANAGEMENT;
D O I
10.1016/j.ssmph.2019.100393
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
One in seven Americans participates in the Supplemental Nutrition Assistance Program (SNAP), making it the largest federally funded food assistance program. SNAP benefits are distributed once per month and both food spending and calorie consumption tend to decrease as time from benefit distribution increases. The monthly SNAP benefit cycle has serious implications for the health and financial stability of low-income families, a growing number of whom rely on SNAP as their sole source of income. Relatively little is known about the specific coping strategies households use to manage the SNAP cycle. The purpose of this study is to provide a critical exploration of the nature and timing of coping strategies for managing the SNAP cycle, including implications these coping mechanisms have for health and financial stability. This paper presents data from a prospective cohort study of mothers (n = 12) receiving SNAP benefits in Philadelphia between 2016 and 17. Both in-depth qualitative and survey methods were used. Participants reported on a variety of coping strategies they used to manage the SNAP cycle, including adjustments to shopping and eating patterns, mental accounting, emotional resilience, and social support. Instrumental social support was particularly vital in the final days of the benefit cycle, as were skipping meals and purchasing less expensive, energy-dense foods. Constant vigilance was required throughout the month to manage financial instability. The coping strategies for managing the SNAP cycle have short-term benefits, such as buffering against hunger and financial instability, however these survival strategies may have negative long-term repercussions for physical and financial health.
引用
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页数:8
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