Lived Experiences of Families Navigating Safety Net Expansions and Retractions During the Pandemic: A Qualitative Study

This study aimed to understand the experiences of families with low income in California with pandemic safety net support expansions and retractions, including barriers to program access. Using open-ended questions, we explored the self-reported experiences of pandemic-era safety net expansions and expirations between January and June 2023 among a group of caregivers of young children More

Universal Free School Meal Policies and Participation in the US National School Meal Programs

This study aimed to examine the impact of federal- and state-level Universal Free School Meal (UFSM) policies and related policies on National School Lunch Program (NSLP) and School Breakfast Program (SBP) participation rates during and after the COVID-19 pandemic. This comparative effectiveness research study used a natural experiment created by the COVID-19 pandemic to analyze More

Take-up of the 2021 child tax credit expansion among disadvantaged households in California: Continuing barriers to health equity

In 2021 Congress expanded the Child Tax Credit (CTC), one of the largest US economic supports for working families with proven benefits for health. Information on CTC take-up among eligible families is lacking. Understanding barriers to anti-poverty programs is an urgent policy issue, as low take-up is an established barrier to health equity. Among a More

Safety net program participation patterns, sociodemographic factors, and health: A latent transition analysis in a US cohort study

U.S. safety net programs provide critical support to Americans with low income. This cohort study examined patterns of safety net program take-up over time and associations with sociodemographics and health. Surveys among California households with low income (N=380) conducted in 2020-2021 and 2023 captured take-up of federal assistance programs (Medicaid; Supplemental Nutrition Assistance Program [SNAP]; More

Beyond Food Assistance: A Scoping Review Examining Associations of Nonfood Social Safety Net Programs in the United States With Food Insecurity and Nutrition Outcomes

This scoping review aims to summarize the state of the evidence on associations between participation in nonfood social safety net programs (eg, income assistance, housing assistance) in the United States and food- and nutrition insecurity–related outcomes. Six databases were systematically searched for peer-reviewed articles. Included articles (n = 65) reported on studies that examined 10 unique social More

A Systematic Review: The Impact of COVID-19 Policy Flexibilities on SNAP and WIC Programmatic Outcomes

The objective of this study was to explore the impact of policy flexibilities deployed during the COVID-19 public health emergency on access, enrollment/retention, benefit utilization, and perceptions of SNAP and WIC. The review identified 37 eligible articles. Twelve studies evaluated policy flexibilities in SNAP only, 21 in WIC only, and 4 in both programs. Across More

The effects of lump-sum food benefits during the COVID-19 pandemic on spending, hardship, and health

This paper examines how providing families with lump-sum in-kind assistance during the pandemic affected food hardship, economic well-being, and maternal health. We study the introduction of a new program, P-EBT, that provided grocery vouchers worth approximately $300 per student during spring and summer 2020. Using cross-state variation in program timing, we find that families spent More

Experiences with COVID-19 economic relief measures among low-wage worker families: a qualitative study

This study aimed to understand experiences with COVID-19 economic relief measures among low-wage worker households with children during the COVID-19 pandemic. The study conducted semi-structured qualitative interviews from low-wage workers in households with children in two U.S. cities in 2022 (n = 40). The sample was recruited from a larger study which included survey measures More