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

Diet Quality and Weight Status are Predicted by Federal Nutrition Assistance Program Participation, Health, and Demographics

This study investigated whether demographic, social, and economic determinants of health, including length of time participating in safety net programs, are associated with diet quality and weight status in early childhood. Using the WIC infant and toddler feeding practices study-2, classification and regression tree identified the sequence of binary splits that best differentiated the sample More

State Earned Income Tax Credit and Food Security: Results Among Economically At-Risk Households With Children

The purpose of this study was to evaluate the effects of the state Earned Income Tax Credit on food insecurity among economically at-risk U.S. households with children and explore differential effects across sociodemographic groups. The authors used an intent-to-treat causal inference design and household-level data from all 50 U.S. states available from the Current Population 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

State Minimum Wage and Food Insecurity Among US Households With Children

This study aimed to assess whether state minimum wage generosity was associated with change in food insecurity among households with children and explore differential policy impacts across sociodemographic groups. This cross-sectional study of a national sample of US households from the Current Population Survey used a 2-way fixed effects modeling approach to test whether increases 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

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

Understanding Family Financial and Emotional Well-being During the Pandemic

This study focuses on the COVID-19 pandemic-related experiences of non-Hispanic Black and Hispanic families with young children (birth to age 5) and low incomes. Families with low incomes were overrepresented among the unemployed populations in most U.S. metropolitan areas, and a higher percentage of non-Hispanic Black and Hispanic workers with low incomes were displaced for More