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Published in: BMC Pediatrics 1/2020

Open Access 01-12-2020 | Research article

Childhood injuries and food stamp benefits: an examination of administrative data in one US state

Authors: Colleen M. Heflin, Irma Arteaga, Jean Felix Ndashimye, Matthew P. Rabbitt

Published in: BMC Pediatrics | Issue 1/2020

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Abstract

Background

Currently in the United States, childhood injuries are the leading cause of mortality and morbidity, resulting in an estimated 9.2 million emergency department visits and $17 billion annually in medical costs. For preschoolers, it is also the leading cause of disability.

Methods

We use linked administrative data for SNAP and Medicaid in Missouri from January 2010 to December 2013 to explore monthly patterns in the association between SNAP receipt and ER claims due to childhood injury for children age 0–5 and to examine if these patterns are sensitive to the timing of SNAP benefits. We chose the state of Missouri because unlike most states that disburse SNAP benefits within the first 10 days of the calendar month, Missouri pays SNAP benefits between the first twenty-two days of the month, based on the recipient’s birthdate and last name.

Results

SNAP benefits received later in the calendar month are associated with reductions in ER claims for childhood injuries. Furthermore, the final week in the SNAP benefit month is associated with an increase in ER claims for childhood injuries.

Conclusion

In terms of public policy, our results suggest that having SNAP disbursement later in the month may have benefits for households.
Appendix
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Footnotes
1
We also included additional codes 7810–7814 and 7818, which indicate abusive head trauma conditions. These additional codes added < 3000 observations.
 
2
The importance of SNAP benefits to the household food supply over the month could be a function not only of when SNAP benefits are received but also of the size of the SNAP benefit. To explore the possible relationship between the size of SNAP benefits and the probability of ER claims related to childhood injuries, out of the universe of all Medicaid ER claims for children in Missouri jointly participating in the Medicaid and SNAP programs, in results not shown, we estimated probit models that include the size of the SNAP benefit, while controlling for the full set of covariates indicated in equation 1. We find a positive relationship between ER visits and the generosity of the benefit. But in contrast to other health outcomes [16, 17], there is no statistical difference between the size of the association at different levels of SNAP benefits.
 
3
Our main results are robust to different specifications of age as well as splitting the sample by age (0–3 and 4/5). When we add year dummy variables to the model with the birth year as the reference group, they are statistically significant and positive indicating that the risk of childhood injuries increases across the early childhood period after the birth year.
 
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Metadata
Title
Childhood injuries and food stamp benefits: an examination of administrative data in one US state
Authors
Colleen M. Heflin
Irma Arteaga
Jean Felix Ndashimye
Matthew P. Rabbitt
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2020
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-020-02084-y

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