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Walter C Willett - One of the best experts on this subject based on the ideXlab platform.
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improving the nutritional impact of the supplemental nutrition Assistance Program perspectives from the participants
American Journal of Preventive Medicine, 2017Co-Authors: Cindy W Leung, Aviva Musicus, Walter C Willett, Eric B RimmAbstract:Introduction The Supplemental Nutrition Assistance Program (SNAP) is the largest federal food Assistance Program designed to alleviate food insecurity and improve dietary intake. This study assessed the opinions of SNAP participants and food-insufficient nonparticipants on their perceptions of the Program and strategies to improve its nutritional impact. Methods This study surveyed 387 individuals via Amazon Mechanical Turk, of whom 118 were SNAP participants and 269 were food insufficient but not enrolled in SNAP (nonparticipants). Open-ended questions were coded and analyzed for thematic content. For closed-ended questions, response frequencies were compared using chi-square tests. Data were analyzed in 2016. Results SNAP participants reported that the Program successfully served its primary purpose: to allow individuals to buy enough food to make ends meet and reduce food insecurity. Importance was placed on buying food for their children/families and the ability to allocate money for other expenses. To improve the nutritional impact, SNAP participants suggested more nutrition education, increasing the benefit allotment, incentivizing healthful foods, and excluding unhealthful foods for purchase with SNAP. When participants and nonparticipants were asked to choose between SNAP and a nutritionally enhanced Program combining healthy incentives with exclusions for sugary beverages (i.e., SNAP+), 68% of participants and 83% of nonparticipants chose SNAP+. Of those who initially chose SNAP, 68% of participants and 64% of nonparticipants chose SNAP+ if paired with a 50% increase in total benefits. Conclusions SNAP participants and food-insufficient nonparticipants support policies that facilitate purchases of healthful foods and limit purchases of unhealthful foods, specifically sugary beverages.
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improving the nutritional impact of the supplemental nutrition Assistance Program perspectives from the participants
The FASEB Journal, 2016Co-Authors: Cindy W Leung, Aviva Musicus, Walter C Willett, Eric B RimmAbstract:The Supplemental Nutrition Assistance Program (SNAP) is the largest federal food Assistance Program in the United States designed to provide supplemental support to alleviate food insecurity and im...
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support for policies to improve the nutritional impact of the supplemental nutrition Assistance Program in california
American Journal of Public Health, 2015Co-Authors: Cindy W Leung, Eric B Rimm, Michael W Long, Suzanne Ryanibarra, Amanda Linares, Marta Induni, Sharon Sugerman, Walter C WillettAbstract:The Supplemental Nutrition Assistance Program (SNAP) provides a vital buffer against hunger and poverty for 47.6 million Americans. Using 2013 California Dietary Practices Survey data, we assessed support for policies to strengthen the nutritional influence of SNAP. Among SNAP participants, support ranged from 74% to 93% for providing monetary incentives for fruits and vegetables, restricting purchases of sugary beverages, and providing more total benefits. Nonparticipants expressed similar levels of support. These approaches may alleviate the burden of diet-related disease in low-income populations.
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public support for policies to improve the nutritional impact of the supplemental nutrition Assistance Program snap
Public Health Nutrition, 2014Co-Authors: Michael W Long, Cindy W Leung, Lilian W Y Cheung, Susan J Blumenthal, Walter C WillettAbstract:OBJECTIVE To determine public attitudes towards federal spending on nutrition Assistance Programs and support for policies to improve nutritional impact of the Supplemental Nutrition Assistance Program (SNAP).
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low income supplemental nutrition Assistance Program participation is related to adiposity and metabolic risk factors
The American Journal of Clinical Nutrition, 2012Co-Authors: Cindy W Leung, Walter C Willett, Eric L DingAbstract:Background: The Supplemental Nutrition Assistance Program (SNAP) is the largest federal nutrition Assistance Program. In recent years, SNAP participation rates increased during times of economic hardship. Objective: We examined whether household SNAP participation was associated with adiposity and metabolic risk factors in a representative sample of low-income US adults. Design: A cross-sectional analysis was performed with the use of data from the 2003–2006 National Health and Nutrition Examination Surveys. The study population was restricted to nonelderly adults whose household incomes fell to or <130% of the federal poverty level. Multinomial logistic and Poisson regression models were fit to examine the associations between SNAP participation and BMI, waist circumference, and metabolic risk factors among 2250 low-income adults. Results: In the previous 12 mo, 32.8% of adults received household SNAP benefits. SNAP participation was positively associated with obesity [prevalence ratio (PR): 1.58; 95% CI: 1.08, 2.31], waist circumference in men (PR for top compared with bottom quartile: 2.04; 95% CI: 1.15, 3.62; P = 0.02), and waist circumference in women (PR: 2.95; 95% CI: 1.51, 5.77; P = 0.003; P-interaction with sex = 0.11), independent of sociodemographic characteristics. SNAP participation was also related to elevated triglycerides (PR: 1.71; 95% CI: 1.33, 2.20), lower HDL cholesterol (PR: 1.23; 95% CI: 1.08, 1.41), elevated fasting glucose (≥110 mg/dL; PR: 1.63; 95% CI: 1.05, 2.52), and metabolic syndrome (PR: 1.49; 95% CI: 1.13, 1.95). Associations with triglycerides and HDL cholesterol persisted after adjustment for BMI. Conclusion: Household SNAP participation was positively associated with BMI, waist circumference, and metabolic risk factors among low-income adults. These associations may be mediated by dietary intake and warrant further investigation.
Sara N Bleich - One of the best experts on this subject based on the ideXlab platform.
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Impact of Restricting Sugar-Sweetened Beverages From the Supplemental Nutrition Assistance Program on Children's Health.
American journal of preventive medicine, 2020Co-Authors: Sung Eun Choi, Davene R. Wright, Sara N BleichAbstract:Introduction Children enrolled in the Supplemental Nutrition Assistance Program are at higher risk of poor diet, including higher intake of sugar-sweetened beverages than non–Supplemental Nutrition Assistance Program participants. This study aims to identify the impact of restricting sugar-sweetened beverage purchases with Supplemental Nutrition Assistance Program benefits on children's consumption and health. Methods Using Supplemental Nutrition Assistance Program participation and dietary data of children (aged 2–19 years) in the National Health and Nutrition Examination Survey (2009–2016), a microsimulation model was constructed to assess expected changes in daily sugar-sweetened beverage consumption, total calorie intake, BMI, incidence of dental caries, and obesity prevalence of 2019 U.S. children over a 10-year period, incorporating differences in food consumption and disease risks between the Supplemental Nutrition Assistance Program and the general U.S. populations. Sensitivity analyses were conducted with various food substitution patterns and Supplemental Nutrition Assistance Program participation characteristics. Analysis was performed in 2019. Results Sugar-sweetened beverage restriction in the Supplemental Nutrition Assistance Program was estimated to reduce daily sugar-sweetened beverage intake by 112.5 g/person (95% CI= −115.9, −109.2), which was estimated to decrease the number of decayed teeth by 0.53/person (95% CI= −0.55, −0.51), an 8.0% decline from the baseline. If sugar-sweetened beverages were substituted with fruit juice and milk, the restriction would be expected to reduce daily total calorie intake by 39.2 kcal/person (95% CI= −39.8, −38.7), resulting 2.6 kg/m2 (95% CI= −2.9, −2.4) decrease in BMI and a 6.2 percentage point (95% CI= −6.5, −5.8) decrease in obesity prevalence among Supplemental Nutrition Assistance Program participants. Estimated changes in total calorie intake and obesity were subject to food substitution patterns. Conclusions Restricting sugar-sweetened beverage purchases in Supplemental Nutrition Assistance Program could promote a healthier diet and significantly lower the incidence of dental caries and potentially obesity prevalence in children.
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strengthening the public health impacts of the supplemental nutrition Assistance Program through policy
Annual Review of Public Health, 2020Co-Authors: Sara N Bleich, Alyssa J Moran, Kelsey A Vercammen, Johannah M Frelier, Caroline G Dunn, Anthony Zhong, Sheila FleischhackerAbstract:The US Department of Agriculture (USDA) Supplemental Nutrition Assistance Program (SNAP) is the cornerstone of the US nutrition safety net. Each month, SNAP provides Assistance to 40 million low-income Americans-nearly half of them children. A number of changes could strengthen the public health impacts of SNAP. This review first presents a framework describing the mechanisms through which SNAP policy can influence public health, particularly by affecting the food security, the diet quality, and, subsequently, the health of SNAP participants. We then discusspolicy opportunities with the greatest potential to strengthen the public health impacts of SNAP, organized into three areas: (a) food production and distribution, (b) benefit allocation, and (c) eligibility and enrollment. For each section, we describe current policy and limitations of the status quo, suggest evidence-based opportunities for policy change to improve public health, and identify important areas for future research.
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sugary drink consumption among children by supplemental nutrition Assistance Program status
American Journal of Preventive Medicine, 2020Co-Authors: Wyatt J Koma, Johannah M Frelier, Kelsey A Vercammen, Marian Jarlenski, Sara N BleichAbstract:Introduction The Supplemental Nutrition Assistance Program is the largest U.S. federally funded nutrition Assistance Program, providing food Assistance to more than 40 million low-income Americans, half of whom are children. This paper examines trends in sugar-sweetened beverage consumption among U.S. children and adolescents by Supplemental Nutrition Assistance Program participation status. Methods Dietary data from 15,645 participants (aged 2–19 years) were obtained from the 2003–2014 National Health and Nutrition Examination surveys. Supplemental Nutrition Assistance Program participation was categorized as: Supplemental Nutrition Assistance Program participant, income-eligible nonparticipant, lower income–ineligible nonparticipant, and higher income–ineligible nonparticipant. Survey-weighted logistic regressions estimated predicted probabilities of daily sugar-sweetened beverage consumption, and negative binomial regressions estimated predicted per capita daily consumption of sugar-sweetened beverage calories. Data were analyzed in 2019. Results From 2003 to 2014, there were significant declines across all Supplemental Nutrition Assistance Program participation categories for sugar-sweetened beverage consumption (participants: 84.2% to 75.6%, p=0.009; income-eligible nonparticipants: 85.8% to 67.5%, p=0.004; lower income–ineligible nonparticipants: 84.3% to 70.6%, p=0.026; higher income–ineligible nonparticipants: 82.2% to 67.7%, p=0.001) and per capita daily sugar-sweetened beverage calories (participants: 267 to 182 kilocalories, p Conclusions Sugar-sweetened beverage consumption has declined for children and adolescents in all Supplemental Nutrition Assistance Program participation categories, but current levels remain high. There were fewer favorable trends over time for consumption of sugar-sweetened beverage subtypes among Supplemental Nutrition Assistance Program participants relative to other participant categories.
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supermarket purchases over the supplemental nutrition Assistance Program benefit month a comparison between participants and nonparticipants
American Journal of Preventive Medicine, 2019Co-Authors: Sara N Bleich, Alyssa J Moran, Rebecca L Franckle, Anne N Thorndike, Tao Hou, Dan Blue, Julie Greene, Jason P Block, Michele PolacsekAbstract:Introduction The Supplemental Nutrition Assistance Program provides financial Assistance for food and beverage purchases to approximately 1 in 7 Americans, with benefits distributed once monthly. Most Supplemental Nutrition Assistance Program benefits are spent early in the month, leading to decreased caloric intake later in the month. The effects of this early benefit depletion on the types of foods and beverages purchased over the course of the month is unclear. Methods Using individually tracked sales data from 950 participants enrolled in 2 supermarket-based RCTs in Maine (October 2015–April 2016 and October 2016–June 2017), purchases of selected food categories by Supplemental Nutrition Assistance Program participants (n=248) versus nonparticipants (n=702) in the first 2 weeks compared with the last 2 weeks of the Supplemental Nutrition Assistance Program benefit month were examined. Analyses were completed in 2019. Results For Supplemental Nutrition Assistance Program participants, adjusted mean food spending decreased 37% from the first 2 weeks to the last 2 weeks of the Supplemental Nutrition Assistance Program benefit month (p Conclusions In the second half of the Supplemental Nutrition Assistance Program benefit month, individuals reduced purchases of all examined categories. More research is needed to understand the impact of these fluctuations in spending patterns on the dietary quality of Supplemental Nutrition Assistance Program participants.
Cindy W Leung - One of the best experts on this subject based on the ideXlab platform.
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improving the nutritional impact of the supplemental nutrition Assistance Program perspectives from the participants
American Journal of Preventive Medicine, 2017Co-Authors: Cindy W Leung, Aviva Musicus, Walter C Willett, Eric B RimmAbstract:Introduction The Supplemental Nutrition Assistance Program (SNAP) is the largest federal food Assistance Program designed to alleviate food insecurity and improve dietary intake. This study assessed the opinions of SNAP participants and food-insufficient nonparticipants on their perceptions of the Program and strategies to improve its nutritional impact. Methods This study surveyed 387 individuals via Amazon Mechanical Turk, of whom 118 were SNAP participants and 269 were food insufficient but not enrolled in SNAP (nonparticipants). Open-ended questions were coded and analyzed for thematic content. For closed-ended questions, response frequencies were compared using chi-square tests. Data were analyzed in 2016. Results SNAP participants reported that the Program successfully served its primary purpose: to allow individuals to buy enough food to make ends meet and reduce food insecurity. Importance was placed on buying food for their children/families and the ability to allocate money for other expenses. To improve the nutritional impact, SNAP participants suggested more nutrition education, increasing the benefit allotment, incentivizing healthful foods, and excluding unhealthful foods for purchase with SNAP. When participants and nonparticipants were asked to choose between SNAP and a nutritionally enhanced Program combining healthy incentives with exclusions for sugary beverages (i.e., SNAP+), 68% of participants and 83% of nonparticipants chose SNAP+. Of those who initially chose SNAP, 68% of participants and 64% of nonparticipants chose SNAP+ if paired with a 50% increase in total benefits. Conclusions SNAP participants and food-insufficient nonparticipants support policies that facilitate purchases of healthful foods and limit purchases of unhealthful foods, specifically sugary beverages.
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improving the nutritional impact of the supplemental nutrition Assistance Program perspectives from the participants
The FASEB Journal, 2016Co-Authors: Cindy W Leung, Aviva Musicus, Walter C Willett, Eric B RimmAbstract:The Supplemental Nutrition Assistance Program (SNAP) is the largest federal food Assistance Program in the United States designed to provide supplemental support to alleviate food insecurity and im...
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support for policies to improve the nutritional impact of the supplemental nutrition Assistance Program in california
American Journal of Public Health, 2015Co-Authors: Cindy W Leung, Eric B Rimm, Michael W Long, Suzanne Ryanibarra, Amanda Linares, Marta Induni, Sharon Sugerman, Walter C WillettAbstract:The Supplemental Nutrition Assistance Program (SNAP) provides a vital buffer against hunger and poverty for 47.6 million Americans. Using 2013 California Dietary Practices Survey data, we assessed support for policies to strengthen the nutritional influence of SNAP. Among SNAP participants, support ranged from 74% to 93% for providing monetary incentives for fruits and vegetables, restricting purchases of sugary beverages, and providing more total benefits. Nonparticipants expressed similar levels of support. These approaches may alleviate the burden of diet-related disease in low-income populations.
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public support for policies to improve the nutritional impact of the supplemental nutrition Assistance Program snap
Public Health Nutrition, 2014Co-Authors: Michael W Long, Cindy W Leung, Lilian W Y Cheung, Susan J Blumenthal, Walter C WillettAbstract:OBJECTIVE To determine public attitudes towards federal spending on nutrition Assistance Programs and support for policies to improve nutritional impact of the Supplemental Nutrition Assistance Program (SNAP).
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low income supplemental nutrition Assistance Program participation is related to adiposity and metabolic risk factors
The American Journal of Clinical Nutrition, 2012Co-Authors: Cindy W Leung, Walter C Willett, Eric L DingAbstract:Background: The Supplemental Nutrition Assistance Program (SNAP) is the largest federal nutrition Assistance Program. In recent years, SNAP participation rates increased during times of economic hardship. Objective: We examined whether household SNAP participation was associated with adiposity and metabolic risk factors in a representative sample of low-income US adults. Design: A cross-sectional analysis was performed with the use of data from the 2003–2006 National Health and Nutrition Examination Surveys. The study population was restricted to nonelderly adults whose household incomes fell to or <130% of the federal poverty level. Multinomial logistic and Poisson regression models were fit to examine the associations between SNAP participation and BMI, waist circumference, and metabolic risk factors among 2250 low-income adults. Results: In the previous 12 mo, 32.8% of adults received household SNAP benefits. SNAP participation was positively associated with obesity [prevalence ratio (PR): 1.58; 95% CI: 1.08, 2.31], waist circumference in men (PR for top compared with bottom quartile: 2.04; 95% CI: 1.15, 3.62; P = 0.02), and waist circumference in women (PR: 2.95; 95% CI: 1.51, 5.77; P = 0.003; P-interaction with sex = 0.11), independent of sociodemographic characteristics. SNAP participation was also related to elevated triglycerides (PR: 1.71; 95% CI: 1.33, 2.20), lower HDL cholesterol (PR: 1.23; 95% CI: 1.08, 1.41), elevated fasting glucose (≥110 mg/dL; PR: 1.63; 95% CI: 1.05, 2.52), and metabolic syndrome (PR: 1.49; 95% CI: 1.13, 1.95). Associations with triglycerides and HDL cholesterol persisted after adjustment for BMI. Conclusion: Household SNAP participation was positively associated with BMI, waist circumference, and metabolic risk factors among low-income adults. These associations may be mediated by dietary intake and warrant further investigation.
Eric B Rimm - One of the best experts on this subject based on the ideXlab platform.
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improving the nutritional impact of the supplemental nutrition Assistance Program perspectives from the participants
American Journal of Preventive Medicine, 2017Co-Authors: Cindy W Leung, Aviva Musicus, Walter C Willett, Eric B RimmAbstract:Introduction The Supplemental Nutrition Assistance Program (SNAP) is the largest federal food Assistance Program designed to alleviate food insecurity and improve dietary intake. This study assessed the opinions of SNAP participants and food-insufficient nonparticipants on their perceptions of the Program and strategies to improve its nutritional impact. Methods This study surveyed 387 individuals via Amazon Mechanical Turk, of whom 118 were SNAP participants and 269 were food insufficient but not enrolled in SNAP (nonparticipants). Open-ended questions were coded and analyzed for thematic content. For closed-ended questions, response frequencies were compared using chi-square tests. Data were analyzed in 2016. Results SNAP participants reported that the Program successfully served its primary purpose: to allow individuals to buy enough food to make ends meet and reduce food insecurity. Importance was placed on buying food for their children/families and the ability to allocate money for other expenses. To improve the nutritional impact, SNAP participants suggested more nutrition education, increasing the benefit allotment, incentivizing healthful foods, and excluding unhealthful foods for purchase with SNAP. When participants and nonparticipants were asked to choose between SNAP and a nutritionally enhanced Program combining healthy incentives with exclusions for sugary beverages (i.e., SNAP+), 68% of participants and 83% of nonparticipants chose SNAP+. Of those who initially chose SNAP, 68% of participants and 64% of nonparticipants chose SNAP+ if paired with a 50% increase in total benefits. Conclusions SNAP participants and food-insufficient nonparticipants support policies that facilitate purchases of healthful foods and limit purchases of unhealthful foods, specifically sugary beverages.
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improving the nutritional impact of the supplemental nutrition Assistance Program perspectives from the participants
The FASEB Journal, 2016Co-Authors: Cindy W Leung, Aviva Musicus, Walter C Willett, Eric B RimmAbstract:The Supplemental Nutrition Assistance Program (SNAP) is the largest federal food Assistance Program in the United States designed to provide supplemental support to alleviate food insecurity and im...
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support for policies to improve the nutritional impact of the supplemental nutrition Assistance Program in california
American Journal of Public Health, 2015Co-Authors: Cindy W Leung, Eric B Rimm, Michael W Long, Suzanne Ryanibarra, Amanda Linares, Marta Induni, Sharon Sugerman, Walter C WillettAbstract:The Supplemental Nutrition Assistance Program (SNAP) provides a vital buffer against hunger and poverty for 47.6 million Americans. Using 2013 California Dietary Practices Survey data, we assessed support for policies to strengthen the nutritional influence of SNAP. Among SNAP participants, support ranged from 74% to 93% for providing monetary incentives for fruits and vegetables, restricting purchases of sugary beverages, and providing more total benefits. Nonparticipants expressed similar levels of support. These approaches may alleviate the burden of diet-related disease in low-income populations.
James Mabli - One of the best experts on this subject based on the ideXlab platform.
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association of participation in the supplemental nutrition Assistance Program and psychological distress
American Journal of Public Health, 2015Co-Authors: Vanessa M Oddo, James MabliAbstract:Objectives. We assessed whether households’ participation in the Supplemental Nutrition Assistance Program (SNAP) was associated with improvements in well-being, as indicated by lower rates of psychological distress.Methods. We used longitudinal data for 3146 households in 30 states, collected between October 2011 and September 2012 for the SNAP Food Security survey, the largest longitudinal national survey of SNAP participants to date. Analyses compared households within days of Program entry to the same households approximately 6 months later. We measured psychological distress in the past 30 days on a 6-item Kessler screening scale and used multivariable regression to estimate associations between SNAP participation and psychological distress.Results. A smaller percentage of household heads exhibited psychological distress after 6 months of participation in SNAP than at baseline (15.3% vs 23.2%; difference = −7.9%). In adjusted models, SNAP participation was associated with a decrease in psychological ...
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association of participation in the supplemental nutrition Assistance Program and psychological distress
Mathematica Policy Research Reports, 2015Co-Authors: Vanessa M Oddo, James MabliAbstract:This article assessed whether households’ participation in the Supplemental Nutrition Assistance Program (SNAP) was associated with improvements in well-being, as indicated by lower rates of psychological distress.
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supplemental nutrition Assistance Program participation and child food security
Mathematica Policy Research Reports, 2014Co-Authors: James Mabli, Julie WorthingtonAbstract:This article estimates the effect of the Supplemental Nutrition Assistance Program (SNAP) on children’s food security using data from the largest national survey of food security of SNAP participants to date. The study found children in households that had participated in SNAP for 6 months experienced improvements in food security. On the basis of these findings, we conclude SNAP serves a vital role in improving the health and well-being of low-income children by increasing food security.
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measuring the effect of supplemental nutrition Assistance Program snap participation on food security
Mathematica Policy Research Reports, 2013Co-Authors: James Mabli, Laura Castner, Jim Ohls, Lisa Dragoset, Betsy SantosAbstract:The Supplemental Nutrition Assistance Program (SNAP) provides food Assistance to more than 47 million low-income Americans every month. It aims to reduce hunger by facilitating beneficiaries’ access to enough food for a healthy, active lifestyle, otherwise known as "food security." Our study conducted for the Food and Nutrition Service of the U.S. Department of Agriculture shows that SNAP participation is associated with improved food security. The study is the largest and most rigorous one to date examining the effect of SNAP on food security.