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Supplemental Nutrition Assistance Progam benefits and emergency room visits for hypoglycaemia

  • Colleen Heflin (a1), Leslie Hodges (a1) and Peter Mueser (a2)
Abstract
Abstract Objective

The present study examines the connection between the timing and size of Supplemental Nutrition Assistance Program (SNAP) benefits and the occurrence of emergency room (ER) visits for hypoglycaemia, a condition that is highly sensitive to short-term changes in nutritional intake.

 Design

We used administrative data from Missouri SNAP and Medicaid to identify the timing of issuance and the benefit size of SNAP and the timing of ER claims for hypoglycaemia. We estimated the probability of submitting an ER claim for hypoglycaemia as a function of the calendar week, SNAP benefit week and the size of the SNAP benefit in models that controlled for individual demographic characteristics.

 Setting

Missouri SNAP caseload from January 2010 to December 2013 linked to adult Medicaid claims data for the same time period.

 Subjects

ER claims submitted to Medicaid (n 6 508 061).

 Results

The results indicated no evidence of a SNAP benefit cycle or monthly cycle to ER claims for hypoglycaemia. However, the analysis did find that ER claims for hypoglycaemia are related to the size of the SNAP benefit.

 Conclusions

These results suggest that more generous SNAP benefits help households avoid nutritional fluctuations in the quality and quantity of food that might result in low blood sugar, thus necessitating fewer ER visits for hypoglycaemia.
Copyright
COPYRIGHT: © The Authors 2016 
Corresponding author
* Corresponding author: Email heflincm@missouri.edu
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7. HW Hoynes & DW Schanzenbach (2009) Consumption responses to in-kind transfers: evidence from the introduction of the food stamp program. Am Econ J Appl Econ 1, 109–139.
9. HL Shaefer & IA Gutierrez (2013) The Supplemental Nutrition Assistance Program and material hardships among low-income households with children. Soc Serv Rev 87, 753–779.
10. C Gundersen & JP Ziliak (2015) Food insecurity and health outcomes. Health Aff (Millwood) 34, 1830–1839.
11. D Rose & V Oliveira (1997) Nutrient intakes of individuals from food-insufficient households in the United States. Am J Public Health 87, 1956–1961.
14. CR Lyles , MS Wolf , D Schillinger et al. (2013) Food insecurity in relation to changes in hemoglobin A1c, self-efficacy, and fruit/vegetable intake during a diabetes educational intervention. Diabetes Care 36, 1448–1453.
16. L Weinreb , C Wehler , J Perloff et al. (2002) Hunger: its impact on children’s health and mental health. Pediatrics 110, e41.
17. CM Heflin & JP Ziliak (2008) Food insufficiency, food stamp participation, and mental health. Soc Sci Q 89, 706–727.
20. K Nelson , W Cunningham , R Andersen et al. (2001) Is food insufficiency associated with health status and health care utilization among adults with diabetes? J Gen Intern Med 16, 404–411.
21. HK Seligman , AB Bindman , E Vittinghoff et al. (2007) Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999–2002. J Gen Intern Med 22, 1018–1023.
22. HK Seligman , EA Jacobs , A López et al. (2012) Food insecurity and glycemic control among low-income patients with type 2 diabetes. Diabetes Care 35, 233–238.
23. HK Seligman & D Schillinger (2010) Hunger and socioeconomic disparities in chronic disease. N Engl J Med 363, 6–9.
24. SA Berkowitz , TP Baggett , DJ Wexler et al. (2013) Food insecurity and metabolic control among US adults with diabetes. Diabetes Care 36, 3093–3099.
28. JE Todd (2015) Revisiting the Supplemental Nutrition Assistance Program cycle of food intake: investigating heterogeneity, diet quality, and a large boost in benefit amounts. Appl Econ Perspect Policy 37, 437–458.
29. JM Shapiro (2005) Is there a daily discount rate? Evidence from the food stamp nutrition cycle. J Public Econ 89, 303–325.
30. PE Wilde & CK Ranney (2000) The monthly food stamp cycle: shopping frequency and food intake decisions in an endogenous switching regression framework. Am J Agric Econ 82, 200–213.
31. CD Meyerhoefer & Y Pylypchuk (2008) Does participation in the food stamp program increase the prevalence of obesity and health care spending? Am J Agric Econ 90, 287–305.
32. LH Nicholas (2011) Can food stamps help to reduce Medicare spending on diabetes? Econ Hum Biol 9, 1–13.
33. JS Lee (2013) Food insecurity and healthcare costs: research strategies using local, state, and national data sources for older adults. Adv Nutr 4, 42–50.
34. CA Gregory & P Deb (2015) Does SNAP improve your health? Food Policy 50, 11–19.
35. HK Seligman , AF Bolger , D Guzman et al. (2014) Exhaustion of food budgets at month’s end and hospital admissions for hypoglycemia. Health Aff (Millwood) 33, 116–123.
37. AA Ginde , PG Blanc , RM Lieberman et al. (2008) Validation of ICD-9-CM coding algorithm for improved identification of hypoglycemia visits. BMC Endocr Disord 8, 4.
39. HK Seligman , EA Jacobs , A Lopez et al. (2011) Food insecurity and hypoglycemia among safety net patients with diabetes. Arch Intern Med 171, 1204–1206.
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Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
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