METHODS: Using 2013-2021 data from state Youth Risk Behavior Surveys (N = 855,119) and the SNAP Policy Database, we conducted log-binomial regression with generalized estimating equations and adjusted for confounders.
RESULTS: The prevalence of persistent feelings of sadness or hopelessness was similar among adolescents in states that had the asset test eliminated only and among adolescents in states that had both the asset test eliminated and the income limit increased (i.e., both policies) compared to adolescents in states that did not have either policy. While the prevalence of suicidal thoughts was similar among adolescents in states that had the asset test eliminated only compared to adolescents in states that did not have either policy, the prevalence of suicidal thoughts (prevalence ratio = 0.91, 95% CI 0.88, 0.94) and suicide attempts (prevalence ratio = 0.82, 95% CI 0.78, 0.86) was lower among adolescents in states that had both policies compared to adolescents in states that did not have either policy.
CONCLUSIONS: States with policies that expand SNAP eligibility have a lower prevalence of suicidal behaviors among adolescents.
方法:使用来自州青年风险行为调查(N=855,119)和SNAP政策数据库的2013-2021年数据,我们用广义估计方程进行了对数二项回归,并对混杂因素进行了调整。
结果:在仅取消资产测试的州和既取消资产测试又增加收入限制的州的青少年中,持续的悲伤或绝望感的患病率相似(即,这两项政策)与没有这两项政策的州的青少年相比。虽然与没有任何一项政策的州的青少年相比,仅在资产测试被消除的州的青少年中,自杀念头的患病率相似,与没有这两种政策的州的青少年相比,在采用这两种政策的州的青少年中,自杀念头(患病率=0.91,95%CI0.88,0.94)和自杀未遂(患病率=0.82,95%CI0.78,0.86)的患病率较低.
结论:有扩大SNAP资格的政策的国家在青少年中自杀行为的患病率较低。