国家补充营养援助计划政策和物质使用率
Rebecca B Naumann1, Madeline Frank2, Meghan E Shanahan3
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
American journal of preventive medicine
|November 2, 2023
概括
通过补充营养援助计划 (SNAP) 扩大粮食援助与更低的物质滥用和物质使用障碍 (SUD) 率有关. 取消对SNAP资格的重罪毒品定罪禁令显示出特别的好处.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍 药物使用障碍
背景情况:
- 粮食不安全是发展物质滥用和物质使用障碍 (SUD) 的已知的危险因素.
- 管理补充营养援助计划 (SNAP) 的州级政策可能会影响这些与物质有关的结果.
研究的目的:
- 估计国家SNAP资格政策与各种物质相关结果之间的关联.
- 检查SNAP特定政策变化的影响,包括重罪毒品定罪排除和扩大资格标准.
主要方法:
- 利用了2014-2017年SNAP政策数据库和2015-2019年国家毒品使用和健康调查的数据.
- 分析了酒精使用障碍 (AUD),阿片类药物滥用,非法药物使用障碍 (IDUD),SUD和未满足的SUD治疗需求的州级估计.
- 对比了不同SNAP资格政策的州的结果,包括那些取消了重罪毒品失格或扩大了收入/资产限制的州.
主要成果:
- 既有扩大SNAP资格政策的州显示,AUD,阿片类药物滥用,IDUD,SUD和未满足的SUD治疗需求的比例显著降低.
- 取消SNAP的重罪毒品定罪取消资格与较低的IDUD,SUD和未满足的SUD治疗需求率有关,即使没有其他资格扩展.
结论:
- 通过政策变化扩大SNAP资格,可以成为一个有效的策略,以减轻物质滥用和SUD.
- 修改或取消对有重罪毒品定罪的个人SNAP参与的联邦取消资格,可能会为公共卫生带来重大益处.
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