Supplemental Nutrition Assistance Program Work Requirements and Emergency Food Assistance Usage.

INTRODUCTION: Policymakers have suggested and implemented work requirements for safety-net programs such as the Supplemental Nutrition Assistance Program (SNAP). If these work requirements impact program participation, they may lead to greater food insecurity. This paper investigates the effects of implementing the work requirement for the SNAP on emergency food assistance usage. METHODS: Data were used from a cohort of food pantries in Alabama, Florida, and Mississippi, which imposed the SNAP work requirement in 2016. Event study models were run in 2022, leveraging geographic variation in exposure to the work requirement to measure changes in the number of households served by the food pantries. RESULTS: The 2016 introduction of the SNAP work requirement increased the number of households served by food pantries. The impact is concentrated among urban food pantries. On average, an urban agency exposed to the work requirement served 34% more households in the 8 months after the work requirement than an agency with no exposure. CONCLUSIONS: Individuals who lose SNAP eligibility owing to the work requirement remain in need of assistance and seek other sources of food. SNAP work requirements thus increase the burden on emergency food assistance programs. Work requirements for other programs may also lead to increased emergency food assistance use.

U.S. agricultural university students' mental well-being and resilience during the first wave of COVID-19: Discordant expectations and experiences across genders.

The coronavirus disease 2019 (COVID-19) pandemic's first wave led to declining mental health and life satisfaction outcomes for college students, especially women. While women in undergraduate agricultural programs outperformed men academically prior to and during the pandemic, the achievement may have come at personal cost, especially for those women with fewer personal and environmental resiliency resources. Our research objective was to expand on personal, social, and environmental factors linked with lower mental health and life satisfaction scores for students in agriculture during the pandemic. We measured the influence of such factors across gender-based mental health and life satisfaction outcomes. Our data were collected from 2030 students using an on-line survey across six land-grant university college of agriculture in agriculturally as many distinct regions of the United States. We estimated OLS and Ordered Probit models of their mental health and life satisfaction self-assessments. Our findings reveal students' mental health and life satisfaction were reduced due to a paucity of personal (e.g., less future orientation or graduate school aspirations, food and housing insecurity, and personal health risks) and environmental (e.g., lower quality on-line learning experiences, isolation, family health risk, discrimination experiences) resiliency resources. Our results suggest women were more likely than men to be adversely affected by reduced resiliency resources. These findings suggest university emergency response policies need to address students' needs for housing and food security, on-line course development and delivery, tele health and mental health resources, broad social inclusion and diversity to decrease risk of female attrition and support all students in agricultural degree programs.

Preferences Toward COVID-19 Diagnostic Testing Features: Results From a National Cross-Sectional Survey.

PURPOSE: Describe preferences toward COVID-19 testing features (method, location, hypothetical monetary incentive) and simulate the effect of monetary incentives on willingness to test. DESIGN: Online cross-sectional survey administered in July 2020. SUBJECTS: 1,505 nationally representative U.S. respondents. MEASURES: Choice of preferred COVID-19 testing options in discrete choice experiment. Options differed by method (nasal-swab, saliva), location (hospital/clinic, drive-through, at-home), and monetary incentive ($0, $10, $20). ANALYSIS: Latent class conditional logit model to classify preferences, mixed logit model to simulate incentive effectiveness. RESULTS: Preferences were categorized into 4 groups: 34% (n = 517) considered testing comfort (saliva versus nasal swab) most important, 27% (n = 408) were willing to trade comfort for monetary incentives, 19% (n = 287) would only test at convenient locations, 20% (n = 293) avoided testing altogether. Relative to no monetary incentives, incentives of $100 increased the percent of testing avoiders (16%) and convenience seekers (70%) that were willing to test. CONCLUSION: Preferences toward different COVID-19 testing features vary, highlighting the need to match testing features with individuals to monitor the spread of COVID-19.

Do low-cost economic incentives motivate healthy behavior?

We conducted a field experiment to test the effectiveness of a conditional, low-cost, and recurring financial incentive in motivating recreation center visits. Results indicate that the financial incentive did not motivate students' recreation center visits. However, it was successful in increasing the frequency of recreation center visits for female students who had an established exercise habit. For a payout of $0.50, we estimate an increase of 0.4 visits per week for female students with established exercise habits. This provides modest evidence that the financial incentive structure was able to increase the behavioral response at the intensive margin. Our results show that the design of our financial incentive was not effective on the extensive margin. There was also no effect of the financial incentive on the recreation center visits for male students.

Bend or break? Small business survival and strategies during the COVID-19 shock.

This manuscript studies the impact of the exogenous COVID-19 pandemic shock on small businesses in the United States. We provide early evidence on how small business owners were affected by COVID-19 and the implementation of the Coronavirus Aid, Relief, and Economic Security (CARES) Act. We collected online survey data from a national sample of 463 small business owners across the United States. The survey was conducted in June 2020, eight weeks after the passage of the CARES Act and the Paycheck Protection Program and Health Care Enhancement Act. The survey data include information about business characteristics, financial well-being, current response to the crisis, beliefs about the future of their business survival, and the business-owning family demographic information. There are three main themes that emerge from the results. First, drivers of income loss were not necessarily associated with time to recovery. Second, businesses that were undercapitalized were more likely to suffer higher income loss, longer time to recovery, and less likely to be resilient. Resilient was operationalized as a scale merging perceived success, potential for growth, and perceived profitability. Third, business model changes were necessary due to the pandemic but not all adaptive strategies led to better business outcomes. The results from this research study will lead to a better understanding of key vulnerabilities and adjustments that small businesses make to fully recover from economic shocks.

Perceived neighbourhood food environment and overweight and obesity among Supplemental Nutrition Assistance Program-Education (SNAP-Ed) participants in the Midwest US.

OBJECTIVE: To evaluate the relationship between neighbourhood food environment perceptions and obesity among Supplemental Nutrition Assistance Program-Education (SNAP-Ed) or Expanded Food and Nutrition Education Program (EFNEP) participants. DESIGN: A cross-sectional study conducted during SNAP-Ed or EFNEP programme participation in six states in the Midwest US between May 2016 and November 2017. SETTING: Community centres, food pantries and other SNAP-Ed or EFNEP recruitment locations. PARTICIPANTS: Convenience sample of 1743 low-income, adult nutrition education programme participants. RESULTS: Controlling for participant location and other demographic variables, those who perceived that a large selection of fruits and vegetables were available to them were 22 % less likely to be obese (adjusted odds ratio 0·78, 95 % CI 0·63, 0·97). In addition, participants who perceived the distance to the grocery store where they purchased most of their groceries to be greater than 5 miles were 1·36 times more likely to be overweight or obese than those who travelled shorter distances for their groceries. CONCLUSIONS: SNAP-Ed or EFNEP participants' weight status may be associated with their perceptions of their neighbourhood food environments. Programmes incorporating nutrition education and food access initiatives should attempt to better understand participant perceptions in order to address barriers in their efforts and to ensure that healthy food is accessible to low-income residents.

Effect of classroom intervention on student food selection and plate waste: Evidence from a randomized control trial.

BACKGROUND: U.S. children are failing to meet the recommended daily 4 cups of fruits and vegetables. New federal guidelines were implemented for healthier school lunches for the National School Lunch Programs (NSLP). Consequently, students waste large amounts of fruits and vegetables. Several organizations advocate implementation of classroom nutrition education programs as a school nutrition policy. METHODS: We conducted a randomized control trial to evaluate the effectiveness of a classroom nutrition education on food consumption behavior of public elementary school students. Our intervention was designed to improve students' preferences for fruits and vegetables. We collected data using digital-photography, and estimated the amount of fruits and vegetables selected and wasted using ordinary least squares. RESULTS: The nutrition education program had no impact on the amount of fruits and vegetables selected by the students in the treatment group. We also find no significant difference in the amount of fruits and vegetables wasted by students in the treatment and control group. CONCLUSION: Nutrition education did not change students' consumption behavior, implying the proposed policy might not be optimal. Inducing a behavioral change in elementary school students is an intricate process and might require more than classroom lessons to change their dietary habits.

Association between environmental factors and BMI: evidence from recent immigrants from developing countries.

BACKGROUND: To study the association between the surrounding local environmental factors and the body mass index of immigrants in the USA. METHODS: We use the New Immigrant Survey, to study the association of obesity prevalence in a region on body mass index. We consider local obesity rate as an outcome of the local environmental factors. Using ordinary least squares, three versions of equations are estimated to quantify the contribution of individual-level, acculturation, and environmental effects on immigrants' body mass index. RESULTS: We find statistically significant results for the correlation of local obesity rate and body mass index. For every 1% increase in the obesity rate, the body mass index levels increase by 0.182 kg/m2. Evidence also suggests dietary assimilation in immigrants is influenced by local environmental factors and that dietary change affects body mass index of female immigrants. CONCLUSIONS: Immigrants' body mass index increase with the increase in the local obesity rate of the region where they reside.

The effects of a nutrition education curriculum on improving young children's fruit and vegetable preferences and nutrition and health knowledge.

OBJECTIVE: The main objective of the present study was to develop and evaluate a nutrition education curriculum to enhance young children's dietary behaviours and nutrition and health knowledge. DESIGN: A randomized controlled design was utilized. The intervention was designed to improve children's nutrition and health knowledge and preferences for fruits and vegetables through classroom lessons and activities, including direct instruction and tastings (implemented twice per week for 6 weeks). SETTING: The study took place in elementary schools in a Midwestern US state. SUBJECTS: One hundred and thirty-one 2nd grade children from ten classrooms (n 82 intervention, n 49 control) participated. RESULTS: Multiple regression analyses that adjusted se for clustering by classroom were used to test hypotheses. Children in the intervention condition demonstrated significantly higher scores on the nutrition and health survey (ß=0·47, P=0·001) and showed greater preferences for fruits and vegetables at post-test than the control group (ß=0·19, P=0·003). CONCLUSIONS: Findings suggest that a short, 6-week intervention that aligns with educational standards has the ability to significantly enhance children's outcomes and thus may be a more feasible option for teachers to incorporate into their classrooms than what is currently available.

Low-cost approaches to increasing gym attendance.

We investigate the effect of two low-cost experimental interventions designed to increase physical exercise: a lottery based financial incentive and a social norming treatment. The lottery intervention provides a financial incentive to increase physical activity whereas the social norming intervention attempts to increase physical activity by providing feedback to individuals on their own and their peers' physical exercise activity. We find the larger of our two lottery treatments yields a positive and statistically significant effect on physical activity at modest cost, whereas our social norming treatment has no detectable effect.

Do environmental factors drive obesity? Evidence from international graduate students.

International students offer a unique window into the role environmental factors play in driving obesity. Naïve estimates of the relationship between environmental factors and obesity are often plagued by reverse causation, sample selection, and omitted variable bias. In this study, we survey international students at 40 public universities across the United States. We use this unique data to link the weight gain of international students to the prevalence of obesity where they live. We argue that our estimates are less likely to be biased as international students have limited control over the environment to which they are exposed upon arrival in the United States. We find that students living in areas with a higher prevalence of obesity show a biologically important and statistically significantly greater increase in weight as compared to those living in areas with a lower prevalence of obesity. Results provide cautious evidence that environmental characteristics of a region can affect the weight gain of individuals.