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Measuring Effects of SNAP on Obesity at the Intensive Margin

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  • Lorenzo N. Almada
  • Rusty Tchernis

Abstract

The effects of the Supplemental Nutrition Assistance Program (SNAP) on obesity have been the focus of much debate. However, causal interpretation of estimates from previous studies, comparing participants to non-participants, is complicated by endogeneity and possible misreporting of participation in SNAP. In this paper, we take a novel approach to examine quasi-experimental variation in SNAP benefit amount on adult obesity. Children of SNAP households qualify for free in-school meals, thus freeing some additional benefits for the household. A greater proportion of school-age children eligible for free in-school meals proxies for an exogenous increase in the amount of SNAP benefits available per adult. Using data from the National Longitudinal Survey of Youth-1979 we show that school meals represent a non-trivial part of the food budget for SNAP households. We find that increases in SNAP benefits have no effect on obesity levels for the full sample of those who report SNAP participation. To better isolate the effects of additional benefits from other potential changes we restrict our analysis to adults living in households with at least one child under 5 years of age. In this setting, we find that additional SNAP benefits reduce BMI and the probability of being obese for SNAP adults.

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  • Lorenzo N. Almada & Rusty Tchernis, 2016. "Measuring Effects of SNAP on Obesity at the Intensive Margin," NBER Working Papers 22681, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:22681
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    1. Randall Akee & Emilia Simeonova & William Copeland & Adrian Angold & E. Jane Costello, 2013. "Young Adult Obesity and Household Income: Effects of Unconditional Cash Transfers," American Economic Journal: Applied Economics, American Economic Association, vol. 5(2), pages 1-28, April.
    2. Hilary W. Hoynes & Diane Whitmore Schanzenbach, 2009. "Consumption Responses to In-Kind Transfers: Evidence from the Introduction of the Food Stamp Program," American Economic Journal: Applied Economics, American Economic Association, vol. 1(4), pages 109-139, October.
    3. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    4. Lorenzo Almada & Ian McCarthy & Rusty Tchernis, 2016. "What Can We Learn about the Effects of Food Stamps on Obesity in the Presence of Misreporting?," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 98(4), pages 997-1017.
    5. Courtemanche, Charles & Pinkston, Joshua C. & Stewart, Jay, 2015. "Adjusting body mass for measurement error with invalid validation data," Economics & Human Biology, Elsevier, vol. 19(C), pages 275-293.
    6. Lakdawalla, Darius & Philipson, Tomas, 2009. "The growth of obesity and technological change," Economics & Human Biology, Elsevier, vol. 7(3), pages 283-293, December.
    7. Zagorsky, Jay L. & Smith, Patricia K., 2009. "Does the U.S. Food Stamp Program contribute to adult weight gain?," Economics & Human Biology, Elsevier, vol. 7(2), pages 246-258, July.
    8. Courtemanche Charles, 2009. "Longer Hours and Larger Waistlines? The Relationship between Work Hours and Obesity," Forum for Health Economics & Policy, De Gruyter, vol. 12(2), pages 1-33, May.
    9. Sandra L. Hofferth & Sally Curtin, 2005. "Poverty, food programs, and childhood obesity," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 24(4), pages 703-726.
    10. Timothy K.M. Beatty & Charlotte J. Tuttle, 2015. "Expenditure Response to Increases in In-Kind Transfers: Evidence from the Supplemental Nutrition Assistance Program," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 97(2), pages 390-404.
    11. Wada, Roy & Tekin, Erdal, 2010. "Body composition and wages," Economics & Human Biology, Elsevier, vol. 8(2), pages 242-254, July.
    12. Chad D. Meyerhoefer & Muzhe Yang, 2011. "The Relationship between Food Assistance and Health: A Review of the Literature and Empirical Strategies for Identifying Program Effects," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 33(3), pages 304-344.
    13. Kaushal, N., 2007. "Do food stamps cause obesity?: Evidence from immigrant experience," Journal of Health Economics, Elsevier, vol. 26(5), pages 968-991, September.
    14. John Cawley & John Moran & Kosali Simon, 2010. "The impact of income on the weight of elderly Americans," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 979-993, August.
    15. Brent Kreider & John V. Pepper & Craig Gundersen & Dean Jolliffe, 2012. "Identifying the Effects of SNAP (Food Stamps) on Child Health Outcomes When Participation Is Endogenous and Misreported," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 107(499), pages 958-975, September.
    16. Bruce D. Meyer & Wallace K. C. Mok & James X. Sullivan, 2009. "The Under-Reporting of Transfers in Household Surveys: Its Nature and Consequences," NBER Working Papers 15181, National Bureau of Economic Research, Inc.
    17. Diane Whitmore, 2002. "What Are Food Stamps Worth?," Working Papers 847, Princeton University, Department of Economics, Industrial Relations Section..
    18. Nord, Mark & Prell, Mark A., 2011. "Food Security of SNAP Recipients Improved Following the 2009 Stimulus Package," Amber Waves:The Economics of Food, Farming, Natural Resources, and Rural America, United States Department of Agriculture, Economic Research Service, pages 1-8.
    19. Nord, Mark & Prell, Mark, 2011. "Food Security Improved Following the 2009 ARRA Increase in SNAP Benefits," Economic Research Report 262242, United States Department of Agriculture, Economic Research Service.
    20. Parke E. Wilde & Christine K. Ranney, 2000. "The Monthly Food Stamp Cycle: Shooping Frequency and Food Intake Decisions in an Endogenous Switching Regression Framework," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 82(1), pages 200-213.
    21. Meyerhoefer, Chad D. & Pylypchuk, Vuriy, 2008. "AJAE Appendix: Does Participation in the Food Stamp Program Increase the Prevalence of Obesity and Health Care Spending?," American Journal of Agricultural Economics APPENDICES, Agricultural and Applied Economics Association, vol. 90(2), pages 1-6.
    22. Shapiro, Jesse M., 2005. "Is there a daily discount rate? Evidence from the food stamp nutrition cycle," Journal of Public Economics, Elsevier, vol. 89(2-3), pages 303-325, February.
    23. Justine Hastings & Ebonya Washington, 2010. "The First of the Month Effect: Consumer Behavior and Store Responses," American Economic Journal: Economic Policy, American Economic Association, vol. 2(2), pages 142-162, May.
    24. Darius Lakdawalla & Tomas Philipson & Jay Bhattacharya, 2005. "Welfare-Enhancing Technological Change and the Growth of Obesity," American Economic Review, American Economic Association, vol. 95(2), pages 253-257, May.
    25. Wilde, Parke E. & McNamara, Paul E. & Ranney, Christine K., 2002. "The Effect On Dietary Quality Of Participation In The Food Stamp And Wic Programs," Food Assistance and Nutrition Research Reports 33837, United States Department of Agriculture, Economic Research Service.
    26. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
    27. Thomas M. Fraker & Alberto P. Martini & James C. Ohls, 1995. "The Effect of Food Stamp Cashout on Food Expenditures: An Assessment of the Findings from Four Demonstrations," Journal of Human Resources, University of Wisconsin Press, vol. 30(4), pages 633-649.
    28. Quinn Moore & Kevin Conway & Brandon Kyler & Andrew Gothro, "undated". "Direct Certification in the National School Lunch Program: State Implementation Progress, School Year 2012-2013," Mathematica Policy Research Reports 906a9b7e366f4cec88c0fd552, Mathematica Policy Research.
    29. repec:fth:prinin:468 is not listed on IDEAS
    30. Morrill, Melinda Sandler, 2011. "The effects of maternal employment on the health of school-age children," Journal of Health Economics, Elsevier, vol. 30(2), pages 240-257, March.
    31. Charles L. Baum, 2011. "The Effects of Food Stamps on Obesity," Southern Economic Journal, John Wiley & Sons, vol. 77(3), pages 623-651, January.
    32. Diane Whitmore, 2002. "What Are Food Stamps Worth?," Working Papers 847, Princeton University, Department of Economics, Industrial Relations Section..
    33. Ralston, Katherine L. & Newman, Constance & Clauson, Annette L. & Guthrie, Joanne F. & Buzby, Jean C., 2008. "The National School Lunch Program: Background, Trends, and Issues," Economic Research Report 56464, United States Department of Agriculture, Economic Research Service.
    34. John Cawley, 2004. "The Impact of Obesity on Wages," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
    35. Maximilian D. Schmeiser, 2009. "Expanding wallets and waistlines: the impact of family income on the BMI of women and men eligible for the Earned Income Tax Credit," Health Economics, John Wiley & Sons, Ltd., vol. 18(11), pages 1277-1294, November.
    36. Todd, J.E. & Ploeg, M.V., 2014. "Caloric beverage intake among adult supplemental nutrition assistance program participants," American Journal of Public Health, American Public Health Association, vol. 104(9), pages 80-85.
    37. Gregory, Christian & Ver Ploeg, Michele & Andrews, Margaret & Coleman-Jensen, Alisha, 2013. "Supplemental Nutrition Assistance Program (SNAP) Participation Leads to Modest Changes in Diet Quality," Economic Research Report 262225, United States Department of Agriculture, Economic Research Service.
    38. Wilde, Parke E. & Troy, Lisa M. & Rogers, Beatrice L., 2008. "AJAE Appendix for “Food Stamps and Food Spending: an Engel Function Approach”," American Journal of Agricultural Economics APPENDICES, Agricultural and Applied Economics Association, vol. 91(2), pages 1-9, June.
    39. Brachet, Tanguy, 2008. "Maternal Smoking, Misclassification, and Infant Health," MPRA Paper 21466, University Library of Munich, Germany.
    40. Congressional Budget Office, 2012. "The Supplemental Nutrition Assistance Program," Reports 43173, Congressional Budget Office.
    41. Nancy Cole & Mary Kay Fox, "undated". "Diet Quality of Americans by Food Stamp Participation Status: Data from the National Health and Nutrition Examination Survey, 1999-2004," Mathematica Policy Research Reports 364f57606a8646dfa102c6215, Mathematica Policy Research.
    42. Congressional Budget Office, 2012. "The Supplemental Nutrition Assistance Program," Reports 43173, Congressional Budget Office.
    43. Waehrer, Geetha & Deb, Partha & Decker, Sandra L., 2015. "Did the 2009 American Recovery and Reinvestment Act affect dietary intake of low-income individuals?," Economics & Human Biology, Elsevier, vol. 19(C), pages 170-183.
    44. Ver Ploeg, Michele & Ralston, Katherine L., 2008. "Food Stamps and Obesity: What Do We Know?," Economic Information Bulletin 58640, United States Department of Agriculture, Economic Research Service.
    45. John Cawley, 2000. "Body Weight and Women's Labor Market Outcomes," NBER Working Papers 7841, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Charles Courtemanche & Augustine Denteh & Rusty Tchernis, 2019. "Estimating the Associations between SNAP and Food Insecurity, Obesity, and Food Purchases with Imperfect Administrative Measures of Participation," Southern Economic Journal, John Wiley & Sons, vol. 86(1), pages 202-228, July.
    2. Susan Chen & Le Wang, 2021. "SNAP participation, diet quality, and obesity: robust evidence with estimation techniques without external instrumental variables," Empirical Economics, Springer, vol. 61(3), pages 1641-1667, September.
    3. Wang, Julia Shu-Huah & Zhao, Xi & Nam, Jaehyun, 2021. "The effects of welfare participation on parenting stress and parental engagement using an instrumental variables approach: Evidence from the Supplemental Nutrition Assistance Program," Children and Youth Services Review, Elsevier, vol. 121(C).
    4. Almada, Lorenzo & McCarthy, Ian M., 2017. "It's a cruel summer: Household responses to reductions in government nutrition assistance," Journal of Economic Behavior & Organization, Elsevier, vol. 143(C), pages 45-57.
    5. Nathalie Mathieu‐Bolh, 2022. "The elusive link between income and obesity," Journal of Economic Surveys, Wiley Blackwell, vol. 36(4), pages 935-968, September.
    6. Tammy Leonard & David Andrews & Sandi L. Pruitt, 2022. "Impact of changes in the frequency of food pantry utilization on client food security and well‐being," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 44(2), pages 1049-1067, June.
    7. Fayaz Farkhad, Bita & Meyerhoefer, Chad D., 2018. "The Impact of Participation in SNAP on Labor Force Decisions," 2018 Annual Meeting, August 5-7, Washington, D.C. 274180, Agricultural and Applied Economics Association.
    8. Marcella Alsan & Crystal Yang, 2018. "Fear and the Safety Net: Evidence from Secure Communities," NBER Working Papers 24731, National Bureau of Economic Research, Inc.
    9. Alyssa J. Moran & Yuxuan Gu & Sasha Clynes & Attia Goheer & Christina A. Roberto & Anne Palmer, 2020. "Associations between Governmental Policies to Improve the Nutritional Quality of Supermarket Purchases and Individual, Retailer, and Community Health Outcomes: An Integrative Review," IJERPH, MDPI, vol. 17(20), pages 1-23, October.

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    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H53 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Welfare Programs
    • I1 - Health, Education, and Welfare - - Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs

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