{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:08:29Z","timestamp":1792789709439,"version":"4.5.0"},"reference-count":43,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T00:00:00Z","timestamp":1724803200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Bloomberg American Health Initiative Vanguard Award"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Given the lack of attention on adolescent food insecurity, the primary objective of this study was to assess the association of household participation in federal food assistance programs with food security status among adolescents in Baltimore during the COVID-19 pandemic. Adolescents, ages 14\u201319 years, were invited to participate in two online surveys. The baseline was implemented between October 2020 and January 2021, while the follow-up took place one year later from November 2021 to January 2022 after schools had re-opened. We then matched survey participants with household participation in food nutrition assistance programs using data obtained from the Maryland Department of Social Services. We used logistic regression to examine the association between food assistance program participation status and food insecurity. Additionally, to examine whether the impact of program participation on food insecurity changed between the baseline survey and one year later at follow-up when schools re-opened, a difference-in-differences analysis was conducted. The results showed no significant associations between adolescent food security and participation in any of the federal nutrition assistance programs. Increased attention on how best to improve adolescent food security in low-income households that can respond to the unique needs of adolescents is clearly warranted.<\/jats:p>","DOI":"10.3390\/nu16172876","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T03:57:06Z","timestamp":1724817426000},"page":"2876","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Association between Federal Nutrition Assistance Programs and Adolescent Food Security during the COVID-19 Pandemic: Evidence from Baltimore, Maryland"],"prefix":"10.3390","volume":"16","author":[{"given":"Kristin","family":"Mmari","sequence":"first","affiliation":[{"name":"Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1737-7034","authenticated-orcid":false,"given":"Kaitlyn","family":"Harper","sequence":"additional","affiliation":[{"name":"Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Kawatachi","sequence":"additional","affiliation":[{"name":"Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5158-2894","authenticated-orcid":false,"given":"Marina","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Gross","sequence":"additional","affiliation":[{"name":"Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5941-533X","authenticated-orcid":false,"given":"Stacy","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9599-5300","authenticated-orcid":false,"given":"Rebecca","family":"Skinner","sequence":"additional","affiliation":[{"name":"Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,28]]},"reference":[{"key":"ref_1","unstructured":"Schanzenbach, D.W., and Tomeh, N. (2023, October 05). State Levels of Food Insecurity during the COVID-19 Crisis. Institute for Policy Research Rapid Research Report. Available online: https:\/\/www.ipr.northwestern.edu\/documents\/reports\/ipr-rapid-research-reports-app-visualizes-food-insecurity-14-july-2020.pdf."},{"key":"ref_2","unstructured":"Coleman-Jensen, A., Rabbitt, M.P., Gregory, C.A., and Singh, A. (2023, June 20). Household Food Security in the United States in 2020, Available online: https:\/\/www.ers.usda.gov\/publications\/pub-details\/?pubid=102075."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1097\/DBP.0000000000000383","article-title":"Association of Food Insecurity with Children\u2019s Behavioral, Emotional, and Academic Outcomes: A Systematic Review","volume":"38","author":"Shankar","year":"2017","journal-title":"J. Dev. Behav. Pediatr."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"304","DOI":"10.3945\/jn.109.112573","article-title":"Food Insecurity Is Associated with Chronic Disease among Low-Income NHANES Participants","volume":"140","author":"Seligman","year":"2010","journal-title":"J. Nutr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1016\/j.jand.2014.04.025","article-title":"Iron deficiency is associated with food insecurity in pregnant females in the United States: National Health and Nutrition Examination Survey 1999-2010","volume":"114","author":"Park","year":"2014","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1093\/jn\/132.4.719","article-title":"Family food insufficiency, but not low family income, is positively associated with dysthymia and suicide symptoms in adolescents","volume":"132","author":"Alaimo","year":"2002","journal-title":"J. Nutr."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.3945\/ajcn.2009.27886","article-title":"Food insecurity is associated with iron deficiency anemia in US adolescents","volume":"90","author":"Mason","year":"2009","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Bauer, L., Ruffini, K., and Whitmore Schanzenbach, D. (2021). An Update on the Effect of Pandemic EBT on Measures of Food Hardship, The Hamilton Project, Brookings Institution. Available online: https:\/\/www.brookings.edu\/research\/an-update-on-the-effect-of-pandemic-ebt-on-measures-of-food-hardship\/.","DOI":"10.1353\/eca.2021.0000"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/phn.12708","article-title":"Adolescent food insecurity: A review of contextual and behavioral factors","volume":"37","author":"Dush","year":"2020","journal-title":"Public Health Nurs."},{"key":"ref_10","unstructured":"Coleman-Jensen, A., McFall, W., and Nord, M. (2023, October 05). Food Insecurity in Households with Children: Prevalence, Severity, and Household Characteristics, 2010\u201311, Available online: https:\/\/ideas.repec.org\/p\/ags\/uersib\/262126.html."},{"key":"ref_11","unstructured":"Ralston, K., Treen, K., Coleman-Jensen, A., and Guthrie, J. (2023, October 05). Children\u2019s Food Security and USDA Child Nutrition Programs, Available online: http:\/\/www.ers.usda.gov\/publications\/pub-details\/?pubid=84002."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1093\/jn\/135.7.1683","article-title":"Children\u2019s experiences of food insecurity can assist in understanding its effect on their well-being","volume":"135","author":"Connell","year":"2005","journal-title":"J. Nutr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1002\/soej.12079","article-title":"Beyond Income: What Else Predicts Very Low Food Security Among Children?","volume":"82","author":"Anderson","year":"2016","journal-title":"South. Econ. J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2260","DOI":"10.1017\/S1368980019001216","article-title":"How adolescents cope with food insecurity in Baltimore City: An exploratory study","volume":"22","author":"Mmari","year":"2019","journal-title":"Public Health Nutr."},{"key":"ref_15","unstructured":"Popkin, S.J., Scott, M., and Galvez, M. (2016). Impossible Choices Teens and Food Insecurity in America, Urban Institute and Feeding America. Available online: https:\/\/www.urban.org\/research\/publication\/impossible-choices-teens-and-food-insecurity-america."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.2105\/AJPH.2020.305783","article-title":"Food Insecurity, Diet Quality, Home Food Availability, and Health Risk Behaviors Among Emerging Adults: Findings From the EAT 2010-2018 Study","volume":"110","author":"Larson","year":"2020","journal-title":"Am. J. Public Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.2105\/AJPH.2019.305325","article-title":"Links of the Supplemental Nutrition Assistance Program With Food Insecurity, Poverty, and Health: Evidence and Potential","volume":"109","author":"Llobrera","year":"2019","journal-title":"Am. J. Public Health"},{"key":"ref_18","unstructured":"Cronquist, K. (2023, October 05). Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2019, Available online: https:\/\/www.fns.usda.gov\/snap\/characteristics-snap-households-fy-2019."},{"key":"ref_19","unstructured":"Hall, L., and Nchako, C. (2023). A Closer Look at Who Benefits from SNAP: State-by-State Fact Sheets, Center on Budget and Policy Priorities. Available online: https:\/\/www.cbpp.org\/research\/food-assistance\/a-closer-look-at-who-benefits-from-snap-state-by-state-fact-sheets."},{"key":"ref_20","unstructured":"Carlson, S., and Llobrera, J. (2022). SNAP Is Linked with Improved Health Outcomes and Lower Health Care Costs, Center on Budget and Policy Priorities. Available online: https:\/\/www.cbpp.org\/research\/food-assistance\/snap-is-linked-with-improved-health-outcomes-and-lower-health-care-costs."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1093\/ajae\/aax026","article-title":"Partial Identification Methods for Evaluating Food Assistance Programs: A Case Study of the Causal Impact of SNAP on Food Insecurity","volume":"99","author":"Gundersen","year":"2017","journal-title":"Am. J. Agric. Econ."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"104403","DOI":"10.1016\/j.jpubeco.2021.104403","article-title":"The Effect of the US Safety Net on Material Hardship over Two Decades","volume":"197","author":"McKernan","year":"2021","journal-title":"J. Public Econ."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1007\/s10995-018-02698-w","article-title":"Homelessness in Childhood and Adverse Childhood Experiences (ACEs)","volume":"23","author":"Radcliff","year":"2019","journal-title":"Matern. Child Health J."},{"key":"ref_24","unstructured":"Carlson, S., Llobrera, J., and Keith-Jennings, B. (2021). More Adequate SNAP Benefits Would Help Millions of Participants Better Afford Food, Center on Budget and Policy Priorities. Available online: https:\/\/www.cbpp.org\/research\/food-assistance\/more-adequate-snap-benefits-would-help-millions-of-participants-better."},{"key":"ref_25","unstructured":"USDA Food and Nutrition Service (2023, June 20). Thrifty Food Plan, 2021, Available online: https:\/\/FNS.usda.gov\/TFP."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.jand.2020.09.030","article-title":"An Increase in SNAP Benefits Did Not Impact Food Security or Diet Quality in Youth","volume":"121","author":"Hudak","year":"2021","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"107456","DOI":"10.1016\/j.ypmed.2023.107456","article-title":"Did mental and emotional health of SNAP families\u2019 children improve during the COVID-19 pandemic?","volume":"169","author":"Melo","year":"2023","journal-title":"Prev. Med."},{"key":"ref_28","unstructured":"Maryland Department of Human Services (2023, October 05). Pandemic Electronic Benefit Transfer (P-EBT) Program, Available online: https:\/\/dhs.maryland.gov\/p-ebt\/."},{"key":"ref_29","unstructured":"Collins, A., Briefel, R., Klerman, J.A., Wolf, A., Rowe, G., Logan, C., Enver, A., Fatima, S., Gordon, A., and Lyskawa, J. (2023, February 08). Summer Electronic Benefit Transfer for Children (SEBTC) Demonstration: Summary Report, Available online: https:\/\/www.fns.usda.gov\/sfsp\/summer-electronic-benefit-transfer-children-sebtc-demonstration-summary-report."},{"key":"ref_30","unstructured":"(2021, May 30). Twilio. Available online: https:\/\/www.twilio.com\/en-us."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014A metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J. Biomed. Inform."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Harris, P.A., Taylor, R., Minor, B.L., Elliott, V., Fernandez, M., O\u2019Neal, L., McLeod, L., Delacqua, G., Delacqua, F., and Kirby, J. (2019). The REDCap consortium: Building an international community of software platform partners. J. Biomed. Inform., 95.","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"ref_33","unstructured":"U.S. Department of Agriculture, Food and Nutrition Service (2023, October 05). Cost of Living Adjustment (COLA) Information, Available online: https:\/\/www.fns.usda.gov\/snap\/allotment\/COLA."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"2566","DOI":"10.1093\/jn\/134.10.2566","article-title":"Food Security of Older Children Can Be Assessed Using a Standardized Survey Instrument","volume":"134","author":"Connell","year":"2004","journal-title":"J. Nutr."},{"key":"ref_35","unstructured":"R Core Team (2013). R: A Language and Environment for Statistical Computing, R Foundation for Statistical Computing. Available online: http:\/\/www.R-project.org\/."},{"key":"ref_36","unstructured":"(2023). Stata Statistical Software, StataCorp LLC. Stata Version 18."},{"key":"ref_37","unstructured":"Whitmore Schanzenbach, D., Bauer, L., and Nantz, G. (2016). Twelve Facts about Food Insecurity and SNAP, Brookings Institution. Available online: https:\/\/www.hamiltonproject.org\/papers\/twelve_facts_about_food_insecurity_and_snap."},{"key":"ref_38","unstructured":"Hahn, H., Coffey, A., and Adams, G. (2021). Young People and Nutrition Assistance: Supplemental Nutrition Assistance Program, Urban Institute. Available online: https:\/\/www.urban.org\/research\/publication\/young-people-and-nutrition-assistance."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"105435","DOI":"10.1016\/j.appet.2021.105435","article-title":"Personal, proxy, and collective food agency among early adolescents","volume":"166","author":"Green","year":"2021","journal-title":"Appetite"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Harper, K., Skinner, R., Martinez-Baack, M., Caulfield, L.E., Gross, S.M., and Mmari, K. (2022). Strategies to Improve Adolescent Food Security from the Perspectives of Policy Advocates, Parents, and Adolescents. Nutrients, 14.","DOI":"10.3390\/nu14224707"},{"key":"ref_41","unstructured":"Draftz, L., Hake, M., Preuss, L., Price, M., and Schumacher, A. (2021). Addressing Teen Hunger, Feeding America. Available online: https:\/\/www.feedingamerica.org\/research\/teen-hunger-research."},{"key":"ref_42","unstructured":"Biehl, E., Buzogany, S., Huang, A., Chodur, G., and Neff, R. (2017). Baltimore Food System Resilience Advisory Report, Johns Hopkins Center for Livable Future. Available online: https:\/\/clf.jhsph.edu\/publications\/baltimore-food-system-resilience-advisory-report."},{"key":"ref_43","unstructured":"Baltimore City Department of Planning (2022, September 04). Food Policy & Planning|Mapping & Data, Available online: https:\/\/planning.baltimorecity.gov\/baltimore-food-policy-initiative\/food-environment#:~:text=Disparities%20in%20Food%20Access&text=31%25%20of%20Black%20residents%20live,of%20all%20of%20Baltimore's%20children."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/17\/2876\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:43:55Z","timestamp":1760111035000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/17\/2876"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,28]]},"references-count":43,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["nu16172876"],"URL":"https:\/\/doi.org\/10.3390\/nu16172876","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,28]]}}}