Participation in SNAP 499
INTRODUCTION
The Supplemental Nutrition Assistance Program (SNAP) is a federal pro-
gram designed to alleviate hunger by providing financial assistance for food
purchases to low-income households in the United States.1In 2011, SNAP,
formerly known as the Food Stamp Program, served approximately 45 mil-
lion people per month or 14% of Americans.1Even though SNAP is an
entitlement program, participation is voluntary; eligible households have
been shown to apply if the perceived benefits are greater than the per-
ceived participation costs.2,3There are 2 main costs associated with applying
to SNAP: stigma and transaction costs; that is, the costs incurred for child care
and transportation and the amount of time needed to get to the SNAP office,
the time spent there, as well as the time spent working on the application.2
In 2009, SNAP reached 72% of those eligible to participate, which was
an all-time high; in 2001–2002, before the recession, only 54% of those
eligible to participate in SNAP chose to do so.1SNAP participation varies
widely by state, with California having the lowest participation rates (53%
in 2009).1SNAP not only benefits those who participate in the program but
also boosts economic activity; it has been found that during economic down-
turns, every dollar invested on SNAP increases economic activity by $1.79.4
A high nonparticipation rate, therefore, may damage not only families that
benefit directly from the financial assistance but also local economies, which
benefit from families’ boost in purchasing power, as well as state economies
which, would benefit from sales tax collection produced by the increase in
consumption.5
Overall, households with children,6,7female-headed households,8those
with lower education,8those with an unemployed or disabled member,6,9
and those with residential instability10 are more likely to participate in SNAP,
whereas households that are food secure,6,7married couples,6,11 those with
higher incomes,7and those who work full-time12 are less likely to participate.
In addition, SNAP participation has been linked to poor mental and physical
health9,10 and worse psychosocial factors (ie, feeling overwhelmed, sad).9
A handful of studies have investigated the contextual determinants of
SNAP participation, including neighborhood-,13 county-,14 and state-level
factors.10 De Marco and De Marco13 analyzed individual- and neighborhood-
level factors associated with the number of social services utilized (a total of
7, including SNAP) in Boston, San Antonio, and Chicago. They found that,
in addition to age, employment status, education, and marital status, per-
ceived neighborhood disorder was positively associated with social service
utilization, whereas informal social control and perceived trust and cohe-
sion were not associated with service utilization. Slack and Myers14 looked
at aggregated county-level SNAP participation in 33 US states (excluding
the Northeast and Northwest) and found that county-level characteristics
(ie, poverty, unemployment, percentage of people with less than a high