Supplemental Nutrition Assistance Program participation gaps within a pediatric leukemia clinical trial cohort

Author:

Aziz‐Bose Rahela1234ORCID,Cernik Colin1,Umaretiya Puja J.5ORCID,Ilcisin Lenka1267ORCID,Kelly Colleen A.123,Valenzuela Ariana1,Bruce Charlotte8,de Cuba Stephanie Ettinger9,Cole Peter D.10ORCID,Gennarini Lisa M.11,Kahn Justine M.12ORCID,Kelly Kara M.13,Michon Bruno14,Tran Thai‐Hoa15ORCID,Welch Jennifer J. G.16ORCID,Silverman Lewis B.12,Bona Kira1234ORCID

Affiliation:

1. Department of Pediatric Oncology Dana‐Farber Cancer Institute Boston Massachusetts USA

2. Division of Pediatric Hematology/Oncology Boston Children's Hospital Boston Massachusetts USA

3. Department of Pediatrics Harvard Medical School Boston Massachusetts USA

4. Division of Population Sciences Dana‐Farber Cancer Institute Boston Massachusetts USA

5. Division of Pediatric Hematology/Oncology University of Texas Southwestern Medical Center Dallas Texas USA

6. Department of Pediatric Surgery Boston Children's Hospital Boston Massachusetts USA

7. Department of Surgery Brigham and Women's Hospital Boston Massachusetts USA

8. Department of Pediatrics Boston Medical Center Boston Massachusetts USA

9. Department of Health Law, Policy & Management Boston University School of Public Health Boston Massachusetts USA

10. Rutgers Cancer Institute New Brunswick New Jersey USA

11. Montefiore Medical Center Bronx New York USA

12. Division of Pediatric Hematology, Oncology and Stem Cell Transplantation Columbia University Irving Medical Center New York New York USA

13. Department of Pediatrics Roswell Park Comprehensive Cancer Center University at Buffalo Jacobs School of Medicine and Biomedical Sciences Buffalo New York USA

14. Centre Hospitalier Universitaire de Quebec Saint‐Foy Quebec Canada

15. Division of Pediatric Hematology/Oncology, Charles‐Bruneau Cancer Center, CHU Ste‐Justine University of Montreal Montreal Quebec Canada

16. Division of Pediatric Hematology/Oncology Hasbro Children's Hospital/Brown University Providence Rhode Island USA

Abstract

AbstractPoverty‐exposed children with cancer are more likely to experience adverse outcomes. Supplemental Nutrition Assistance Program (SNAP) benefits improve food insecurity and child health outcomes, and could be used to mitigate disparities. We conducted a secondary analysis of parent‐reported data collected in a frontline pediatric leukemia trial (NCT03020030) to assess SNAP eligibility (proxied by other means‐tested program participation) and participation. At diagnosis, 105/287 families (37%) were SNAP‐eligible, of whom 53 (50%) were SNAP participants. At 6 months, 104/257 families (41%) were SNAP‐eligible, and 59 (57%) were SNAP participants. Interventions to increase benefits participation during childhood cancer treatment represent an immediate opportunity to reduce disparities.

Publisher

Wiley

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