OBJECTIVE The 2018–2019 federal government partial shutdown resulted in a one-time disruption to the usual disbursement schedule of Supplemental Nutrition Assistance Program (SNAP) benefits nationwide. We assessed the relationship between this disruption and hyperglycemia and hypoglycemia medical encounters among beneficiaries with diabetes. RESEARCH DESIGN AND METHODS To estimate whether the one-time change in benefit disbursement affected the monthly cycle of hyperglycemia or hypoglycemia encounter rates, we used linked administrative Medicaid claims and SNAP disbursement data from West Virginia in a fixed-effects model with interactions between week of the month and the two months of interest—January and February 2019. We controlled for week, month, year, and county effects as well as individual characteristics, and we clustered SEs by individual. RESULTS We found that the early disbursement of SNAP benefits in January 2019 resulted in a spike in hyperglycemia four times the rate in a typical month. Further, we found a decrease in both hyperglycemia and hypoglycemia in late February. CONCLUSIONS Our findings suggest that the early distribution of benefits led to a temporary increase in food consumption among West Virginia Medicaid beneficiaries with diabetes. Findings from late February also imply that individuals may have a way to prepare for reduced food resources. These results shed new light on the effects of unexpected changes to the timing of safety net payments as well as an understanding of unintended consequences of government shutdowns.

中文翻译：

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一次性改变支付计划期间的 SNAP 周期和糖尿病管理

目标 2018-2019 年联邦政府部分关闭导致全国补充营养援助计划 (SNAP) 福利的正常支付时间表一次性中断。我们评估了这种干扰与糖尿病受益人的高血糖和低血糖医疗经历之间的关系。研究设计和方法 为了估计福利支付的一次性变化是否影响高血糖或低血糖发生率的每月周期，我们在固定效应模型中使用了西弗吉尼亚州的相关行政医疗补助索赔和 SNAP 支付数据，该模型具有每周之间的相互作用感兴趣的月份和两个月——2019 年 1 月和 2 月。我们控制了周、月、年和县的影响以及个人特征，并按个人对 SE 进行了聚类。结果 我们发现，2019 年 1 月提前支付 SNAP 福利导致高血糖激增，是典型月份的四倍。此外，我们发现二月下旬高血糖和低血糖均有所下降。结论 我们的研究结果表明，早期福利分配导致患有糖尿病的西弗吉尼亚州医疗补助受益人的食物消费暂时增加。二月下旬的调查结果还表明，个人可能有办法为食物资源减少做好准备。这些结果为了解安全网支付时间意外变化的影响以及对政府关闭的意外后果的理解提供了新的线索。