Changes in Insurance Status, Food Insecurity, and Food Assistance Programs, Before and After March 2020
| . | Before March 2020, % (95% CI) . | Since March, 2020, % (95% CI) . | P . |
|---|---|---|---|
| Insurance statusa | <.001 | ||
| Employer-sponsored insurance | 62.7 (59.4 to 66.1) | 59.6 (56.3 to 63.0) | |
| Medicaid or CHIP | 22.7 (19.7 to 25.7) | 23.3 (20.3 to 26.3) | |
| Private insurance | 3.3 (2.1 to 4.5) | 4.5 (3.2 to 5.8) | |
| Exchange plan | 1.8 (1.0 to 2.6) | 2.7 (1.6 to 3.7) | |
| TriCare | 3 (1.9 to 4.0) | 3.2 (2.0 to 4.4) | |
| Uninsured | 4.1 (2.6 to 5.5) | 3.5 (2.2 to 4.8) | |
| Other | 2.4 (1.4 to 3.4) | 3.3 (2.1 to 4.5) | |
| Food insecuritya | <.001 | ||
| None | 67.4 (64.2 to 70.6) | 64.0 (60.7 to 67.3) | |
| Mild | 26.7 (23.7 to 29.7) | 28 (25.0 to 31.1) | |
| Moderate | 4.6 (3.1 to 6.1) | 6.2 (4.4 to 8.1) | |
| Severe | 1.3 (0.4 to 2.2) | 1.8 (0.7 to 2.8) | |
| Food assistance programsb | |||
| Food stamps or SNAP | 10.1 (8.0 to 12.1) | 9.5 (7.5 to 11.6) | .256 |
| WIC | 5.8 (4.0 to 7.6) | 5.8 (4.0 to 7.6) | 1.000 |
| Food banks | 4.6 (3.1 to 6.2) | 4.9 (3.3 to 6.5) | .002 |
| Free or reduced-price school lunch | 17.5 (14.8 to 20.1) | — | |
| P-EBTc | — | 5.0 (3.5 to 6.5) | |
| Free food from school | — | 15.4 (12.9 to 17.8) | |
| None | 74.4 (71.3 to 77.5) | 70.2 (67.0 to 73.4) | .001 |
| . | Before March 2020, % (95% CI) . | Since March, 2020, % (95% CI) . | P . |
|---|---|---|---|
| Insurance statusa | <.001 | ||
| Employer-sponsored insurance | 62.7 (59.4 to 66.1) | 59.6 (56.3 to 63.0) | |
| Medicaid or CHIP | 22.7 (19.7 to 25.7) | 23.3 (20.3 to 26.3) | |
| Private insurance | 3.3 (2.1 to 4.5) | 4.5 (3.2 to 5.8) | |
| Exchange plan | 1.8 (1.0 to 2.6) | 2.7 (1.6 to 3.7) | |
| TriCare | 3 (1.9 to 4.0) | 3.2 (2.0 to 4.4) | |
| Uninsured | 4.1 (2.6 to 5.5) | 3.5 (2.2 to 4.8) | |
| Other | 2.4 (1.4 to 3.4) | 3.3 (2.1 to 4.5) | |
| Food insecuritya | <.001 | ||
| None | 67.4 (64.2 to 70.6) | 64.0 (60.7 to 67.3) | |
| Mild | 26.7 (23.7 to 29.7) | 28 (25.0 to 31.1) | |
| Moderate | 4.6 (3.1 to 6.1) | 6.2 (4.4 to 8.1) | |
| Severe | 1.3 (0.4 to 2.2) | 1.8 (0.7 to 2.8) | |
| Food assistance programsb | |||
| Food stamps or SNAP | 10.1 (8.0 to 12.1) | 9.5 (7.5 to 11.6) | .256 |
| WIC | 5.8 (4.0 to 7.6) | 5.8 (4.0 to 7.6) | 1.000 |
| Food banks | 4.6 (3.1 to 6.2) | 4.9 (3.3 to 6.5) | .002 |
| Free or reduced-price school lunch | 17.5 (14.8 to 20.1) | — | |
| P-EBTc | — | 5.0 (3.5 to 6.5) | |
| Free food from school | — | 15.4 (12.9 to 17.8) | |
| None | 74.4 (71.3 to 77.5) | 70.2 (67.0 to 73.4) | .001 |
CHIP, Children’s Health Insurance Program; —, not applicable.
Global P value reported from an exact multinomial test for symmetry between paired before and since March 2020 responses.
P values reported from McNemar tests for symmetry between each paired before and since March 2020 response.
Only families who qualified for free or reduced-price school meals pre–COVID-19 were eligible for P-EBT enrollment.