Associations of Increased WIC Benefits for Fruits and Vegetables With Food Security and Satisfaction by Race and Ethnicity.

IF 4.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventing Chronic Disease Pub Date : 2024-03-28 DOI:10.5888/pcd21.230288

Marisa M Tsai, Christopher E Anderson, Shannon E Whaley, Catherine E Yepez, Lorrene D Ritchie, Lauren E Au

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引用次数: 0

Abstract

Introduction: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides nutrition support for racially and ethnically diverse populations. In 2021, the monthly cash value benefit (CVB) for the purchase of fruits and vegetables increased from $9 to $35 and was later adjusted to $24. This study investigated, by racial and ethnic groups, whether CVB increases were associated with increases in CVB redemption, household food security, child fruit and vegetable intake, satisfaction with CVB amount, and likelihood of continued participation in WIC if the CVB returned to $9 per month.

Methods: We conducted a longitudinal study of WIC participants (N = 1,770) in southern California at 3 time points, from April 2021 through May 2022; the CVB amount was $9 at baseline, $35 at Survey 2, and $24 at Survey 3. Racial and ethnic groups were Hispanic English-speakers, Hispanic Spanish-speakers, non-Hispanic Asian, non-Hispanic Black, non-Hispanic Other, and non-Hispanic White. We used mixed-effect and modified Poisson regressions to evaluate outcomes by group.

Results: At baseline, groups differed significantly in dollars of CVB redeemed, percentage of CVB redeemed, household food security, and satisfaction with CVB amount. After the increase in CVB, we found increases in all groups in CVB redemption, household food security, and satisfaction. Non-Hispanic Black and Hispanic English-speaking groups, who had low levels of satisfaction at baseline, had larger increases in satisfaction than other groups. Reported likelihood of continued WIC participation if the monthly CVB returned to $9 also differed significantly by group, ranging from 62.5% to 90.0%.

Conclusion: The increase in CVB for children receiving WIC benefited all racial and ethnic groups. Continued investment in an augmented CVB could improve health outcomes for a racially and ethnically diverse WIC population.

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按种族和民族分列的 WIC 增加水果和蔬菜补助与食品安全和满意度的关系。

导言：妇女、婴儿和儿童特别补充营养计划（WIC）为不同种族和民族的人群提供营养支持。2021 年，用于购买水果和蔬菜的每月现金价值补助（CVB）从 9 美元增加到 35 美元，后来又调整为 24 美元。本研究按种族和民族群体调查了 CVB 的增加是否与 CVB 兑换、家庭食品安全、儿童水果和蔬菜摄入量、对 CVB 金额的满意度以及在 CVB 恢复到每月 9 美元的情况下继续参与 WIC 的可能性有关：我们在 2021 年 4 月至 2022 年 5 月的 3 个时间点对南加州的 WIC 参与者（N = 1,770 人）进行了纵向研究；基线时的 CVB 金额为 9 美元，调查 2 时为 35 美元，调查 3 时为 24 美元。种族和族裔群体包括讲英语的西班牙裔、讲西班牙语的西班牙裔、非西班牙裔亚裔、非西班牙裔黑人、非西班牙裔其他族裔和非西班牙裔白人。我们使用混合效应和修正泊松回归来评估各组的结果：基线时，各组在兑换的 CVB 美元、兑换的 CVB 百分比、家庭食品安全以及对 CVB 金额的满意度方面存在显著差异。增加 CVB 后，我们发现所有组别在 CVB 兑换、家庭食品安全和满意度方面都有所提高。基线满意度较低的非西班牙裔黑人和讲英语的西班牙裔群体的满意度增幅大于其他群体。如果每月 CVB 恢复到 9 美元，各组别继续参与 WIC 的可能性也有显著差异，从 62.5% 到 90.0% 不等：结论：提高接受 WIC 儿童的 CVB 惠及所有种族和民族群体。继续投资于增加的 CVB 可以改善不同种族和民族的 WIC 人口的健康状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Preventing Chronic Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.70

自引率

3.60%

发文量

期刊介绍： Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. The mission of PCD is to promote the open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. The vision of PCD is to be the premier forum where practitioners and policy makers inform research and researchers help practitioners and policy makers more effectively improve the health of the population. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span.