Safety net program participation patterns, sociodemographic factors, and health: A latent transition analysis in a US cohort study

U.S. safety net programs provide critical support to Americans with low income. This cohort study examined patterns of safety net program take-up over time and associations with sociodemographics and health. Surveys among California households with low income (N=380) conducted in 2020-2021 and 2023 captured take-up of federal assistance programs (Medicaid; Supplemental Nutrition Assistance Program [SNAP]; More

Consumption of the Food Groups with the Revised Benefits in the New WIC Food Package: A Scoping Review

On 18 April 2024, the United States Department of Agriculture (USDA) published the first food package changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in over a decade, which reduced some food benefits (juice, milk, canned fish, and infant fruits and vegetables) and offered substitutes (cash-value vouchers (CVVs) or cash-value More

A Systematic Review: The Impact of COVID-19 Policy Flexibilities on SNAP and WIC Programmatic Outcomes

The objective of this study was to explore the impact of policy flexibilities deployed during the COVID-19 public health emergency on access, enrollment/retention, benefit utilization, and perceptions of SNAP and WIC. The review identified 37 eligible articles. Twelve studies evaluated policy flexibilities in SNAP only, 21 in WIC only, and 4 in both programs. Across More

The effects of lump-sum food benefits during the COVID-19 pandemic on spending, hardship, and health

This paper examines how providing families with lump-sum in-kind assistance during the pandemic affected food hardship, economic well-being, and maternal health. We study the introduction of a new program, P-EBT, that provided grocery vouchers worth approximately $300 per student during spring and summer 2020. Using cross-state variation in program timing, we find that families spent More

Experiences with COVID-19 economic relief measures among low-wage worker families: a qualitative study

This study aimed to understand experiences with COVID-19 economic relief measures among low-wage worker households with children during the COVID-19 pandemic. The study conducted semi-structured qualitative interviews from low-wage workers in households with children in two U.S. cities in 2022 (n = 40). The sample was recruited from a larger study which included survey measures More

Testing online ordering and delivery of Special Supplemental Nutrition Program for Women, Infants, and Children foods to rural Indigenous communities

The need for WIC food delivery solutions has been recognized as a national policy priority to ensure equitable access to WIC benefits. WIC food ordering and delivery has the potential to significantly WIC benefit redemption and health equity on the Navajo Nation, but infrastructure and other contextual factors must be considered in order to implement More

Identifying factors contributing to increased Special Supplemental Nutrition Program for Women, Infants, and Children participation

In 2023 and 2024, after a decade of decreasing participation, the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is witnessing a nationwide increase in program enrollment. This project will tackle 3 project aims to identify the policies, procedures, and technologies associated with increasing participation. Aim 1 will focus on California as a More

Child and Adult Care Food Program: Family Childcare Home Providers’ Perceptions of Impacts of Increased Meal and Snack Reimbursement Rates during the COVID-19 Pandemic

The U.S. Child and Adult Care Food Program (CACFP) provides tiered reimbursements for healthy foods for children at participating family childcare homes (FCCH). All FCCHs received a higher rate to address food insecurity during the COVID-19 pandemic. A survey was administered in the spring of 2023 to a randomly selected sample of licensed California FCCHs More