Published: July 2022

Journal: International Journal of Environmental Research and Public Health

Authors: Duffy EW, Vest DA, Davis CR, Hall MG, De Marco M, Ng SW, Taillie LS

See more related research

Share


During the COVID-19 pandemic, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Cash Value Benefit (CVB) for fruits and vegetables increased by roughly USD 25/month/person. We sought to understand WIC participant perceptions of this change and barriers and facilitators to using the CVB. We conducted 10 virtual focus groups (5 rural, 5 urban/suburban) with WIC participants (n = 55) in North Carolina in March 2022. Focus groups were recorded and transcribed. We open-coded the content and used thematic analysis to uncover consistencies within and between sampled groups. Participants expressed favorable perceptions of the CVB increase and stated the pre-pandemic CVB amount was insufficient. Barriers to using the increased CVB were identifying WIC-approved fruits and vegetables in stores and insufficient supply of fruits and vegetables. Barriers were more pronounced in rural groups. Facilitators of CVB use were existing household preferences for fruits and vegetables and the variety of products that can be purchased with CVB relative to other components of the WIC food package. Participants felt the CVB increase allowed their families to eat a wider variety of fruits and vegetables. The CVB increase may improve fruit and vegetable intake, particularly if made permanent, but barriers to CVB and WIC benefit use may limit the potential impact.

Related Research

November 2025

Informing equitable implementation of SNAP food restriction waivers

SNAP is the largest federally funded nutrition assistance program in the U.S., providing support to more than 40 million Americans. This study aims to provide tangible information, insights, and resources grounded in SNAP participants’ preferences and feedback to support the implementation and communication of SNAP Food Restriction waivers, minimizing barriers to SNAP participation and benefit More

November 2025

Forecasting WIC funding needs: Supporting families, strengthening access

WIC serves more than 50% of all infants born in the U.S. The goal of this study is to build a forecasting model to estimate national WIC funding needs under various policy and economic conditions through fiscal year 2027. The model will also be designed to allow for updates to forecast funding needs for future More

September 2025

Food Insecurity-Related Stigma Among Adults in the United States: A Scoping Review

This review aimed to characterize individual- and structural-level stigma associated with government (ie, SNAP, WIC) and emergency food program (ie, food banks, pantries, cupboards, soup kitchens) utilization in the US. 5 databases (PubMed, PsychINFO, Web of Science, CINAHL, Sociological Abstracts) were searched in June 2024. The review included peer-reviewed articles (January 2004 – June 2024), More