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.
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
Race/Ethnicity: African American or Black, Latino(a) or Hispanic, White
Keywords: Fruits and vegetables, Women, Infants, and Children (WIC)
Resource Type: Journal Article
State: North Carolina
Focus Area: Nutrition Policy & Programs
Age Groups: Pregnant women, infants and toddlers (ages 0 to 2), Preschool-age children (ages 3 to 5)
Related Research
May 2026
SNAP participation and the healthfulness of food purchased by households with children during the pandemic
Changes in the Supplemental Nutrition Assistance Program (SNAP) after the start of the COVID-19 pandemic included emergency benefit allotments and operation waivers. Using five expenditure-based measures of the nutritional quality of food purchases, we tested whether changes in SNAP during the first year of the pandemic were associated with better nutritional quality of food purchases MoreMay 2026
A Pediatric Perspective on the 2025-2030 Dietary Guidelines
Clear, evidence-based guidance on what foods and beverages children and adolescents should consume—and in what amounts—is foundational for promoting healthy growth and preventing diet-related chronic disease across the life course. Yet many children and adolescents in the US continue to have diets of poor nutritional quality. The Dietary Guidelines for Americans (DGAs), issued every 5 MoreMay 2026