Supporting the Wake Forest School of Medicine in implementing a WIC referral program within electronic health records to optimize WIC participation

The United States has an ongoing maternal and infant health crisis, characterized by stark disparities. The WIC program could equitably improve health outcomes, but it is underutilized. Identifying strategies for healthcare systems to efficiently connect pregnant patients with WIC is a public health and policy priority. This study will use the electronic health record (EHR) More

Assessing participation in and implementation of summer electronic-benefits-transfer and non-congregate-meal programs in rural areas

Summer EBT and non-congregate meals are summer meal options that have known associations with reducing food hardship and barriers to food access. But take-up can vary across states, which creates disparities among marginalized populations. The study aims to analyze the coverage, take-up, and implementation decisions made around Summer EBT and non-congregate meals. The research team More

Evaluating the impact of state-level economic-support policies on the nutritional health of kids and families

To address ongoing concerns of child poverty across the United States, states have introduced and modified family economic security policies related to the state minimum wage (MW) and state earned income tax credit (EITC). While poor nutritional health disproportionately impacts children who experience poverty, few studies have examined the potentially beneficial effects of state-level MW More

Understanding the social safety net’s impact on food security to inform policy on how best to support children in low-income families

By providing resources to low-income families with children, the safety net has the potential to reduce food insecurity and improve nutrition. Understanding how much, how, and for whom the safety net impacts food security is a critical input into active policy discussions about the best way to support children in low-income families. The project will More

Assessing racial/ethnic coverage rates at the ZIP-code level for the Special Supplemental Nutrition Program for Women, Infants, and Children

WIC can improve maternal and childhood health and nutrition, yet only 50% of people who qualify for WIC receive benefits, with racial disparities across states. Beyond state and national estimates, less is known about zip code-level racial/ethnic coverage rates or the factors influencing program reach. This study will be the first large-scale assessment of overall More

Identifying and addressing implementation barriers to the Healthy Eating Research Nutrition Guidelines for the Charitable Food System

The successful implementation of nutrition standards in the charitable food system can have a positive impact on the health of vulnerable populations at high risk for nutrition-related health disparities. However, there is considerable variability in the level of implementation of the Healthy Eating Research Guidelines for the Charitable Food System (HER Guidelines) in food banks, More

Determining whether length of participation in social safety-net programs is associated with diet quality and weight status for children 2 to 5

Medicaid, SNAP, and WIC provide low-income children access to vital medical and nutrition services for long-term health and well-being. Despite these benefits, few studies have investigated if these safety net programs, or the synergistic combination of all three programs, are associated with diet quality and weight status; and none have focused on examining these longitudinal More

Examining the economic value of free school meals to inform future policy decisions on expansion of free school meals in the U.S.

Growing evidence suggests free school meal policies improve student health outcomes and nutrition equity. A key barrier to passage of these policies is concerns regarding potential costs, thus, a broader value for money evaluation is essential to inform policy decisions. This study aims to compare ‘intervention’ states with free school meal policies (i.e., universal free More

Developing and evaluating a marketing campaign to increase school-meal participation to improve children’s dietary quality and reduce food insecurity

Increasing participation in school meals could reduce food insecurity and improve dietary quality, especially for low-income children, but low-cost, scalable strategies for increasing participation in school meals have not yet been identified or evaluated. This study will design and rigorously evaluate a marketing campaign to encourage participation in school meals. The study has three aims: More

Examining how federal food and non-food assistance programs improve food security among households with children, focusing on marginalized populations

Food insecurity is linked to a multitude of adverse health outcomes in adults and children. Yet, access to Medicaid has been shown to reduce such adverse health outcomes, and therefore, the ability to access medical care, specifically via Medicaid, is conceivably a driving factor behind the association between food hardship and adverse health. This study More