The goal of this study is to provide much needed scientific evidence about whether the Philadelphia beverage tax is associate with changes in beverage availability and targeted marketing, with a focus on drinks commonly consumed by children ages 0-5 and Black and Latinx households with young children. Specific aims include: (1) Compare changes in retail More
The study uses a systems science approach to identify upstream strategies that can support sustained changes in the consumption of sugar-sweetened beverages and water in a low-income, predominantly Hispanic community. This research is designed to generate information crucial for the development of robust multilevel systems recommendations that are contextually and culturally appropriate. Specific aims include: More
This study seeks to explore the barriers, facilitators, and feasible strategies to increase drinking water access, availability, and intake in family childcare homes (FCCH). Specific aims include: (1) Conduct provider focus groups to determine barriers and strategies to improve water access/intake in FCCH; (2) Conduct intervention pilot with 40 providers operating FCCH in low income More
This research extends follow up on Native American children enrolled in the Prevention of Early Childhood Obesity 1 (PECO1) study 2017-2019 to determine whether positive impacts of the Family Spirit Nurture intervention on infant sugar sweetened beverage intake and infant growth are sustained through 5 years of age. It also examines point of use water More
This study seeks to partner with the local Special Supplemental Nutrition Program for Women, Infants and Children (WIC) to pair an electronic health record (EHR)-based sugar-sweetened beverage screener with a technology-based intervention in order to improve intervention reach and uptake in nutritionally at-risk infants and young children. Specific aims include: (1) Enhance EHR data infrastructure More
Online grocery services may be a promising strategy to increase food access by creating systems that increase the self-reliance of communities to meet their food needs; however, there may be unintended consequences that should be considered. Despite the potential to increase healthier choices, individuals may purchase more soft drinks and juices online than fresh produce. More
The Special Supplemental Nutrition program for Women, Infants, and Children (WIC) is a federally-funded nutrition assistance program supporting low-income women, infants, and children. The Farmers Market Nutrition Program (FMNP) provides WIC clients with coupons to purchase fruits and vegetables from approved farmers markets in addition to their regular WIC benefits. Research is inconclusive about the More
Households with children ages 6 and younger are at a particularly high risk of food insecurity (14.3% food insecure). These are also the households in which new pregnancies are most likely to occur. The Special Supplemental Program for Women, Infants, and Children (WIC) is designed to improve the health of low-income pregnant and post-partum women, More
Using economic modeling, this study seeks to advance nutritional equity by identifying ways to lower economic barriers to healthy eating among low-income households with children. This study will identify mechanisms for directing unhealthy food and beverage tax revenues towards healthy incentives, particularly through existing federally-funded, but local and state-run programs such as WIC and SNAP. More
Breastfeeding equity is a critical component of nutrition-related equity. Breastfeeding rates in the United States are strongly correlated with poverty and race. Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a multi-sectoral, policy, system, and environmental initiative which has significantly increased breastfeeding rates among black populations. CHAMPS was launched in Mississippi (MS) in 2014. Since More
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