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WIC Participation and Dietary Quality among US Children: Impact of the 2009 Food Package Revision
Kelin Li1, Jessie X Fan2, Ming Wen3
1Department of Sociology, California State University Dominguez Hills.
Insights
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) improved children's dietary quality. However, the 2009 food benefit revision did not yield further improvements in WIC's effectiveness.
Area of Science:
- Nutrition Science
- Public Health Policy
- Pediatric Health
Background:
- The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) aims to improve nutritional status and food security for low-income families.
- Understanding the impact of WIC, particularly after policy changes, is crucial for public health initiatives.
- Previous research indicates WIC participation is associated with improved dietary intake among children.
Purpose of the Study:
- To evaluate the effectiveness of the WIC program in enhancing children's dietary quality.
- To determine if the 2009 WIC food benefit revision led to additional improvements in dietary quality.
Main Methods:
- Analysis of 1,753 children aged 2–4 years using data from the National Health and Nutrition Examination Survey (NHANES) 2005–2008 and 2011–2016.
- Application of a propensity score weighted difference-in-difference approach to compare WIC participants with income-eligible non-participants.
- Assessment of dietary quality using the Healthy Eating Index 2015 (HEI-2015) total scores.
Main Results:
- WIC participants exhibited significantly higher HEI-2015 scores (2.98 points higher, P<0.01) compared to income-eligible non-participants during the 2011–2016 period.
- No statistically significant change was detected in the difference of HEI-2015 scores between WIC participants and eligible non-participants from the pre-revision (2005–2008) to the post-revision (2011–2016) period.
- The findings suggest WIC's positive impact on dietary quality was maintained but not amplified by the 2009 revision.
Conclusions:
- The WIC program is effective in improving the dietary quality of young children.
- The 2009 food benefit revision did not result in a measurable enhancement of WIC's impact on children's dietary quality.
- Continued monitoring and evaluation of WIC policies are essential to optimize nutritional outcomes for vulnerable populations.
Abstract:
This study aims to assess the effectiveness of the WIC program at improving children's dietary quality and to evaluate whether the 2009 food benefit revision further improved the WIC program. A sample of 1,753 children aged between 2 to 4 years from the 2005-2008 and 2011-2016 NHANES was analyzed using a propensity score weighted difference-in-difference approach. Results show that WIC-participating children scored 2.98 points higher (SD: 0.89; P<0.01) in HEI-2015 total scores compared with income-eligible non-participants during 2011-2016. No significant change was observed in the differences of HEI-2015 scores between WIC participants and eligible non-participants from 2005-2008 to 2011-2016.
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