This study suggests that economic incentives can contribute important nutrients to participants' diets and targeted vouchers provided by food assistance programs should continue to include culturally important foods and be aware of the cultural values of their participants.
Participants reported high satisfaction with the CVV for fruits and vegetables and jarred baby foods, with statistically significant variation across ethnic groups. About two thirds of all participants reported a preference for CVVs for fruits and vegetables over jarred baby foods. Redemption data indicated declining redemption rates for jarred fruits and vegetables with increasing age of the infant across all ethnic groups.
Proportionately more Spanish speakers had greater perceived behavioral control for redeeming CV vouchers at CFM. Not enough variety of produce offered, not knowing what produce to buy, and unfavorable weather conditions were proportionately lower among English speakers than Spanish speakers. Proportionately more Spanish speakers identified availability of organic produce, other items for sale than just produce, and entertainment provided as a factor to redeem CV vouchers. Approximately 43% of English speakers identified unfavorable weather as a barrier to attend CFM.
Among children, differences were found for fruit consumption but not vegetable. Urban children were offered and consumed a greater variety of F&V. Mothers' F&V intake was related to age, pregnancy status, and breastfeeding status.
Among 41 participants, multiple perceived barriers emerged, such as negative interactions in stores or confusion over WIC rules. Among experienced shoppers, WIC strategies also emerged to deal with barriers and maximize CVV value, including strategic choice of times and locations at which to shop and use of price-matching, rewards points, and other ways to increase purchasing power.
About 12% of WIC families fully redeemed their benefits in March, 2012. Compared with non- Arab/non-Hispanic families, Arab American WIC families were significantly more likely to use all of their monthly WIC benefits, even after controlling for family characteristics.
In summary, we found that BMI and diet quality changes of Head Start preschool girls were correlated with short-term changes in household food insecurity.
The current findings suggest that households with very low food security tend to shop more frequently in stores that have less-healthful options, such as convenience/dollar stores.
Increased concern about future overweight and controlling feeding styles represent potential mechanisms by which food insecurity could be related to obesity. Obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure.
Recent paternal incarceration, defined as incarceration in the past 2 years, is associated with an increased likelihood of food insecurity among 5-year-old children, but only among children living with their biological fathers prior to his incarceration. These associations cannot be explained by the mechanisms considered, including post-incarceration changes in economic well-being, parental relationships, maternal parenting, and maternal health.
