SNAP and/or WIC Participation and Diet Quality in Mother-Child Dyads living in Greater Boston after Pandemic: A Mixed-Method Study

Introduction/Objectives: Since the COVID-19 pandemic, few studies have examined how participation in Supplemental Nutrition Assistance Program (SNAP) and/or Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) impacts diet quality in families with young children. This study...

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Main Authors: Thanit Vinitchagoon, Fang Fang Zhang, Rebecca C. Fauth, Erin Hennessy, Ana G. Maafs, Emma M. Browning, Christina D. Economos
Format: Article
Language:English
Published: SAGE Publishing 2025-02-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501319251317334
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author Thanit Vinitchagoon
Fang Fang Zhang
Rebecca C. Fauth
Erin Hennessy
Ana G. Maafs
Emma M. Browning
Christina D. Economos
author_facet Thanit Vinitchagoon
Fang Fang Zhang
Rebecca C. Fauth
Erin Hennessy
Ana G. Maafs
Emma M. Browning
Christina D. Economos
author_sort Thanit Vinitchagoon
collection DOAJ
description Introduction/Objectives: Since the COVID-19 pandemic, few studies have examined how participation in Supplemental Nutrition Assistance Program (SNAP) and/or Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) impacts diet quality in families with young children. This study aims to explore the association between SNAP and/or WIC participation and diet quality in mother-child dyads in Greater Boston, MA. Methods: A mixed-method approach involving cross-sectional surveys and in-depth interviews were utilized. Participants included 69 mother-child dyads for quantitative and 18 mothers for qualitative data collection. Analysis of covariance using generalized linear models was employed to compare differences in Healthy Eating Index-2015 (HEI-2015) scores based on SNAP and/or WIC participation, and thematic analysis was used for coding themes. Results: Mothers who participated in SNAP and/or WIC were more from lower socioeconomic backgrounds. After adjusting for age, race/ethnicity, and education, no significant differences in diet quality were found for both mothers and their children. However, qualitative results showed that mothers prioritized their children’s nutrition, used benefits to buy fruits and vegetables, and experienced stress that impacted their own diet quality. Conclusions: Since the pandemic, SNAP and WIC appeared to support families experiencing socioeconomic disadvantage (e.g., lower income and educational attainment) to improve diet quality, particularly through increased access to fruits and vegetables. However, these programs have not fully eliminated persistent disparities in diet quality, which seems to continue even the pandemic’s immediate effects have subsided.
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spelling doaj-art-c3618cbab62443bdabdc230053496c652025-02-05T15:03:32ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272025-02-011610.1177/21501319251317334SNAP and/or WIC Participation and Diet Quality in Mother-Child Dyads living in Greater Boston after Pandemic: A Mixed-Method StudyThanit Vinitchagoon0Fang Fang Zhang1Rebecca C. Fauth2Erin Hennessy3Ana G. Maafs4Emma M. Browning5Christina D. Economos6Institute of Nutrition, Mahidol University, Salaya, Nakhon Pathom, ThailandGerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USATufts Interdisciplinary Evaluation Research (TIER), Eliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, MA, USAChildObesity180, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USAGerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USADepartment of Community Health, Tufts University, Medford, MA, USAGerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USAIntroduction/Objectives: Since the COVID-19 pandemic, few studies have examined how participation in Supplemental Nutrition Assistance Program (SNAP) and/or Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) impacts diet quality in families with young children. This study aims to explore the association between SNAP and/or WIC participation and diet quality in mother-child dyads in Greater Boston, MA. Methods: A mixed-method approach involving cross-sectional surveys and in-depth interviews were utilized. Participants included 69 mother-child dyads for quantitative and 18 mothers for qualitative data collection. Analysis of covariance using generalized linear models was employed to compare differences in Healthy Eating Index-2015 (HEI-2015) scores based on SNAP and/or WIC participation, and thematic analysis was used for coding themes. Results: Mothers who participated in SNAP and/or WIC were more from lower socioeconomic backgrounds. After adjusting for age, race/ethnicity, and education, no significant differences in diet quality were found for both mothers and their children. However, qualitative results showed that mothers prioritized their children’s nutrition, used benefits to buy fruits and vegetables, and experienced stress that impacted their own diet quality. Conclusions: Since the pandemic, SNAP and WIC appeared to support families experiencing socioeconomic disadvantage (e.g., lower income and educational attainment) to improve diet quality, particularly through increased access to fruits and vegetables. However, these programs have not fully eliminated persistent disparities in diet quality, which seems to continue even the pandemic’s immediate effects have subsided.https://doi.org/10.1177/21501319251317334
spellingShingle Thanit Vinitchagoon
Fang Fang Zhang
Rebecca C. Fauth
Erin Hennessy
Ana G. Maafs
Emma M. Browning
Christina D. Economos
SNAP and/or WIC Participation and Diet Quality in Mother-Child Dyads living in Greater Boston after Pandemic: A Mixed-Method Study
Journal of Primary Care & Community Health
title SNAP and/or WIC Participation and Diet Quality in Mother-Child Dyads living in Greater Boston after Pandemic: A Mixed-Method Study
title_full SNAP and/or WIC Participation and Diet Quality in Mother-Child Dyads living in Greater Boston after Pandemic: A Mixed-Method Study
title_fullStr SNAP and/or WIC Participation and Diet Quality in Mother-Child Dyads living in Greater Boston after Pandemic: A Mixed-Method Study
title_full_unstemmed SNAP and/or WIC Participation and Diet Quality in Mother-Child Dyads living in Greater Boston after Pandemic: A Mixed-Method Study
title_short SNAP and/or WIC Participation and Diet Quality in Mother-Child Dyads living in Greater Boston after Pandemic: A Mixed-Method Study
title_sort snap and or wic participation and diet quality in mother child dyads living in greater boston after pandemic a mixed method study
url https://doi.org/10.1177/21501319251317334
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