Maternal and Child Health Journal

, Volume 15, Issue 5, pp 627–633 | Cite as

A Longitudinal Study of WIC Participation on Household Food Insecurity

  • Elizabeth Metallinos-Katsaras
  • Kathleen S. Gorman
  • Parke Wilde
  • Jan Kallio
Article

Abstract

We examined the association between women’s/children’s duration of WIC participation and household food security status. For mothers (n = 21,863) and their children (n = 57,377) participating in WIC (2001–2006), longitudinal measures of household food security status were collected using a subscale of the USDA Food Security Module. Using logistic regression, household food security status at the last WIC visit was associated with measures of WIC duration (number of trimesters on WIC for pregnant women, and number of WIC visits for children). Among women with prenatal household food insecurity with hunger, odds of any post-partum household food insecurity was reduced with first (AOR = 0.67, 95% CI = 0.48–0.94) or second trimester of entry (AOR = 0.64, 95% CI = 0.45–0.90) versus third. Among children with initial household food insecurity without hunger, an additional WIC visit reduced the odds of any household food insecurity (AOR = 0.92, 95% CI = 0.90–0.94) and of household food insecurity with hunger (AOR = 0.94, 95% CI = 0.89–0.98) at the last visit. Among those with initial household food insecurity with hunger, an additional WIC visit reduced the odds of any household food insecurity (AOR = 0.96, 95% CI = 0.92–0.99) and of household food insecurity with hunger (AOR = 0.88, 95% CI = 0.83–0.94) at the last visit. Earlier and longer WIC participation may improve household food security status, particularly of vulnerable groups.

Keywords

Food security Program evaluation WIC 

References

  1. 1.
    Anderson, S. A. (1990). Core indicators of nutritional state for difficult-to-sample populations. Journal of Nutrition, 121, 1559–1600.Google Scholar
  2. 2.
    Nord, M., Andrews, M., & Carlson, S. (2009). Household Food Security in the United States, 2008. Economic Research Report No. (ERR-83), pp. 66. Available at: http://www.ers.usda.gov/Publications/ERR83/ERR83.pdf.
  3. 3.
  4. 4.
    Devaney, B., Bilheimer, L., & Schore, J. (1992). Medicaid costs and birth outcomes: The effects of prenatal WIC participation and the use of prenatal care. Journal of Policy Analysis and Management, 11(4), 573–592.PubMedCrossRefGoogle Scholar
  5. 5.
    Besharov, D., & Germanis, P. (2001). Rethinking WIC an Evaluation of the Women, Infants, and Children Program. Washington, DC: American Enterprise Institute Press.Google Scholar
  6. 6.
    Bitler, M., Gundersen, C., & Marquis, G. S. (2005). Are WIC nonrecipients at less nutritional risk than recipients? An application of the food security measure. Review of Agricultural Economics, 27(3), 433–438.CrossRefGoogle Scholar
  7. 7.
    Wilde, P. E., & Peterman, J. N. (2006). Individual weight change is associated with household food-security status. Journal of Nutrition, 136, 1–6.Google Scholar
  8. 8.
    Herman, D. R., Harrison, G. G., Afifi, A. A., & Jenks, E. (2004). The effect of the WIC program on food security status of pregnant, first-time participants. Family Economics and Nutrition Review, 16, 21–30.Google Scholar
  9. 9.
    Andrews, M. (2007). Unpublished data, US Dept. of Agriculture.Google Scholar
  10. 10.
    Office of Analysis and Evaluation. (1997). Household Food Security in the United States in 1995: Technical Report of the Food Security Measurement Project. Washington, DC: US Department of Agriculture, Food and Consumer Service.Google Scholar
  11. 11.
    Bickel, G., Nord, M., Price, C., Hamilton, W., & Cook, J. (2000). Guide to measuring household food security, revised 2000. Alexandria, VA: US Department of Agriculture, Food and Nutrition Service.Google Scholar
  12. 12.
    Nord, M., Sherry, B., & Grummer-Strawn, L. M. (2002). Analyses of comparison of the sensitivity, specificity, and positive predictive value of the threshold subscale to the 18-question food security module among household with children with incomes <185% of poverty (Unpublished).Google Scholar
  13. 13.
    Casey, P., Goolsby, S., Berkowitz, C., Frank, D., Cook, J., Cutts, D., et al. (2004). Maternal depression, changing public assistance, food security and child health status. Pediatrics, 113(2), 298–303.PubMedCrossRefGoogle Scholar
  14. 14.
    Hanson, K. L, Sobal, J., & Frongillo, E. A. (2007). Gender and marital status clarify associations between food insecurity and body weight. Journal of Nutrition, 137(6), 1460–1465.Google Scholar
  15. 15.
    Jyoti, D. F., Frongillo, E. A., & Jones, S. J. (2005). Food insecurity affects school children’s academic performance, weight gain, and social skills. Journal of Nutrition, 135, 2831–2839.PubMedGoogle Scholar
  16. 16.
    Skalicky, A., Meyers, A., Adams, W., Yang, Z., Cook, J., & Frank, D. (2006). Child food insecurity and iron deficiency anemia in low-income infants and toddlers in the United States. Maternal and Child Health Journal, 10, 177–185.PubMedCrossRefGoogle Scholar
  17. 17.
    Rose-Jacobs, R., Black, M., Casey, P., Cook, J., Cutts, D., Chilton, M., et al. (2008). Household food insecurity: Associations with at-risk infant and toddler development. Pediatric, 121, 65–72.CrossRefGoogle Scholar
  18. 18.
    Cook, J., Frank, D., Berkowitz, C., Black, M., Casey, P., Cutts, D., et al. (2004). Food insecurity is associated with adverse health outcomes among human infants and toddlers. Journal of Nutrition, 134, 1432–1438.PubMedGoogle Scholar
  19. 19.
    Winicki, J., & Jemison, K. (2006). Food insecurity and hunger in the kindergarten classroom: Its effect on learning and growth. Contemporary Economic Policy, 21, 145–157.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Elizabeth Metallinos-Katsaras
    • 1
  • Kathleen S. Gorman
    • 2
  • Parke Wilde
    • 3
  • Jan Kallio
    • 4
  1. 1.Department of Nutrition, School of Health SciencesSimmons CollegeBostonUSA
  2. 2.Feinstein Center for a Hunger Free AmericaUniversity of Rhode IslandKingstonUSA
  3. 3.Friedman School of Nutrition Science and PolicyTufts UniversityBostonUSA
  4. 4.Nutrition Division, Bureau of Family and Community Health, Department of Public HealthBostonUSA

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