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Liu, Cindy H.; Liu, Heidi

Concerns and Structural Barriers Associated with WIC Participation among WIC‐Eligible Women

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  • Medientyp: E-Artikel
  • Titel: Concerns and Structural Barriers Associated with WIC Participation among WIC‐Eligible Women
  • Beteiligte: Liu, Cindy H.; Liu, Heidi
  • Erschienen: Wiley, 2016
  • Erschienen in: Public Health Nursing
  • Sprache: Englisch
  • DOI: 10.1111/phn.12259
  • ISSN: 0737-1209; 1525-1446
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec><jats:title>Objectives</jats:title><jats:p>To examine sociodemographic status, psychosocial concerns, and structural barriers associated with women's participation in the <jats:styled-content style="fixed-case">USDA</jats:styled-content>'s Women, Infants, and Children (<jats:styled-content style="fixed-case">WIC</jats:styled-content>) program among those eligible for the program.</jats:p></jats:sec><jats:sec><jats:title>Design and Sample</jats:title><jats:p>A total of 1,634 White, African‐American, Hispanic, and Asian/Pacific Islander (A/<jats:styled-content style="fixed-case">PI</jats:styled-content>) women from the New York City area completed the Pregnancy Risk Assessment Monitoring System (<jats:styled-content style="fixed-case">PRAMS</jats:styled-content>) from 2004 to 2007, a population‐based survey.</jats:p></jats:sec><jats:sec><jats:title>Measures</jats:title><jats:p>Data on <jats:styled-content style="fixed-case">WIC</jats:styled-content> eligibility and participation, sociodemographic details, unintended pregnancy, social support, and structural barriers were evaluated.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Hispanics and Blacks were 4.1 and 2.4 times more likely to participate, respectively, in the <jats:styled-content style="fixed-case">WIC</jats:styled-content> program relative to Whites. Mothers reporting unplanned pregnancies, fewer social supports, and more structural barriers (e.g., transportation) were less likely to participate in <jats:styled-content style="fixed-case">WIC</jats:styled-content>. Race‐stratified analyses revealed race/ethnic differences in the pattern of barriers; unintended pregnancy and structural problems were barriers associated with <jats:styled-content style="fixed-case">WIC</jats:styled-content> participation particularly for A/<jats:styled-content style="fixed-case">PI</jats:styled-content>.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p><jats:styled-content style="fixed-case">WIC</jats:styled-content>‐eligible women with unintended pregnancies and fewer social supports tend to participate in <jats:styled-content style="fixed-case">WIC</jats:styled-content>, but those who experience more structural barriers are less likely to participate. A/<jats:styled-content style="fixed-case">PI</jats:styled-content> women may face specific challenges to <jats:styled-content style="fixed-case">WIC</jats:styled-content> participation. Careful attention is needed to understand the unique attitudes and behaviors in the process of participating in <jats:styled-content style="fixed-case">WIC</jats:styled-content>.</jats:p></jats:sec>