Women in low-income households frequently report challenges affording enough of the healthy foods they would prefer to eat, particularly fruits and vegetables. The tension between what a limited food budget allows and the desire to eat a healthier diet is often strongest during pregnancy when mothers most want to eat a healthy diet in order to support their developing baby.
Objective
The EatSF program allows participants to exchange vouchers for fruits and vegetables of their choice at 28 participating corner stores, farmers markets, and large grocery stores across San Francisco. With the support of PTBi-CA, we sought to determine the extent to which $10 in weekly F&V vouchers improves intake of fruits and vegetables, supports food security, and lowers preterm birth rates among low-income pregnant mothers in San Francisco.
Method
We collected surveys from 569 pregnant women from all 6 WIC locations in SF, both before starting in EatSF and after 3-6 months of participation. All of these women were enrolled in EatSF and receiving $40 per month in F&V vouchers. We also collected surveys from 106 non-pregnant women from WIC.
Results
Results show that adding vouchers specifically for fruits and vegetables to existing WIC benefits improves the food security of low-income pregnant women, but at the current amount ($40 each month) does not increase consumption of fruits and vegetables. Improving food security is critically important due to its link to birth outcomes, but further studies are needed to determine what benefit level can support increased consumption of fruits and vegetables.
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Funded projects
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Postpartum Contraceptive Decision Support Tool
Meeting people’s needs for birth control after having a baby can help people achieve their reproductive goals, as well as decrease the...
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Using community health workers in San Francisco for preterm birth prevention
Community health workers (CHWs) are an underutilized and uniquely equipped workforce to reduce longstanding disparities in preterm...
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EatSF: Fruit and Vegetable Vouchers to Support Pregnant Mothers in San Francisco with...
Results show that adding vouchers specifically for fruits and vegetables to existing WIC benefits improves the food security of low-...