Our food policy research investigates the impacts of U.S. domestic food assistance on participant outcomes and retail food environments. We have focused primarily on two federal nutrition programs: the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) and the Supplemental Nutrition Assistance Program (SNAP), formerly known as the Food Stamp Program. WIC provides nutrition education and specific nutritious foods to qualifying, low-income pregnant and lactating women as well as infants and children under the age of 5 years. SNAP also provides food assistance through an electronic benefit card that can be used to purchase foods at local grocers, but it is not limited to specific foods, and the program supports low-income individuals and families regardless of gender or age. Our research studies the real-life implications of these programs, particularly the recent changes in the WIC food package contents and the association between SNAP and nutritional outcomes. We offer policy recommendations and evidence of the effective implementation of such recommendations in recent history.
Our research also investigates state and local initiatives directed at improving nutrition and food security. This ranges from a New Orleans food financing scheme to support grocers in underserved areas to a set of recommended actions to improve farm-to-table programming in Louisiana.
WIC food package change and obesity: In 2009, the government made significant changes to the WIC Program, updating the food packages to better align them with current dietary guidelines. These studies assess the impact of the WIC food package change on obesity, growth trajectories, and the variance of these factors among different populations. Our findings highlight the improved childhood obesity outcomes that followed the 2009 WIC package change.
- Chaparro and Anderson et al: The new child food package is associated with reduced obesity risk among formula fed infants participating in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) in Los Angeles County, California
- Chaparro et al: The 2009 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food package change and children's growth trajectories and obesity in Los Angeles County
- Chaparro et al: The Association between the 2009 WIC Food Package Change and Early Childhood Obesity Risk Varies by Type of Infant Package Received
- Chaparro et al: The effect of the 2009 WIC food package change on childhood obesity varies by gender and initial weight status in Los Angeles County
WIC food package change and the retail food environment: This body of research includes studies that assessed how the update to the WIC food package impacted food store sales and stocking. Some of this research focused on our local food environment work in New Orleans, while other work was conducted as a multi-site study across multiple urban centers in the United States. In carrying out this research, Tulane University researchers worked in collaboration with researchers at Johns Hopkins University, San Diego State University, and other institutions across the country.
- O’Malley et al: Use of a new availability index to evaluate the effect of policy changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on the food environment in New Orleans
- Rose et al: The influence of the WIC food package changes on the retail food environment in New Orleans
- Gittelsohn et al: Small retailer perspectives of the 2009 Women, Infants and Children Program food package changes
- Ayala et al: Stocking characteristics and perceived increases in sales among small food store managers/owners associated with the introduction of new food products approved by the Special Supplemental Nutrition Program for Women, Infants, and Children
Historical WIC Research: The package change is only one of the various factors that determine WIC’s impact on a child’s health. Household participation in the program, emphasis on formula-feeding, and certain parental characteristics also historically played a role in the ultimate success of the WIC program on improving child health measures. Our research examines these factors and offers analysis about their significance.
- Chaparro et al: Effects of parental nativity and length of stay in the US on fruit and vegetable intake among WIC-enrolled preschool-aged children
- Chaparro et al: Influences of the neighborhood food environment on adiposity of low-income preschool-aged children in Los Angeles County: a longitudinal study
- Langellier and Chaparro et al: Social and institutional factors that affect breastfeeding among WIC participants in Los Angeles County, California
- Langellier and Chaparro et al: The new food package and breastfeeding outcomes among women, infants, and children participants in Los Angeles County
- Rose et al: Has the WIC Incentive to Formula-Feed Led to an Increase in Overweight Children?
- Rose et al: Household Participation in the Food Stamp and WIC Programs Increases the Nutrient Intakes of Preschool Children
- Chaparro et al: Predictors of accurate maternal perception of their preschool child's weight status among Hispanic WIC participants
Our research focuses on participation in the Supplemental Nutrition Assistance Program and associated outcomes, whether that's obesity rates among children and adults in Los Angeles, or nutrient intakes among children nationwide. Our work investigates potential policy modifications to SNAP to promote healthier food habits and reduce the stress associated with program participation. We have also investigated the longstanding cook-from-scratch expectation for SNAP recipients, and how out of line this is with current rates of female labor force participation. Food store access is also an important correlate of consumption for SNAP recipients, which we have documented in a national study.
- Chaparro et al: The unhealthy food environment does not modify the association between obesity and participation in the Supplemental Nutrition Assistance Program (SNAP) in Los Angeles County
- Chaparro et al: The Relationship Between Obesity and Participation in the Supplemental Nutrition Assistance Program (SNAP): Is Mental Health a Mediator?
- Chaparro et al: Individual and Neighborhood Predictors of Participation in the Supplemental Nutrition Assistance Program (SNAP) in Los Angeles County
- Rose et al: Food Stamps, the Thrifty Food Plan, and Meal Preparation: The Importance of Time for US Nutrition Policy
- Rose et al: Food store access and household fruit and vegetable use among participants in the US Food Stamp Program
- Rose et al: Household Participation in the Food Stamp and WIC Programs Increases the Nutrient Intakes of Preschool Children
Our research presents evidence-based policy suggestions, some of which have been implemented throughout Louisiana, both locally and at the state level. From a sugary drink tax to recommendations regarding healthy food retail, our research has influenced policy in ways that have changed the state of public health in Louisiana. We have also played a key role in documenting the need for improved food store access in underserved neighborhoods in New Orleans and have collaborated with other organizations to promote an initiative to address this. By identifying best practices, our research has generated a set of actionable steps that could increase local health behaviors and outcomes.
- Poole et al: Advancing Public Health Policy in Louisiana Through Evidence-Based Strategies: Successes and Opportunities
- Poole et al: From Nutrition to Public Policy: Improving Healthy Food Access by Enhancing Farm-to-Table Legislation in Louisiana
- Ulmer et al: Understanding Policy Enactment: The New Orleans Fresh Food Retailer Initiative
- New Orleans Food Policy Advisory Committee: Building Health Communities: Expanding Access to Fresh Food Retail
- Tulane News Story: Fresh Approach to Feeding New Orleans
- Sugary Drink Tax
- Complete Streets
- Menu Labelling
- Water Availability in Schools
- Joint Use Agreements
- Farm to School
- State Obesity Coordination
- Workplace Lactation Support
- Women, Infants, and Children Cash Value Vouchers at Farmers Markets
- Smoke-Free school zones