Navigating Nutrition Inequities: BIPOC Maternal Health and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)'s Fruit and Vegetable Voucher.

IF 1.5 4区 医学 Q3 NURSING Journal of Perinatal & Neonatal Nursing Pub Date : 2024-01-01 Epub Date: 2024-01-10 DOI:10.1097/JPN.0000000000000793
Monique Scott, Zubaida Qamar
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Abstract

Introduction: The proposal to administer cuts for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) could create deficiencies in nutrition for already food insecure, low-income Black, Indigenous, and Persons of Color (BIPOC) pregnant, postpartum women, and children. WIC is a US Department of Agriculturefunded nutritional program for women, infants, and children. The current proposal is to cut the funding by $800 million for the 2024 fiscal year, affecting 75% of its low-income recipients and predominantly BIPOC.

Methods: Relevant websites and journal articles were analyzed to determine how the proposed cuts would create barriers within the social determinants of health that contribute to disparities in health outcomes of WIC recipients.

Results: Many studies have demonstrated that nutrition in the first 1000 days is critical for the healthy development of newborns. Prior research suggests that maternal health outcomes for BIPOC populations are contingent upon the increased allocation of nutritional support programs such as WIC and SNAP (Supplemental Nutrition Assistance Program). Nutrients provided by the cash benefit voucher have been proven to contribute to participants' health outcomes, and allotment increases can benefit maternal and infant health outcomes.

Conclusion and future directions: Neonatal nurses can help advocate for more robust policies that support the health of their patients. Future directions call for systematic changes in policies and legislation that directly affect maternal health outcomes, supportive breastfeeding policies, and applied research on solutions to improve maternal health outcomes of BIPOC populations in addition to increased awareness, education, and implementation of VeggieRx programs, investment in affordable, sustainable grassroots urban agriculture solutions.

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驾驭营养不平等:BIPOC 孕产妇健康与妇女、婴儿和儿童特别补充营养计划 (WIC) 的水果和蔬菜券。
导言:关于削减妇女、婴儿和儿童特别补充营养计划(WIC)的管理费用的提案可能会导致本已粮食无保障、低收入的黑人、土著和有色人种(BIPOC)孕妇、产后妇女和儿童营养不良。WIC 是美国农业部资助的一项针对妇女、婴儿和儿童的营养计划。目前的提案是在 2024 财年削减 8 亿美元的资金,这将影响 75% 的低收入受助者,主要是 BIPOC:对相关网站和期刊论文进行了分析,以确定拟议的削减将如何在健康的社会决定因素方面造成障碍,从而导致 WIC 受助人健康结果的差异:许多研究表明,头 1000 天的营养对新生儿的健康成长至关重要。先前的研究表明,BIPOC 群体的孕产妇健康结果取决于营养支持计划(如 WIC 和 SNAP,补充营养援助计划)分配的增加。事实证明,现金补助券提供的营养物质有助于参与者的健康结果,而增加拨款则有利于孕产妇和婴儿的健康结果:新生儿护士可以帮助倡导更有力的政策,以支持其病人的健康。未来的发展方向要求对直接影响孕产妇健康结果的政策和立法进行系统性改革,制定支持母乳喂养的政策,并开展应用研究,以改善 BIPOC 群体的孕产妇健康结果,此外还要提高对 VeggieRx 计划的认识、教育和实施,投资于负担得起的、可持续的基层城市农业解决方案。
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来源期刊
CiteScore
1.60
自引率
7.70%
发文量
147
审稿时长
>12 weeks
期刊介绍: The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.
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