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Association of Remote vs In-Person Benefit Delivery With WIC Participation During the COVID-19 Pandemic

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Between April and June 2020 at the start of the COVID-19 pandemic, 29.5% of children in the US, predominantly from low-income families and racial and ethnic minority groups, experienced household food insecurity.1 The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a key source of nutritional support for women and children living in poverty. WIC benefits are currently issued on electronic benefits transfer (EBT) debit cards, which can be used to purchase WIC-approved food and beverage products.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Aditi Vasan, MD, MSHP, Department of Pediatrics, Children’s Hospital of Philadelphia, Roberts Center for Pediatric Research, 2716 South St, Philadelphia, PA 19146 (vasana@chop.edu).

Accepted for Publication: August 9, 2021.

Published Online: August 20, 2021. doi:10.1001/jama.2021.14356

Author Contributions: Drs Vasan and Venkataramani had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: All authors.

Acquisition, analysis, or interpretation of data: Vasan, Roberto, Venkataramani.

Drafting of the manuscript: Vasan.

Critical revision of the manuscript for important intellectual content: Kenyon, Roberto, Fiks, Venkataramani.

Statistical analysis: Vasan, Venkataramani.

Administrative, technical, or material support: Kenyon, Fiks.

Supervision: Kenyon, Fiks, Venkataramani.

Conflict of Interest Disclosures: Dr Vasan reported receiving grants from the Academic Pediatric Association and the Agency for Healthcare Research and Quality. Dr Kenyon reported receiving grants from the National Institutes of Health. Dr Fiks reported receiving grants from the New Jersey Manufacturers Insurance Company. Dr Venkataramani reported receiving grants from the National Institutes of Health, the Center for Financial Security, Independence Blue Cross, the Robert Wood Johnson Foundation, and the Social Security Administration. No other disclosures were reported.

References
1.
Schanzenbach  D , Pitts  A . How much has food insecurity risen? evidence from the Census Household Pulse Survey. Published June 10, 2020. Accessed August 7, 2021. https://www.ipr.northwestern.edu/documents/reports/ipr-rapid-research-reports-pulse-hh-data-10-june-2020.pdf
2.
Herd  P , Moynihan  D . How administrative burdens can harm health. Published October 2, 2020. Accessed February 9, 2021. https://www.healthaffairs.org/do/10.1377/hpb20200904.405159/abs/
3.
US Census Bureau. American Community Survey. Accessed June 1, 2021. https://www.census.gov/programs-surveys/acs
4.
US Bureau of Labor Statistics. Home page. Accessed July 29, 2021. https://www.bls.gov/
5.
Vasan  A , Kenyon  CC , Feudtner  C , Fiks  AG , Venkataramani  AS .  Association of WIC participation and electronic benefits transfer implementation.   JAMA Pediatr. 2021;175(6):609-616. doi:10.1001/jamapediatrics.2020.6973PubMedGoogle ScholarCrossref
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