The 2009 - 2010 Nat ational al Food an and Nutrition ion - PDF document

The 2009 - 2010 Nat ational al Food an and Nutrition ion Questionn nnai aire WV WIC Survey y Result lts Denise V. Ferris, RD, LD, Dr. P.H. WVDA April 14, 2011 The Institu tute te for Obesity ty Resear arch ch and Progr gram am Evalu luati ation on exists s to facilit itate ate research ch collabor orati ations ons and partne ners rship hips to improv ove health th and help preven ent t the increas ased ed inciden ence ce of obesit ity y and associate iated co- morbidit ities ies. 1

NATFAN Resear arch Project The purpose of the Nation onal al Food and Nutritio ion question ionnai aire re (NATFAN) ) project was to determ rmin ine the effect of the new WIC packag age on consump mptio ion and healt lthy y food choices by participan ipants from states, , territor orie ies, , and Indian an Tribal l Organizat ization ions. The project include ded three eleme ments: (1) Desig (1 ign, develo lopm pment, admin inis istrat ratio ion, , and analy lysis of NATFAN. The questio ionnai aire re was geare red to obtain infor ormati mation on related to the WIC foods from participat ipatin ing mothers, , infan ants, , and child ldre ren at WIC clinic ics throughou out the natio ion; (2 (2) Develo lopm pment of an online NATFAN questio ionnai aire re for use by those states/ITOs/ Os/territ ritor orie ies that prefer online questio ionnai aires for their participan ipants and/or r staff ff members; ; and (3) Establi (3 lishme ment of a websit ite to provide de state WIC programs ams with infor ormat mation ion regar ardi ding the NATFAN questio ionnai aire re, adminis istrati ation on, and results. lts. The study y was conduct cted ed through gh the implemen entat tation ion of question ionna naires res target eting ing women, infants ts and children en who were enrolle led in the WIC progra ram. The The question ionna naires res were administ ister ered ed before e (pre-rollou ollout t question ionna naire) re) and after (post-ro rollou lout t question ionna naire) re) the rollou out t of the new WIC foods s packag kage. e. 2

71,000 WIC partic icipa ipants ts in 52 programs s 2010 93,500 WIC participants * indicate ates that one or more ITOs within in this state partic icip ipate ated in NATFAN Why y revi vise the WIC Food Pac ackag ages? Change ges s have occurr rred d in the major r healt lth and nutriti ition risks ks faced d by the WIC C target popula latio tion, , inclu ludin ding: g: • Diets s lacki king g in whole le grains, s, fru ruits its and vegetab table les • Short duration ion of breastfe stfeedin ding • Overw rweig ight and obesit ity 3

WV W WIC Food Pac ackag age Revi visions ns • Inclusion of fruits and • Exclusion of whole milk for recipients over 2 years of vegetables age • Inclusion of whole grain • Expansion of commercial breads baby foods available for • Increased amounts of food available to exclusively infants breastfeeding women and • Availability of soy milk as their infants an option to accommodate cultural food preferences The WIC foods s package age revision ions s were designe ned to align n the WIC food benefit it with the Dietar ary y Guidelin lines es for American ans s and the American an Academ emy y of Pediatr atric ics s current t dietar ary y guidan ance e for feeding ng infants. s. The overall all goals s of the changes es were to encoura rage e consumpti tion on of fruits and vegetab able les, s, emphasiz size e the need for whole e grains s and to lower saturate ated fat intake, e, in addition to promoting the establishment of long‐term breast stfeedi eding ng and adap aptin ing g the food packag ages es to appeal al to divers rse e popul ulation ations. s. 4

The pre‐food package change questionnaire was completed by WIC participan ipants prior to February ary 2009, in advan ance of the new food package roll‐out on October 1, 2009. The questionnaire focused on WIC client demograph aphics with relatio ion to prefere rences, feedi ding and consump mption ion practic ices, with particula lar focus on the follow owin ing areas as: • Fruits and Vegetab able les • Whole le Grain Foods • Lower r Fat Milk • Adult Eating Practic ices • Infan ant Eating Practic ices • Child ld Eating Practic ices • Cultural al Prefere rences NATFAN: Women State Agency Report Pre-Food Package ge Rollout t Questio ionna naire Fall 2009 State: : West Virginia • Number r of participants who complete ted part or all of the question onnaire: 386 386 • Number r of participants who complete ted the English version on: : 383 • Number r of participants who complete ted the Spanish version: 3 5

NATFAN: Women State Agency Report Post-Food Package ge Rollout ut Questio ionna naire Spring g 2010 State: : West Virginia • Number r of participants who complete ted part or all of the question onnaire: 364 364 • Number r of participants who complete ted the English version on: : 362 • Number r of participants who complete ted the Spanish version: 2 Women’s Demographic Information Age Education 45 50 47.4 39.8 40 38.1 37.1 45 42.3 35.2 35 40 Pre-Rollout 30 Post Rollout Pre-Rollout 35 30.3 Post-Rollout 25 29.7 30 Percent Percent 20 18.0 18.1 25 15 20 10 8.4 15 12.9 4.7 5 9.4 10 7.0 7.2 7.4 0.3 0.0 6.3 0 5 0 <18 18 -23 24 - 29 30 - 34 >34 years years years years years 6

Women’s Demographic Information Language at Race Home 100 98.7 98.0 100 89.6 90 87.0 90 80 80 Pre-Rollout Pre-Rollout 70 Post Rollout 70 Post-Rollout 60 60 Percent Percent 50 50 40 40 30 30 20 20 10 10 6.3 4.4 1.4 0.3 0.3 2.7 0.5 0.5 1.3 0.8 0.3 0.0 0 0 English Spanish Spanish Other White, White, Black, Black, & Non-Hisp Hispanic Non-Hisp. Hispanic English 9. 9. Ho How ma many cups of mi milk do you dri rink in a day? Chart 1. Quantity of Milk Consumed 100% 90% 80% 70% % of Participants 60% 50% Pre-Rollout Post-Rollout 40% 33.2% 29.9% 30% 20.8% 20.0% 21.6% 20% 16.3% 14.6% 13.9% 10.9% 9.0% 10% 4.5% 5.0% 0% I do not drink milk Less than 1 cup 1 cup 2 cups 3 cups 4 or more cups Quantity 7

11. What t type of cow’s milk do you usually drink? Chart 2. Type of Cow's Milk Consumed 100% 90% 80% 70% 65.2% % of Participants 60% 48.8% 50% Pre-Rollout 40% Post-Rollout 33.2% 30% 17.2% 20% 6.9% 6.9% 7.8% 5.0% 10% 4.7% 3.6% 0.6% 0.0% 0.0% 0.0% 0% I do not Whole milk 2% milk 1% milk ½% milk Skim (fat I do not drink cow's free) milk know milk Milk Fat Percentage 12. I am m willing to to dri rink 2% mil % milk. Chart 1. Willingness to Drink 2% Milk 100% 90% 84.0% 80% 76.3% 70% % of Participants 60% 50% 40% 30% 20% 16.3% 9.6% 7.5% 6.2% 10% 0% Disagree Neutral Agree 8

12. I am m willing to dri to drink 1% % mi milk. Chart 1. Willingness to Drink 1% Milk 100% 90% 80% 70% % of Participants 60% 46.9% 50% 42.5% 40.4% 40% 35.5% 30% 17.1% 17.4% 20% 10% 0% Disagree Neutral Agree 12. I am m willing to to dri rink sk skim mil m milk. Chart 1. Willingness to Drink Skim Milk 100% 90% 80% 70% 62.0% 61.3% % of Participants 60% 50% 40% 27.3% 30% 24.3% 20% 13.6% 11.2% 10% 0% Disagree Neutral Agree 9

Pre Pre- Rollou out Wome men who answered questi tions about t beverage consump mpti tion reported ted the the following: Never or less 1 to 3 times 4 to 6 times 1 time per day 2 times per 3 times per day 4 or more than once per per week per week day times per day week 15. How often do you do the following? Number (%) 27 94 62 67 63 40 22 Drink 100% juice such as orange, apple, or tomato. (7.2%) (25.1%) (16.5%) (17.9%) (16.8%) (10.7%) (5.9%) n = 375 Drink artificially sweetened 178 70 34 32 29 13 18 drinks such as diet cola, diet soda, or Crystal Light. (47.6%) (18.7%) (9.1%) (8.6%) (7.8%) (3.5%) (4.8%) n = 374 Drink sugar sweetened drinks such as Kool-Aid, 58 92 51 51 47 36 39 soda, cola, sport drinks, or (15.5%) (24.6%) (13.6%) (13.6%) (12.6%) (9.6%) (10.4%) sugar sweetened tea. n = 374 (Percentages taken from total number of participants who responded) Post- Rollout out Wome men who answered questi tions about t beverage consump mpti tion reported ted the the following: (Percentages taken from total number of participants who responded) 10