WIC Cash Value Voucher Redemption Behavior in Jefferson County, Alabama, and Its Association With Fruit and Vegetable Consumption

Chelsea R. Singleton, William Opoku-Agyeman, Ermanno Affuso, Monica L. Baskin, Emily B. Levitan, Bisakha Sen, Olivia Affuso

Research output: Contribution to journalArticlepeer-review


Purpose: To examine cash value voucher (CVV) redemption behavior and its association with fruit and vegetable (FV) consumption among women who participate in the Supplemental Nutrition Program for Women, Infants, and Children (WIC). Design: Cross-sectional. Setting: Jefferson County, Alabama. Participants: Between October 2014 and January 2015, 300 women (mean age: 27.6 years; 66.8% non-Hispanic black; 45.1% obese) who participated in the Birmingham WIC program were surveyed. Measures: Self-reported information on demographics, produce shopping behaviors, and residential access to fresh produce retailers (eg, supermarkets and farmers markets) was examined. Fruit and vegetable intake was collected via the Block Fruit–Vegetable–Fiber screener. Participants who self-reported redeeming the WIC CVV in each of the 3 prior months were classified as regular redeemers. Analysis: Multivariable-adjusted regression models were used to examine associations between variables of interest and regular WIC CVV redemption. Results: There were 189 (63.0%) study participants classified as regular WIC CVV redeemers. Regular redeemers and other participants (ie, irregular redeemers and nonredeemers) were similar with respect to demographics. Regular redeemers were more likely to use grocery stores to purchase FVs (P =.003) and consumed significantly more servings of FVs per day (β =.67; standard error = 0.24; P =.007). Conclusion: Regular WIC CVV redemption was associated with some produce shopping behaviors and increased FV consumption and among WIC participants in Jefferson County, Alabama.

Original languageEnglish (US)
Pages (from-to)325-333
Number of pages9
JournalAmerican Journal of Health Promotion
Issue number2
StatePublished - Feb 1 2018


  • Alabama
  • WIC
  • cash value voucher
  • fruits and vegetables
  • low income

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health


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