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  • Objective To examine the association between the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participation during pregnancy and birth weight by race and ethnicity on a national level. Design Retrospective cohort of US natality from 2014 to 2022. Setting All US states and Washington, DC. Participants First-time mothers of a live singleton birth covered by Medicaid with available data on WIC participation and birth weight. Exposure WIC participation during pregnancy (yes/no) Main Outcome Measure Low (< 2,500 g) and very low (< 1,500 g) birth weight. Analysis Multivariable logistic regression Results A total of 3,778,400 mothers covered by Medicaid were included in this analysis, of which 69.6% were WIC participants during pregnancy. The association between WIC participation and birth weight outcomes differed by race and ethnicity. After adjusting, WIC participants during pregnancy were 25%, 20%, 17%, and 10% less likely to give birth to low-weight infants compared with non-WIC participants for Native Hawaiian or Other Pacific Islanders, Black, American Indian or Alaskan Native, and White, respectively. Conclusion and Implications Special Supplemental Nutrition Program for Women, Infants, and Children participation during pregnancy was associated with reduced low birth weight in all races and ethnicities. Improving WIC access and participation during pregnancy may support health equity in birth weight outcomes.

  • Background: There is a need to develop comprehensive guidelines to encourage the promotion of oral hygiene care among older adults and to assist caregivers in this endeavor, taking into consideration the specific challenges that arise from aging, comorbidities and caregiving. Methods: This review was conducted by searching across relevant literature from meta-databases including Academic Google, PubMed, Scielo and Scopus for studies published from 2020 to 2024. PRISMA guidelines were followed. We included articles that described oral hygiene methods, caregiver education and mechanization status of older adults. Common themes, best practices, and gaps in current guidelines were tracked using extracted and analyzed data. Results: The review revealed multiple factors affecting the oral hygiene of older adults, with themes relating to physical impairment, cognitive dysfunction, and caregiver involvement. Highlighted between the approaches are individualized therapy for oral hygiene, caregiver education, and the use of technology to improve adherence to oral hygiene. Barriers like dental care access, underlying medical conditions complicating dental treatments, and cost considerations were identified. Conclusions: The findings emphasize the necessity of clear recommendations that can help caregivers and advance dental care for older adults. © 2025 by the authors.

Last update from database: 3/13/26, 4:15 PM (UTC)

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