Conducting a health-care-technology-based intervention to reduce sugary-beverage consumption for diverse populations of children

The healthcare sector is a promising venue for systems interventions to reduce children’s sugar-sweetened beverage (SSB) consumption, but clinical staff lack the time for high-intensity in-person interventions. We propose to develop and pilot a parent-informed, technology-enabled healthcare system-based intervention. The goals of the intervention are to: reduce SSB consumption, promote guideline-appropriate levels of fruit juice More

Understanding the Public Health Significance of the Children’s Food and Beverage Advertising Initiative

The Children’s Food and Beverage Advertising Initiative (CFBAI) is a voluntary industry initiative in which companies commit to feature only foods meeting specific nutrition criteria in advertising directed primarily to children under age 12. Uniform nutrition criteria were originally established in 2011, and new criteria will go into effect in January 2020. The public health More

Use of Electronic Health Record Data to Study the Association of Sugary Drink Consumption With Child Weight Status

Sugar-sweetened beverages (SSBs) and, to some extent, fruit juice are modifiable risk factors for childhood obesity. Data on consumption have not been previously systematically collected in the electronic health record (EHR) in a way that could facilitate observational research and population health management. In 2017 to 2018, we used data from an EHR-based SSB and More

Farm-to-School Education Grants Reach Low-Income Children and Encourage Them to Learn About Fruits and Vegetables

For children from low-income families, school meals are a significant portion of daily caloric intake and hence an opportunity to address food insecurity. Many states have pursued legislation to institutionalize programs such as farm to school that aim to improve the quality of school meals and acceptance of healthy foods (fruits and vegetables) to address More

The Academic, Behavioral, and Health Influence of Summer Child Nutrition Programs: A Narrative Review and Proposed Research and Policy Agenda

Since 1975, the US Department of Agriculture has sponsored the Summer Food Service Program as a nationwide strategy for providing nutritious meals to children and youth (aged 18 years or younger) in low-income communities during the summer months. Many programs are sponsored by community organizations as well as school districts that may offer the program More

Examining differences in the implementation of school water-quality practices and water-access policies by school demographic characteristics

Ensuring safe, accessible drinking water in schools is a national health priority. The objective of this study was to identify whether there are differences in water quality, availability, and education- related practices in schools by demographic characteristics. In 2017–2018, we analyzed data from the 2014 School Health Policies and Practices Study (SHPPS), a nationally representative, More

Studying the Community Eligibility Provision’s Broad Impact–On Child Nutrition, Health, Academics, School Attendance, and Family Food Security

In 2010, the Healthy Hunger-Free Kids Act (HHFKA) initiated a number of major changes in child nutrition programs, including the establishment of the Community Eligibility Provision (CEP) for the National School Lunch and School Breakfast Programs. Implemented nationwide in SY 2014/15 to increase school meal participation and improve food security among at-risk children, the CEP More

Conducting a Large-Scale Surveillance of Public School Environments to Advance Wellness-Related Practices, With a Focus on Rural Schools

Rural disparities in health behaviors and weight status jeopardize the well-being of millions of Americans. Compared to urban children, rural children have higher rates of obesity and consume more calories, less fruit, and fewer vegetables. A health-promoting school environment can modify risk behaviors, and periodic assessment of school environments provides crucial information about opportunities for More

Developing and Evaluating the Effectiveness of Pictorial Health Warnings on Sugar-Sweetened Beverages to Overcome Language and Literacy Barriers

Childhood obesity is a major public health problem in the U.S. among racial and ethnic minorities, including among the growing Latino population in the U.S. One promising but understudied policy for addressing childhood obesity is requiring health warnings on the front of sugar-sweetened beverage (SSB) containers. Pictorial warnings in particular hold promise for overcoming language More

State Policies on Testing Drinking Water for Lead in U.S. Schools

This Brief summarizes select characteristics of state-level policies and programs to test for lead in school drinking water. It is based on a study from researchers at the Harvard T. H. Chan School of Public Health and the University of California Nutrition Policy Institute. The full results of the study, study methods, and state profiles More