Early childhood education (ECE) settings play an important role in child dietary intake and excess weight gain. Policy, systems, and environment (PSE) approaches have potential to reduce disparities in children at higher risk for obesity. The purpose of this review was to (1) characterize the inclusion of populations at higher risk for obesity in ECE More

Digital marketing of unhealthy foods and beverages to children and adolescents is pervasive and undermines healthy eating. During the COVID-19 pandemic, students’ time spent online for both recreation and school using educational technology doubled from 3.8 to 7.7 hours per day for 12- to13-year-olds, and racial, ethnic, and socioeconomic disparities widened with children of color More

The Child and Adult Care Food Program (CACFP), the largest U.S. nutrition program for childcare, provides tiered reimbursements to family childcare homes (FCCHs) to serve healthy foods to a large proportion of children from households with low incomes. Due to COVID-19, all FCCHs on CACFP temporarily received the higher Tier I reimbursement rate. The aims More

Taxing sweetened beverages has emerged as an important and effective policy for addressing their overconsumption. However, taxes may place a greater economic burden on people with lower incomes. We assess the degree to which sweetened beverage taxes in three large U.S. cities placed an inequitable burden on populations with lower incomes by assessing spending on More

A recent policy in the U.S. authorized monthly benefits from the Supplemental Nutrition Assistance Program (SNAP) to be used online to increase grocery access and promote healthy eating. This study examined online grocery attitudes and purchasing behaviors among low-income SNAP-eligible households with young children with and without online grocery experience. An explanatory sequential mixed methods More

Food marketing influences consumers’ preferences for and selection of marketed products. Although a substantial body of research has described food-marketing practices in brick-and-mortar stores, no research has examined food marketing in online grocery retail despite its growing importance as a source of food-at-home purchases. This study aimed to develop and apply a coding instrument to More

Fruit drinks are a major source of added sugar in children’s diets. This study describes the associations between front-of-package child-directed marketing (i.e., sports, fantasy, or child-directed imagery; child-directed text) and (1) health-related claims and (2) nutrient content of fruit drinks, 100% juices, and flavored waters. Beverage purchase data from a national sample of 1,048 households More

Consumption of sugar-sweetened beverages, including fruit drinks, contributes to childhood obesity. We aimed to examine whether nutrition-related claims on fruit drinks influence purchasing among parents and lead to misperceptions of healthfulness. We conducted an experiment in a virtual convenience store with 2219 parents of children ages 1-5 y. Parents were randomly assigned to view fruit More

Most food advertisements that children see are for unhealthy foods and beverages. Paying “influencers”—online celebrities with large social media fan bases—to endorse or promote products on their social media accounts is a relatively new tool that companies use to market their products. Engaging kid influencers has the added bonus of reaching younger audiences. Kids may More

Despite expert recommendations, U.S. parents often serve sugar-sweetened children’s drinks, including sweetened fruit-flavored drinks and toddler milks, to young children. This qualitative research explored parents’ understanding of common marketing tactics used to promote these drinks and whether they mislead parents to believe the drinks are healthy and/or necessary for children. We conducted nine focus groups More