Focus Area: Early Childhood

Child and Adult Care Food Program: Impacts of COVID-19 Differences in Reimbursement Rates on Family Childcare Home Providers, Children, and Families

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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

Assessing the impact of a statewide effort to improve breastfeeding rates: A RE-AIM evaluation of CHAMPS in Mississippi

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Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a public health initiative, operating in Mississippi since 2014, to improve maternal and child health practices and reduce racial disparities in breastfeeding. Using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework, this study assessed CHAMPS, which used a Quality Improvement intervention at hospitals, and engaged intensively with local More

Child-Directed Marketing, Health Claims, and Nutrients in Popular Beverages

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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

Marketing of sugar-sweetened children’s drinks and parents’ misperceptions about benefits for young children

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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

Front-of-package claims & imagery on fruit-flavored drinks and exposure by household demographics

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Young children regularly consume sugary fruit drinks, in part because parents may falsely believe they are healthful due to front-of-package (FOP) claims and imagery. The goal of this study was to assess: 1) the prevalence of FOP claims/imagery on fruit-flavored beverages purchased by U.S. households with 0-5-year-olds, and 2) proportional differences in beverages purchased with More

Food Outlet Density, Distance, and Food Quality Offered to Preschool-Aged Children at Family Child Care Homes

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This study aimed to examine how food environments around family child care homes (FCCHs) are associated with the healthfulness of foods served to children. The study included cross-sectional data from a mail survey of 132 Mississippi FCCHs. Rural FCCHs with higher counts of supermarkets, convenience stores, and produce stores had lower compliance with selected best More

Changing Policies and Practices to Implement Beverage Consensus Recommendations

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In 2018, Healthy Eating Research (HER)—a national program of the Robert Wood Johnson Foundation (RWJF)—developed a national research agenda to reduce the consumption of sugar-sweetened beverages (SSB) and increase access to and consumption of safe drinking water among 0- to 5-year-olds. Through this process, it became clear that a lack of consistent recommendations for beverage More

Evidence-Based Recommendations and Best Practices for Promoting Healthy Eating Behaviors in Children 2 to 8 Years

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Dietary recommendations are available about what to feed children ages 2 to 8 for optimal health, but relatively little guidance exists about how to feed those children. Because of the discrepancy between young children’s recommended and actual dietary intakes, there is a clear need for such guidance. To address this gap, Healthy Eating Research convened More

Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities

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The Appalachian region of the U.S. is disproportionately impacted by poverty, obesity, and nutrition-related chronic diseases. Evidence suggests that caregiver feeding practices may promote healthful eating behaviors among children; however, this has not been examined in low-income, rural, Appalachian populations. This study examines caregiver feeding practices as predictors for child diet in low-income Appalachian families, More