State child care licensing regulations, which specify the standards for practice to which child care providers must adhere to be licensed, can be a policy tool for ensuring that child care providers use healthy nutrition, physical activity, and screen time practices. However, what state agencies do to support child care providers in actually implementing these practices, and how equitably this is done, is unknown. It is crucial to understand how best to actually translate state child care obesity prevention policies so that they ultimately improve child health; otherwise, efforts to improve the policies themselves may ultimately be futile. The aims are to 1) Identify specific strategies used by state child care licensing and public health agencies to implement nutrition, physical activity, and screen time policies specified in licensing regulations; 2) Explore state child care licensing administrators’ perceptions of barriers and supports to successful implementation of healthy eating, physical activity, and screen time policies and their perceptions of implementation in under-resourced communities, using qualitative interviews; and 3) Assess whether each state’s regulatory context and state demographics predict the total number of the state’s implementation efforts.
Examining State-Level Strategies to Implement Child-Care Licensing Regulations on Healthy Eating, Physical Activity, and Screen Time for Children
Toddler drinks are a relatively new product category, typically offered by infant formula manufacturers and promoted as beneficial for young children ages 12 months and older. Marketing promotes these drinks as the “next step” after infant formula, using claims that imply unproven benefits for children’s nutrition and health. However, these drinks … More
Improving the actionable research base for health equity in breastfeeding by assessing an intervention to increase rates in minority populations
Breastfeeding equity is a critical component of nutrition-related equity. Breastfeeding rates in the United States are strongly correlated with poverty and race. Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a multi-sectoral, policy, system, and environmental initiative which has significantly increased breastfeeding rates among black populations. CHAMPS was launched in … More
Understanding the lost opportunity of the Child and Adult Care Food Program in improving child nutrition and reducing health inequities
The USDA Child and Adult Care Food Program (CACFP) plays a large role in supporting nutrition in child care settings, specifically targeting these benefits to low-income populations. Foods provided to children participating in CACFP programs must meet specific nutrition standards in order to be reimbursed with federal funds. This study … More