Diet-related disparities among indigenous youth are driven, in part, by excess sugar-sweetened beverage consumption and limited access to drinking water. Water is K’é targets environmental change at early childhood education (ECE) sites and community-wide systems change to promote a Diné culture of health. ECE sites will select and implement site-based and community-level changes to address three aspects of water security: safety, access, and promotion. The aims of this project are to: 1) Implement Water is K’é and measure its impact on water and SSB consumption among children ages 2 to 5; 2) Measure the impact of Water is K’é on caregivers’ attitudes and behaviors; and 3) Establish a community Advisory Group to improve the intervention and develop PSE recommendations in collaboration with regional stakeholders. Six ECE sites in Northern Navajo Nation will implement Water is K’é with a target population of approximately 120 children and their caregivers. Among children, we will measure water and SSB consumption and body mass index. Among caregivers, we will measure perception of water safety, attitudes toward Diné water traditions, and how often they offer water to children.
Expanding and evaluating a community-based intervention to increase healthy beverage consumption by Navajo preschool children
Breastfeeding protects against overweight and obesity, asthma, eczema, and type-II diabetes, and has long-term health benefits for women. The health benefits of breastfeeding are so valuable that in 1981, the World Health Organization established the International Code of Marketing of Breast-Milk Substitutes (WHO Code) that prohibits marketing infant formula to … More
Effect of a Home-Visiting Intervention to Reduce Early Childhood Obesity Among Native American Children
The objective of this study was to assess the impact of a brief home-visiting approach, Family Spirit Nurture (FSN), on sugar-sweetened beverage (SSB) consumption, responsive parenting and infant feeding practices, and optimal growth through 12 months post partum. This study was a 1:1 randomized clinical trial comparing FSN with an … More
Drinking water access in California schools: Room for improvement following implementation of school water policies
This study aimed to investigate how access to free drinking water in California public schools changed after implementation of 2010 federal and state school water policies. Repeated cross-sectional surveys were conducted with administrators in a random sample of California public schools, stratified by school type and urban-centric geography, from 2010 … More