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
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