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
Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach
Bottle-fed infants are at greater risk for overfeeding and rapid weight gain (RWG), so evidence-based strategies for promoting healthy bottle-feeding practices are needed. The aim of this study was to assess whether policy, systems, and environmental (PSE) strategies for promoting responsive bottle-feeding practices within the Special Supplemental Nutrition Program for … More
Restaurant kids’ meal beverage offerings before and after implementation of healthy default beverage policy statewide in California compared with citywide in Wilmington, Delaware
In 2019, California and Wilmington, Delaware implemented policies requiring healthier default beverages with restaurant kids’ meals. The current study assessed restaurant beverage offerings and manager perceptions in a sample of quick-service restaurants. Pre-implementation, the most common kids’ meal beverages on California menus were unflavored milk and water (78·8 %, 52·0 … More
Examining the Effects of Taxes and Warning Labels on Parents’ Purchases of Sugar-Sweetened Beverages Using a Choice Experiment
The purpose of this study is to conduct a discrete choice experiment to investigate whether warning labels on Sugar-Sweetened Beverages (SSBs) alter the effectiveness of a tax on SSBs, especially among parents who are Black, Latinx and lower income. The research team will conduct an online choice experiment with 2,700 … More