Child-care settings and the combination of policies and regulations under which they operate may reduce or perpetuate disparities in weight-related health, depending on the environmental supports they provide for healthy eating and physical activity. The objectives of this review are to summarize research on state and local policies relevant to weight-related health equity among young children in the United States and on how federal policies and regulations may provide supports for child-care providers serving families with the most limited resources. In addition, a third objective is to comprehensively review studies on differences in practices and policies within U.S. child-care facilities according to the location or demographics of providers and children. The review found there is growing evidence addressing disparities in the social and physical child-care environments provided for young children, but scientific gaps are present in the current understanding of how resources should best be allocated and policies designed to promote health equity.
What Can Be Learned from Existing Investigations of Weight-Related Practices and Policies with the Potential to Impact Disparities in US Child-Care Settings? A Narrative Review and Call for Surveillance and Evaluation Efforts.
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