CSPI developed a case study that provides insights into policy strategy and advocacy best practices that resulted in passage of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA). The case study outlines key lessons to help inform nutrition and public health policy initiatives, as well as continued implementation and defense of school nutrition. It describes how More
This study examined the relationship between parental sugar-sweetened beverage (SSB) attitudes and SSB consumption during the first 1,000 days – gestation to age 2 years. The study population consisted of 394 WIC-enrolled, Hispanic/Latino families living in northern Manhattan. Parental SSB attitudes were determined through a four question survey that used a Likert scale for responses, More
This study investigated the barriers to implementing policy, systems, and environmental (PSE) change initiatives within Supplemental Nutrition Assistance Program-Education (SNAP-Ed) programming in U.S. rural communities, as well as strategies to overcome these barriers. SNAP-Ed staff members across 15 states were surveyed and/or interviewed regarding the types nutrition-related PSE programming currently being implemented, barriers to implementation, More
Sugar-sweetened beverage (SSB) consumption begins early and increases with age in the U.S., and there is robust evidence linking SSB consumption with negative health consequences. This systematic review synthesizes evidence from 27 studies on strategies aimed to reduce SSB consumption among 0- to 5-year-olds. Interventions took place primarily in healthcare settings, as well as preschool/daycare, More
Sugar-sweetened beverage (SSB) consumption is a risk factor for childhood obesity. Including this measure in electronic health records (EHR) could enhance clinical care and facilitate research on this topic. We implemented a single-item, EHR screening question for SSB and 100% fruit juice at 8 pediatric practices affiliated with a North Carolina academic medical center. From More
This content analysis investigated equity-based arguments featured in news debate over federal school nutrition policy. Analyses of national and local print and broadcast news between September 1, 2014-December 31, 2015 were conducted to examine arguments rooted in appeals about equity and/or disparities. Overall, equity and/or disparities appeals appeared in 24% of television, 14% of national More
This study estimated the frequency and quality of fruit and vegetables offered during snack in U.S. afterschool programs and examined program-level factors associated with offering them, including awareness and use of the National AfterSchool Association Healthy Eating and Physical Activity standards. Data was collected from 684 National AfterSchool Association members and their colleagues through an More
This study describes the foods and beverages offered, nutrition practices, and nutrition policies of family child care homes in Mississippi and differences by participation in the Child and Adult Care Food Program (CACFP). A random sample of family child care homes that enroll 3- to 5-year-olds in Mississippi were examined through a self-report tool. Foods More
This study aimed to: explore the number and spatial distribution of 9,556 SNAP stores in North Carolina by type and assess how SNAP benefit redemption is linked to store type; compare the demographics of populations living in areas with a high concentration of SNAP participants vs areas with a lower concentration of SNAP participants; and More
This study assessed the dietary quality of lunches and feeding practices in Connecticut child care centers and made comparisons by center participation in the federal Child and Adult Care Food Program (CACFP). Specifically, overall energy, macronutrient intake, and intake by CACFP meal component were compared with CACFP requirements and recommendations from the Institute of Medicine. More
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