State: National

Use of Electronic Health Record Data to Study the Association of Sugary Drink Consumption With Child Weight Status

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Sugar-sweetened beverages (SSBs) and, to some extent, fruit juice are modifiable risk factors for childhood obesity. Data on consumption have not been previously systematically collected in the electronic health record (EHR) in a way that could facilitate observational research and population health management. In 2017 to 2018, we used data from an EHR-based SSB and More

A Framework for Increasing Equity Impact in Obesity Prevention

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One of the most pressing unmet challenges for preventing and controlling epidemic obesity is ensuring that socially disadvantaged populations benefit from relevant public health interventions. Obesity levels are disproportionately high in ethnic minority, low-income, and other socially marginalized U.S. population groups. Current policy, systems, and environmental change interventions target obesity-promoting aspects of physical, economic, social, More

Digital Food and Beverage Marketing Environments in a National Sample of Middle Schools: Implications for Policy and Practice

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One promising approach to influence nutrition behavior is to limit food and beverage marketing to children. Children are a lucrative market and schools may be an effective setting in which to intervene. Studies have shown that marketing in schools is prevalent but little is known about digital marketing to students in the school setting. Researchers More

Developing a National Research Agenda to Reduce Consumption of Sugar-Sweetened Beverages and Increase Safe Water Access and Consumption Among 0- to 5-Year-Olds: A Mixed Methods Approach

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Sugar-sweetened beverage (SSB) consumption in early childhood is a public health concern. Adequate hydration in early childhood is also important. Healthy Eating Research developed a national research agenda to improve beverage consumption patterns among 0- to 5-year-olds. This article focuses on the process used to develop this research agenda. A mixed methods, multi-step process was More

Examining differences in the implementation of school water-quality practices and water-access policies by school demographic characteristics

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Ensuring safe, accessible drinking water in schools is a national health priority. The objective of this study was to identify whether there are differences in water quality, availability, and education- related practices in schools by demographic characteristics. In 2017–2018, we analyzed data from the 2014 School Health Policies and Practices Study (SHPPS), a nationally representative, More

Studying the Community Eligibility Provision’s Broad Impact–On Child Nutrition, Health, Academics, School Attendance, and Family Food Security

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In 2010, the Healthy Hunger-Free Kids Act (HHFKA) initiated a number of major changes in child nutrition programs, including the establishment of the Community Eligibility Provision (CEP) for the National School Lunch and School Breakfast Programs. Implemented nationwide in SY 2014/15 to increase school meal participation and improve food security among at-risk children, the CEP More

Conducting a Large-Scale Surveillance of Public School Environments to Advance Wellness-Related Practices, With a Focus on Rural Schools

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Rural disparities in health behaviors and weight status jeopardize the well-being of millions of Americans. Compared to urban children, rural children have higher rates of obesity and consume more calories, less fruit, and fewer vegetables. A health-promoting school environment can modify risk behaviors, and periodic assessment of school environments provides crucial information about opportunities for More

Examining State-Level Strategies to Implement Child-Care Licensing Regulations on Healthy Eating, Physical Activity, and Screen Time for Children

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State child care licensing regulations, which specify the standards for practice to which child care providers must adhere to be licensed, can be a policy tool for ensuring that child care providers use healthy nutrition, physical activity, and screen time practices. However, what state agencies do to support child care providers in actually implementing these More

Studying the Impact on Children’s Nutrition and Health of Participation in, and How to Increase Access to, Multiple Safety-Net Programs

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One in five U.S. children are eligible to participate in federal income, food, and housing support programs. These programs reduce the prevalence and intensity of poverty, but their combined effects on nutrition and health are not well understood, and participation is not maximized. The proposed research examines the incremental and combined impact of participation in More