ArticleChildhood obesity (Print)
Barriers and Facilitators to Compliance with a State Healthy Eating Policy in Early Care and Education Centers.
Article in Childhood obesity (Print). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The implementation and effectiveness of outlet-level healthy food and beverage accreditation schemes: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023Pooled it
- Identifying barriers and facilitators in the development and implementation of government-led food environment policies: a systematic review.Nutrition reviews · 2022Pooled it
- Article
- The co-design of support strategies for sustainable, healthy and affordable food provision in Early Childhood Education settings.Public health nutrition · 2024Article
- A Narrative Review of Public Health Interventions for Childhood Obesity.Current obesity reports · 2024Review
- The effect of the association between food budget and food quality on adherence to national guidelines in kindergartens, and the impact of budget limit on the food quality.Food & nutrition research · 2024Article
- Environmental sustainability and food provision in the early childhood and education setting.Public health nutrition · 2023Article
- Relationships between proximity to grocery stores and Oklahoma Early Care and Education classroom nutrition practices.Preventive medicine reports · 2022Article
- Barriers and facilitators of childhood obesity prevention policies: A systematic review and meta-synthesis.Frontiers in pediatrics · 2022Article
- Quality of Nutrition Environments, Menus and Foods Served, and Food Program Achievement in Oklahoma Family Child Care Homes.Nutrients · 2021Article
- Article
- Evaluation of the impact of the Healthy Start/Départ Santé intervention on improving menu planning practices and improving the congruence between planned menus and actual food served in Saskatchewan childcare centres.Preventive medicine reports · 2021Article
- Identifying and predicting food parenting practice profiles among Canadian parents.The international journal of behavioral nutrition and physical activity · 2021Article
- Nutrition Provided to Infants in Licensed Childcare Centers and Homes: A Descriptive Study.Maternal and child health journal · 2020Article
- Healthy Eating Policy Improves Children's Diet Quality in Early Care and Education in South Carolina.Nutrients · 2020Article
- Participation in the Child and Adult Care Food Program is associated with fewer barriers to serving healthier foods in early care and education.BMC public health · 2020Article
- Obesity prevention in early care and education: a comparison of licensing regulations across Canadian provinces and territories.Journal of public health (Oxford, England) · 2020Article
- Provider reported implementation of nutrition-related practices in childcare centers and family childcare homes in rural and urban Nebraska.Preventive medicine reports · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundEarly care and education (ECE) policies can improve childhood obesity risk factors. We evaluated barriers and facilitators to implementing mandatory nutrition standards for foods provided in South Carolina ECE centers serving low-income children, comparing centers participating in the Child and Adult Care Food Program (CACFP) with non-CACFP centers.
methodsWe mailed 261 surveys (demographics, policies and practices, barriers and facilitators) to center directors after new state nutrition standards were implemented in South Carolina. We conducted univariate and bivariate analyses to explore relationships between barriers, facilitators, and center-level characteristics, by CACFP status.
resultsWe received 163 surveys (62% response rate). Centers had a median [interquartile range (IQR)] of 5 (4-7) classrooms and 59 (37.5-89) total children enrolled. More than half (60.1%) of directors reported they were moderately or fully informed about the standards. The most common barriers were food costs (17.8%) and children's food preferences (17.8%). More non-CACFP directors reported food costs as a barrier (28.6% vs. 6.5%, p < 0.001), having to spend additional money on healthier foods (48.8% vs. 28.6%, p = 0.01), and having to provide additional nutrition education to parents (28.6% vs. 11.7%, p = 0.01), compared with CACFP directors.
conclusionsCenter directors were generally well informed about the nutrition standards. The most common barriers to implementing the standards were food costs and children's food preferences. Centers participating in CACFP may be in a better position to adhere to new state nutrition standards, as they receive some federal reimbursement for serving healthy foods and may be more accustomed to regulation.
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