ArticleHealth affairs (Project Hope)2019
The Culture Of Health In Early Care And Education: Workers' Wages, Health, And Job Characteristics.
Article in Health affairs (Project Hope), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Early childhood stress responses to psychosocial stressors: The state of the science.Developmental psychobiology · 2022Pooled it
- Implementation of a workplace physical activity intervention in child care: process evaluation results from the Care2BWell trial.Translational behavioral medicine · 2021Trial
- Association Between Food Insecurity and Diet Quality Among Early Care and Education Providers in the Pennsylvania Head Start Program.Preventing chronic disease · 2021Trial
- Results of caring and reaching for health (CARE): a cluster-randomized controlled trial assessing a worksite wellness intervention for child care staff.The international journal of behavioral nutrition and physical activity · 2020Trial
- Building a culture of connection in early childhood education: The Hand in Hand Foundations Course.Infant mental health journal · 2025Article
- Data From Early Childhood Educators' Work and Stress Study.Journal of open psychology data · 2025Article
- Changes in Stress Following Wage Increases for Early Childhood Educators.Early childhood education journal · 2025Article
- A Systematic Review of Research Patterns and Trends in Early Childhood Education Teacher Well-Being from 1993 to 2023: A Trajectory Landscape.Behavioral sciences (Basel, Switzerland) · 2024Review
- Risk Factors for Food Insecurity among Early Childhood Education Providers: Time for a Solution.International journal of environmental research and public health · 2024Article
- Caring for the Caregiver: Work mistreatment and well-being among Early Childhood Education staff in Colorado.Early childhood education journal · 2024Article
- Psychological and Physiological Stress and Stressors in Early Childhood Educators: An Observational Pilot Study.Psychology in the schools · 2024Article
- Design, protocol and baseline data of Nurturing Healthy Teachers, a cluster non-randomized controlled trial to improve the health, well-being, and food security of preschool and elementary school teachers in Houston, Texas.Preventive medicine reports · 2024Article
- Growing through adversity: the relation of early childhood educator post-traumatic growth to young children's executive function.Frontiers in psychology · 2024Article
- Article
- Predictors of Overweight and Obesity in Early Care and Education Teachers during COVID-19.International journal of environmental research and public health · 2023Article
- Prevalence of Chronic Diseases, Depression, and Stress Among US Childcare Professionals During the COVID-19 Pandemic.Preventing chronic disease · 2022Article
- Moving from Policy to Practice for Early Childhood Obesity Prevention: A Nationwide Evaluation of State Implementation Strategies in Childcare.International journal of environmental research and public health · 2022Article
- Promising Findings that the Cultivating Healthy Intentional Mindful Educators' Program (CHIME) Strengthens Early Childhood Teachers' Emotional Resources: An Iterative Study.Early childhood education journal · 2022Article
- Family child care home providers' self-reported nutrition and physical activity practices, self-efficacy, barriers and knowledge: baseline findings from happy healthy homes.Public health nutrition · 2022Article
- Food Insecurity and Health-Related Concerns Among Elementary Schoolteachers During the COVID-19 Pandemic.Preventing chronic disease · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Little is known about the health of the 2.2 million early care and education (ECE) workers responsible for the care, well-being, and success of the approximately ten million children younger than age six enrolled in ECE, or the extent to which ECE environments and employers play a role in workers' health. The purpose of this analysis was to describe the health of an ECE worker sample by wage and by job and center characteristics and to begin to explore the relationships between these factors and workers' health. Our data indicate that ECE workers earn low wages and experience poor mental well-being and high rates of food insecurity. Lower-wage workers worked at centers with more children enrolled in subsidy programs and were more likely to work at centers that did not offer health insurance, paid sick leave, or parental or family leave. Policies and programs that raised workers' wages or mandated the provision of meals to both children and workers could better support teacher health and the quality of ECE for children. Our results suggest that the culture of health in ECE settings and equity-related outcomes could be improved by helping centers provide support and flexibility to teachers (for example, offsetting workers' benefit costs or reducing teacher-to-child ratios to reduce stress) who are managing their own health in the context of demanding work.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.