Chronic Disease Risk of Family Child Care Professionals:: Results of a Statewide Survey of Health and Wellbeing Indicators.

Objective: To document the chronic disease risk factors and prevalence rate of family child care professionals. Given that a significant number of young children spend time in family child care (FCC) settings, these environments are an important focus for efforts to improve children's health. Methods: Data were collected in fall 2021 from a statewide survey of licensed FCC professionals in one mid-Atlantic state (N=541), using validated questionnaires to assess health status, including chronic diseases like high blood pressure, diabetes, and asthma, as well as nutrition and physical activity. Results: While a majority of respondents reported good overall health and adherence to healthy behaviors like drinking water, eating fruits and vegetables, and engaging in physical activity, a substantial proportion were overweight or have obesity (86.1%), and there were notable rates of high blood pressure (41.1%) and asthma (17.9%). The study found higher diabetes rates among FCC professionals compared to national averages for early childhood education workers, possibly reflecting demographic differences. Conclusions: The results highlight both areas needing support, such as managing chronic disease risks, and areas where FCC professionals excel, like maintaining healthy lifestyle habits. Policy Implications: There is a need for targeted support for FCC professionals to manage and prevent chronic diseases, thereby ensuring their wellbeing and enabling them to continue being positive health role models for the children in their care.