Drinking Water in California Child Care Sites Before and After 2011–2012 Beverage Policy

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Ritchie, Lorrene D. ; Yoshida, Sallie ; Sharma, Sushma ; Patel, Anisha ; Vitale, Elyse Homel ; Hecht, Ken
• Description:
  Introduction
  
  Drinking water is promoted to improve beverage nutrition and reduce the prevalence of obesity. The aims of this study were to identify how water was provided to young children in child care and to determine the extent to which water access changed after a federal and state child care beverage policy was instituted in 2011 and 2012 in California.
  
  Methods
  
  Two independent cross-sectional samples of licensed child care providers completed a self-administered survey in 2008 (n = 429) and 2012 (n = 435). Logistic regression was used to analyze data for differences between 2008 and 2012 survey responses, after adjustment for correlations among the measurements in each of 6 child care categories sampled.
  
  Results
  
  A significantly larger percentage of sites in 2012 than in 2008 always served water at the table with meals or snacks (47.0% vs 28.0%, P = .001). A significantly larger percentage of child care sites in 2012 than in 2008 made water easily and visibly available for children to self-serve both indoors (77.9% vs 69.0%, P = .02) and outside (78.0% vs 69.0%, P = .03). Sites that participated in the federal Child and Adult Care Food Program had greater access to water indoors and outside than sites not in the program. In 2012 most (76.1%) child care providers reported no barriers to serving water to children. Factors most frequently cited to facilitate serving water were information for families (39.0% of sites), beverage policy (37.0%), and lessons for children (37.9%).
  
  Conclusion
  
  Water provision in California child care improved significantly between samples of sites studied in 2008 and 2012, but room for improvement remains after policy implementation. Additional training for child care providers and parents should be considered.
  
  
• Subjects:
  Beverages Child, Preschool Child Day Care Centers Child Nutritional Physiological Phenomena Cross-Sectional Studies Diet Surveys Drinking Water Federal Government Food Assistance Guideline Adherence Health Status Disparities Humans Logistic Models Meals Nutrition Policy Program Evaluation Self Report State Government

  More +
• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.140548
• ISSN:
  1545-1151
• Pubmed ID:
  26043304
• Pubmed Central ID:
  PMC4456856
• Document Type:
  Journal Article
• Place as Subject:
  California
• Volume:
  12
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:d6a250e7da6b204c90815a7d2972617acce725dccea89f9f68a5a0641ebb35231616243d3cb406732b8dfa8600ae20039500badc03e91bc0b36e49b9b9495382
• Download URL:
  https://stacks.cdc.gov/view/cdc/31604/cdc_31604_DS1.pdf
• File Type:
  [PDF - 304.50 KB ]