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1.
Artigo em Inglês | MEDLINE | ID: mdl-35681977

RESUMO

Family child care homes (FCCHs) are a favored child care choice for parents of young children in the U.S. Most FCCH providers purchase and prepare foods for the children in their care. Although FCCH providers can receive monetary support from the Child and Adult Care Food Program (CACFP), a federal subsidy program, to purchase nutritious foods, little is known about FCCH providers' access to nutritious foods, especially among FCCH providers serving children from communities that have been historically disinvested and predominantly Black. This study aims to describe the food desert status of FCCHs in Baltimore City, Maryland, and examine the relationship between food desert status and the quality of foods and beverages purchased and provided to children. A proportionate stratified random sample of 91 FCCH providers by CACFP participation status consented. Geographic information system mapping (GIS) was used to determine the food desert status of each participating FCCH. Participants reported on their access to food and beverages through telephone-based surveys. Nearly three-quarters (66/91) of FCCHs were located in a food desert. FCCH providers working and living in a food desert had lower mean sum scores M (SD) for the quality of beverages provided than FCCH providers outside a food desert (2.53 ± 0.81 vs. 2.92 ± 0.70, p = 0.036, respectively). Although the significant difference in scores for beverages provided is small, FCCH providers working in food deserts may need support in providing healthy beverages to the children in their care. More research is needed to understand food purchases among FCCH providers working in neighborhoods situated in food deserts.


Assuntos
Cuidado da Criança , Creches , Adulto , Criança , Pré-Escolar , Família , Desertos Alimentares , Qualidade dos Alimentos , Humanos
2.
J Exp Child Psychol ; 221: 105432, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35653999

RESUMO

Alloparenting by and with genetically unrelated individuals is evolutionarily novel; thus, the Savanna-IQ Interaction Hypothesis predicts that more intelligent parents are more likely to resort to paid childcare by strangers. Analyses of individual data (National Child Development Study) in the United Kingdom (Study 1) and macrolevel data from the United States (Study 2) and economically developed Organization for Economic Cooperation and Development (OECD) nations (Study 3) confirmed the hypothesis. Net of education, earnings, sex, current marital status, and number of children, more intelligent British parents were more likely to resort to paid childcare at ages 33 and 42; net of female labor force participation rate, median household income, median cost of childcare, and mean education, U.S. states with higher average intelligence had higher proportions of children (ages 0-4) in paid childcare; and net of maternal employment, gross domestic product (GDP) per capita, cost of childcare, and female educational attainment, OECD nations with higher average intelligence had higher proportions of infants (ages 0-2) in paid childcare. The results were remarkably consistent; both across the 50 U.S. states and 45 economically developed OECD nations, a one IQ point increase in the average intelligence of the population was associated with a 1.8% increase in the proportion of children in paid childcare. Contrary to earlier findings, there was some suggestive evidence that the experience of paid daycare might harm the cognitive development of children. The studies point to the importance of evolutionary perspective in developmental psychology and child development.


Assuntos
Cuidado da Criança , Emprego , Adulto , Criança , Cuidado da Criança/psicologia , Pré-Escolar , Escolaridade , Feminino , Humanos , Renda , Lactente , Recém-Nascido , Fatores Socioeconômicos , Estados Unidos
3.
Genus ; 78(1): 21, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35730019

RESUMO

As a consequence of recent socio-demographic trends and labour market transformations the role of grandparental support has become pivotal in individuals' and households' life courses. In Southern European countries the availability of grandparents affects young couples' labour market participation and fertility decisions. In the present paper, it is asked if the potential availability of social support from the older family generation is associated with more or less inequality in the division of unpaid housework in couples with minor children, in Italy. Using data from the 2016 Family and Social Subjects survey it is shown that while there is not a clear relation between intergenerational face-to-face contacts and the symmetry of the division of household labour, adult children and older (grand)parents coresidence is associated with a more gender-equal sharing of housework within couples, arguably because co-residing grandparents take on the execution of a number of household tasks. The observed effect is comparable to that of hiring a paid housekeeper and higher than hiring a babysitter. Thus, despite one may think that three-generation households are characterized by a culture of traditional norms, our findings indicate that they have a more gender-equal division of housework.

4.
J Med Internet Res ; 24(6): e36826, 2022 06 10.
Artigo em Inglês | MEDLINE | ID: mdl-35687394

RESUMO

BACKGROUND: Outdoor play is critical to children's healthy development and well-being. Early learning and childcare centers (ELCCs) are important venues for increasing children's outdoor play opportunities, and early childhood educators' (ECE) perception of outdoor play can be a major barrier to outdoor play. The OutsidePlay-ECE risk-reframing intervention is a fully automated and open access web-based intervention to reframe ECEs' perceptions of the importance of outdoor play and risk in play and to promote a change in their practice in supporting it in ELCC settings. We grounded the intervention in social cognitive theory and behavior change techniques. OBJECTIVE: The aim of this study is to evaluate the effectiveness of the OutsidePlay-ECE web-based risk-reframing intervention. METHODS: We conducted a single-blind randomized controlled trial in Canada between December 2020 and June 2021 to test the OutsidePlay-ECE risk-reframing intervention for ECEs. We recruited participants using social media and mass emails through our partner and professional networks. We invited ECEs and administrators working in an ELCC, who can speak, read, and understand English. We randomized consented participants to the intervention or control condition. The participants allocated to the intervention condition received a link to the OutsidePlay-ECE intervention. Participants allocated to the control condition read the Position Statement on Active Outdoor Play, a 4-page document on research and recommendations for action in addressing barriers to outdoor play. The primary outcome was a change in tolerance of risk in play. The secondary outcome was goal attainment. We collected data on the web via REDCap (Vanderbilt University) at baseline and 1 week and 3 months after intervention. RESULTS: A total of 563 participants completed the baseline survey, which assessed their demographics and tolerance of risk in play. They were then randomized: 281 (49.9%) to the intervention and 282 (50.1%) to the control condition. Of these, 136 (48.4%) and 220 (78%) participants completed the baseline requirements for the intervention and control conditions, respectively. At 1 week after intervention, 126 (44.8%) and 209 (74.1%) participants completed follow-up assessments, respectively, and at 3 months after intervention, 119 (42.3%) and 195 (69.1%) participants completed the assessments, respectively. Compared with participants in the control condition, participants in the intervention group had significantly higher tolerance of risk in play at 1 week (ß=.320; P=.001) and 3 months after intervention (ß=.251; P=.009). Intention-to-treat analyses replicated these findings (ß=.335; P<.001 and ß=.271; P=.004, respectively). No significant intervention effect was found for goal attainment outcomes (odds ratio 1.124, 95% CI 0.335-3.774; P=.85). CONCLUSIONS: The results of this randomized controlled trial demonstrated that the OutsidePlay-ECE intervention was effective and had a sustained effect in increasing ECEs' and administrators' tolerance of risk in play. It was not effective in increasing goal attainment. TRIAL REGISTRATION: ClinicalTrials.gov NCT04624932; https://clinicaltrials.gov/ct2/show/NCT04624932. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/31041.


Assuntos
Intervenção Baseada em Internet , Atitude , Criança , Creches , Pré-Escolar , Humanos , Método Simples-Cego , Inquéritos e Questionários
5.
Vaccine ; 40(31): 4098-4104, 2022 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-35660329

RESUMO

BACKGROUND: The relationship between the use of nonpharmaceutical interventions and COVID-19 vaccination among U.S. child care providers remains unknown. If unvaccinated child care providers are also less likely to employ nonpharmaceutical interventions, then a vaccine mandate across child care programs may have larger health and safety benefits. METHODS: To assess and quantify the relationship between the use of nonpharmaceutical interventions and COVID-19 vaccination among U.S. child care providers, we conducted a prospective cohort study of child care providers (N = 20,013) from all 50 states, the District of Columbia, and Puerto Rico. Child care providers were asked to complete a self-administered email survey in May-June 2020 assessing the use of nonpharmaceutical interventions (predictors) and a follow-up survey in May-June 2021 assessing COVID-19 vaccination (outcome). Nonpharmaceutical interventions were dichotomized as personal mitigation measures (e.g., masking, social distancing, handwashing) and classroom mitigation measures (e.g., temperature checks of staff/children, symptom screening for staff/children, cohorting). RESULTS: For each unendorsed personal mitigation measure during 2020, the likelihood of vaccination in 2021 decreased by 7% (Risk Ratio = 0.93 [95% CI 0.93 - 0.95]). No significant association was found between classroom mitigation measures and child care provider vaccination (Risk Ratio = 1.01 [95% CI 1.00-1.01]). CONCLUSIONS: Child care providers who used fewer personal mitigation measures were also less likely to get vaccinated for COVID-19 as an alternative form of protection. The combined nonadherence to multiple types of preventative health behaviors, that is, both nonpharmaceutical interventions and vaccination, among some child care providers may support a role for mandatory vaccination to achieve pandemic control.


Assuntos
COVID-19 , COVID-19/prevenção & controle , Vacinas contra COVID-19 , Criança , Cuidado da Criança , Humanos , Estudos Prospectivos , Vacinação
6.
Arch. argent. pediatr ; 120(3): 187-194, junio 2022. tab
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-1368229

RESUMO

Introducción. En los últimos años, creció la evidencia sobre la efectividad de la inclusión de los padres o las parejas en las intervenciones que promueven la lactancia para mejorar las tasas de iniciación, duración y exclusividad. Objetivos. Identificar perspectivas y valoraciones sobre la lactancia en las parejas de las personas que amamantan, y generar información que permita la creación de intervenciones apropiadas que favorezcan la incorporación de los padres en los espacios de cuidado y en el sostén de la lactancia. Materiales y métodos. Estudio cualitativo, con diseño de teoría fundamentada. Se realizaron 4 grupos de enfoque con padres. Los datos fueron procesados definiendo unidades de análisis por flujo libre, codificadas en dos planos, una codificación abierta, en categorías que emergieron y la agrupación de las categorías en cinco temas principales. Resultados. Participaron 16 padres. Se identificaron 5 temas principales: conocimiento de los padres sobre la lactancia, sentimientos frente a la lactancia, participación de la pareja en la lactancia, construcción de la idea de paternidad, lactancia en la sociedad. La lactancia recibió una valoración positiva. Si bien se consensuó una responsabilidad familiar compartida en su sostén, no se identificaron acciones suficientes de coparticipación. Los participantes manifestaron el deseo de ejercer una paternidad más comprometida, sin embargo, relataron que los entornos laborales no acompañan estas transformaciones. Conclusión. Se evidenciaron valoraciones positivas hacia la lactancia, conocimientos adecuados y preocupación por las dificultades. Se asumió una responsabilidad compartida en su sostén, pero faltaron en los relatos la mención de acciones concretas de coparticipación.


Introduction. The evidence about the effectiveness of fathers' or partners' involvement in breastfeeding interventions to promote initiation, duration, and exclusiveness rates has increased in recent years. Objectives. To identify the perspectives and assessments of breastfeeding among partners of breastfeeding women and develop information to create adequate interventions that favor the inclusion of fathers in care spaces and in the support of breastfeeding. Materials and methods. Qualitative study with a grounded theory design. Four focus groups were held with fathers. Data were processed defining free flow analysis units, coded in 2 levels, an open code, with emerging categories, and such categories grouped into 5 main topics. Results. A total of 16 fathers participated. Five main topics were identified: fathers' knowledge about breastfeeding, feelings towards breastfeeding, partner's involvement in breastfeeding, development of the concept of fatherhood, breastfeeding in society. Breastfeeding was positively assessed. Although breastfeeding support was considered a shared family responsibility, there were not enough co-participation actions identified. Participants expressed their desire to play a more involved fatherhood role; however, they stated that these transformations are not supported at workplaces. Conclusion. The evidence showed a positive assessment of breastfeeding, adequate knowledge, and concern about difficulties. Breastfeeding support was considered a shared responsibility, but not enough specific co-participation actions were mentioned.


Assuntos
Humanos , Masculino , Feminino , Adulto , Aleitamento Materno , Pai , Gravidez , Pesquisa Qualitativa , Ingestão de Alimentos , Emoções
7.
Arch Argent Pediatr ; 120(3): 187-194, 2022 06.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-35533121

RESUMO

INTRODUCTION: Introduction. The evidence about the effectiveness of fathers' or partners' involvement in breastfeeding interventions to promote initiation, duration, and exclusiveness rates has increased in recent years. OBJECTIVES: To identify the perspectives and assessments of breastfeeding among partners of breastfeeding women and develop information to create adequate interventions that favor the inclusion of fathers in care spaces and in the support of breastfeeding. MATERIAL AND METHODS: Qualitative study with a grounded theory design. Four focus groups were held with fathers. Data were processed defining free flow analysis units, coded in 2 levels, an open code, with emerging categories, and such categories grouped into 5 main topics. RESULTS: A total of 16 fathers participated. Five main topics were identified: fathers' knowledge about breastfeeding, feelings towards breastfeeding, partner's involvement in breastfeeding, development of the concept of fatherhood, breastfeeding in society. Breastfeeding was positively assessed. Although breastfeeding support was considered a shared family responsibility, there were not enough co-participation actions identified. Participants expressed their desire to play a more involved fatherhood role; however, they stated that these transformations are not supported at workplaces. CONCLUSIONS: The evidence showed a positive assessment of breastfeeding, adequate knowledge, and concern about difficulties. Breastfeeding support was considered a shared responsibility, but not enough specific coparticipation actions were mentioned.


Introducción. En los últimos años, creció la evidencia sobre la efectividad de la inclusión de los padres o las parejas en las intervenciones que promueven la lactancia para mejorar las tasas de iniciación, duración y exclusividad. Objetivos. Identificar perspectivas y valoraciones sobre la lactancia en las parejas de las personas que amamantan, y generar información que permita la creación de intervenciones apropiadas que favorezcan la incorporación de los padres en los espacios de cuidado y en el sostén de la lactancia. Materiales y métodos. Estudio cualitativo, con diseño de teoría fundamentada. Se realizaron 4 grupos de enfoque con padres. Los datos fueron procesados definiendo unidades de análisis por flujo libre, codificadas en dos planos, una codificación abierta, en categorías que emergieron y la agrupación de las categorías en cinco temas principales. Resultados. Participaron 16 padres. Se identificaron 5 temas principales: conocimiento de los padres sobre la lactancia, sentimientos frente a la lactancia, participación de la pareja en la lactancia, construcción de la idea de paternidad, lactancia en la sociedad. La lactancia recibió una valoración positiva. Si bien se consensuó una responsabilidad familiar compartida en su sostén, no se identificaron acciones suficientes de coparticipación. Los participantes manifestaron el deseo de ejercer una paternidad más comprometida, sin embargo, relataron que los entornos laborales no acompañan estas transformaciones. Conclusión. Se evidenciaron valoraciones positivas hacia la lactancia, conocimientos adecuados y preocupación por las dificultades. Se asumió una responsabilidad compartida en su sostén, pero faltaron en los relatos la mención de acciones concretas de coparticipación.


Assuntos
Aleitamento Materno , Pai , Ingestão de Alimentos , Emoções , Feminino , Humanos , Masculino , Gravidez , Pesquisa Qualitativa
8.
Ecol Food Nutr ; : 1-17, 2022 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-35575781

RESUMO

Most young children in the United States attend early care and education (ECE) programs, in which they eat 3-4 times daily. 'Division of responsibility' between adult and child means the adults are responsible for what, when and where, and the child is responsible for whether, what and how much to eat. A balanced division of responsibility can support children's development of healthy eating competency. This paper aims to describe division of responsibility during mealtimes during COVID-19 in Florida using a cross-sectional, mixed methods design. Questions were developed based on Trust Model and Social Cognitive Theory. A survey was completed by 759 ECE directors and 431 teachers, and 29 teachers completed in-depth interviews. COVID-19 increased teacher mealtime responsibilities. Most (95%+) ECE teachers provided meals at the same time and place daily (when and where). Children determined what and how much they ate, but did not serve or handle food. Implications include modifying mealtime routines to minimize the risk of COVID-19 and support healthy eating with a balanced division of responsibility.

9.
J Nutr Educ Behav ; 2022 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-35491380

RESUMO

OBJECTIVE: Assess Child and Adult Care Food Program (CACFP) program compliance with meal component requirements for children aged 3-5 years by program type, and describe foods and beverages most commonly served. DESIGN: Cross-sectional analysis of 1-week menu surveys during winter/spring 2017. SETTING: US CACFP-participating child care programs. PARTICIPANTS: Nationally representative multistage cluster sample of 664 programs: 222 child care centers, 247 Head Start programs, 195 family child care homes. MAIN OUTCOME MEASURE(S): Percentage of meals including required components; frequently served foods and beverages. ANALYSIS: Mean percentages; 2-tailed t tests; alpha = 0.05 significance level. RESULTS: Most breakfasts (97%), lunches (88%), and afternoon snacks (97%) included all required CACFP meal components. Most breakfasts included fruits (96%), but not vegetables; 16% included a meat/meat alternate. Most lunches (81%) included both fruits and vegetables. Afternoon snacks were mostly grains/breads (80%) and fruits (57%). Most frequently served foods included 1% unflavored milk and fresh fruits such as apples and bananas. Most menus limited juice, offered low-sugar cereal, and did not include flavored milk; very few menus included noncreditable foods with added sugar. CONCLUSIONS AND IMPLICATIONS: Most CACFP meals provided required components, but there is room for improvement, particularly for increasing vegetables served and limiting foods high in added sugar and fat.

10.
Front Pediatr ; 10: 873482, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35515354

RESUMO

Objectives: The COVID-19 virus is highly contagious primarily via aerosol transmission and has a high mortality rate. On March 13, 2020, the United States declared a national emergency in response to the COVID-19 pandemic. This study aims to enumerate the effect of the pandemic on vaccination rates during the COVID-19 lockdown and the aftermath in pediatric patients aged 6weeks-6 years. Study Design: A retrospective review of medical records was performed of missed well childcare visits at MetroHealth from March 1, 2020 to June 30, 2020. The sample size of 400 children aged 6 weeks to 6 years were randomly selected. Demographic data, number of calls made to attempt, scheduled WCC, no show rates for clinic appointments, number of missed WCC, location of MH facility, insurance type, vaccination status prior to the pandemic were collected. Statistical analysis was performed with SPSS software (IBM Corp. Released 2020. IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp). Results: From this descriptive study, we found that 43.5% of patients were not up to date on their childhood vaccination. The mean age was 24.38 months (SD 20.15). There were slightly more males (52.8%) in the study than females (47.3%) and most children were of African American descent. More than 50% of patients missed a scheduled well child appointment and 27% had a missed at least two consecutive appointments. Conclusion: The COVID-19 pandemic has no doubt made a significant mark on health care; the effects would be both immediate and delayed, with vulnerable population being the most impacted. There is an urgent need to prevent a large-scale health disaster of catastrophic potential that could occur if an effective vaccination strategy is not implemented rapidly.

11.
Soins Pediatr Pueric ; 43(325): 24-25, 2022.
Artigo em Francês | MEDLINE | ID: mdl-35550738

RESUMO

From the 1970s to today, the care of children in hospitals has progressed enormously. The rigidity that was once the norm has gradually become more open and flexible, thereby encouraging parents to be present with their child.


Assuntos
Hospitais , Pais , Criança , Família , Humanos
12.
Early Child Educ J ; : 1-12, 2022 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-35601755

RESUMO

This study explores Ohio Early Childhood and Care (ECEC) workers' perspectives about different prioritization for COVID-19 vaccine distribution between Ohio educators employed in ECEC and prek-12 settings. Days after Ohio's shutdown, ECEC programs began reopening for children of essential workers, and by June 2020 all ECEC programs could reopen with enhanced mitigation strategies, while the prek-12 workforce remained remote as they cautiously returned in-person ranging from 2 to 9 months later. Ohio was 1 of 4 states that, despite contrary Center for Disease Control guidance, excluded ECEC workers from the phase of vaccine distribution in which prek-12 workers were eligible. Data on ECEC employee perceptions of this difference were collected via anonymous online questionnaire from 194 ECEC workers. Qualitative analysis revealed six themes: 1. Participants compared themselves to prek-12, 2. believe they are valuable, 3. disagreed with the decision, 4. felt undervalued compared to prek-12, 5. felt exploited, and 6. suffered mental health effects. ECEC workers' perspectives are valuable and should be included in decisions impacting them.

13.
Cureus ; 14(4): e24404, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35619839

RESUMO

This explorative qualitative study assesses the health-seeking behaviour for childhood ailments in caregivers of under-five children in a low-income neighbourhood in Delhi, India during July-September 2021. A total of 17 caregivers (mothers) of eight male and nine female under-five children were enrolled, with the mother being the caregiver in most (94%) cases. Caregivers consulted on common childhood ailments from multiple sources, including family, neighbours, healthcare providers (both licensed and unlicensed), frontline workers, and local pharmacists. The internet was often used as a source of child health information due to its ease of access but often "confused" caregivers due to the presence of too much information. Health-seeking behaviour of caregivers for childhood ailments could range from self-medication, local pharmacist dispensing, and private and public healthcare providers. Factors that influenced preference for the healthcare facility or provider were accessibility issues (waiting time, queuing), perceived physician competence, and associated out-of-pocket expenses. Caregivers reported dissatisfaction with government health facilities because of shorter operational hours, overcrowding, suboptimal sanitation, queuing with limited seating arrangements, and occasionally discourteous health staff. Self-medication and over-the-counter use of antibiotics was high due to a lack of awareness of the challenges of antibiotic resistance or any perceived side effects. Preference for unlicensed practitioners for medical treatment was low and based on long-term familial beliefs and acceptance. However, traditional practitioners enjoyed a high level of trust in the community from shared cultural values, enjoining attenuation of the perceived non-biological agents of childhood illnesses through non-medical supernatural interventions.

14.
Ecol Food Nutr ; : 1-19, 2022 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-35579381

RESUMO

The quality of food that children eat in early childhood has profound impacts on their future wellbeing. In England, many children eat the majority of meals in early years' settings including nurseries and childminders. We conducted 16 interviews with 18 stakeholders exploring food provision, the use of voluntary nutrition guidelines, and the effects of government support on the early years' sector. Key themes emerging from our thematic analysis included feeling insufficiently consulted, undervalued, support being unequally distributed, needing to fill multiple support roles for families, disagreement about the role and effect of voluntary nutrition standards, and being chronically underfunded.

15.
Arch. argent. pediatr ; 120(2): 122-: I-128, I, abril 2022. tab
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-1363805

RESUMO

El cuidado infantil de buena calidad atenúa los efectos de la adversidad social. La prevención en salud es parte de él. Se presenta un programa innovador de formación de referentes de salud en centros de cuidado infantil que atienden a poblaciones vulnerables en Buenos Aires, Argentina. Este consistió en una capacitación para personal de centros de cuidado infantil, seguido de la implementación, durante 4 meses, de un plan de mejoras elaborado por cada participante para su centro, con apoyo de consultoría permanente. Veintiséis participantes de 19centroscompletaron el programa. Se alcanzaron 35 de 49 objetivos planteados en los planes, incluida la certificación en reanimación cardiopulmonar, la capacitación del personal y las familias, el desarrollo de políticas del centro y la mejora de la gestión de recursos. Es posible mejorar los cuidados preventivos en los centros de cuidado infantil mediante una intervención sencilla y de bajo costo, incluso en condiciones desfavorables.


An adequate child care helps to mitigate the effects of social adversity. Health prevention is a part of it. This is an innovative training program for health referents in child care centers that cater to vulnerable populations in Buenos Aires, Argentina. It consisted in training child care center staff, followed by the implementation, over 4 months, of an improvement plan developed by each participant in their center, with ongoing advisory support. In total, 26 participants from 19 centers completed the program. In total, 35 out of 49 goals proposed in the plans were achieved, including the certification in cardiopulmonary resuscitation, staff and family training, development of center policies, and improved resource management. Preventive care offered in child care centers may be improved via a simple and inexpensive intervention, including in unfavorable conditions


Assuntos
Humanos , Cuidado da Criança , Creches , Argentina , Ingestão de Alimentos
16.
Can J Public Health ; 2022 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-35482281

RESUMO

SETTING: From April 2020, in sight of child care reopening, the Direction régionale de santé publique de Montréal (DRSPM) conducted a situational analysis with its child care (CC) partners in order to learn about the challenges they envisioned in their role in preventing and managing COVID-19. The CC partners requested access to preferred public health support. INTERVENTION: The DRSPM established a service consisting of three components: (1) telephone support available 6 to 7 days/week for CC managers facing a COVID-19 situation; (2) a regional committee combining four Montreal representatives of CC associations and one from the Ministère de la Famille; (3) prevention brigades formed by front-line health workers from the Centres intégrés universitaires de santé et de services sociaux (CIUSSS). OUTCOMES: This health promotion intervention (1) enabled CC services to handle the pandemic with better capability and confidence through facilitating access to accurate and positive information; (2) supported the commitment and collaboration of CC services by acting as a mediator between them and decision-makers; and (3) responded to the psychosocial needs of community members. IMPLICATIONS: This service helped to adjust public policy and promote community resilience by raising awareness of the importance of balancing COVID-19 prevention and the collateral impacts of the pandemic.


RéSUMé: LIEU: Dès avril 2020, la Direction régionale de santé publique de Montréal (DRSPM) a réalisé un état de situation avec ses partenaires du réseau des services de garde (SDG) pour prendre connaissance des défis envisagés dans leur rôle de prévention et de gestion de la COVID-19 lors de la réouverture des SDG. Les SDG ont demandé d'avoir accès à un soutien privilégié de la santé publique. INTERVENTION: La DRSPM a mis en place un service reposant sur trois pôles : 1) un soutien téléphonique disponible 6 à 7 jours/semaine aux gestionnaires des SDG devant gérer une situation de COVID-19; 2) un comité régional composé de quatre représentants montréalais des associations de SDG ainsi que du ministère de la Famille; 3) des brigades de prévention composées d'intervenants de première ligne des Centres intégrés universitaires de santé et de services sociaux (CIUSSS). RéSULTATS: L'intervention de santé publique qui a été mise en place a permis de : 1) conférer les moyens aux SDG afin d'accroître leur capacité et leur confiance dans la gestion de la pandémie en facilitant l'accès à une information juste et positive; 2) soutenir l'engagement et la collaboration des SDG en agissant comme médiateur à leur égard; et 3) répondre aux besoins psychosociaux des membres de la communauté. CONSéQUENCES: Ce service a permis d'ajuster les politiques publiques et de promouvoir la résilience communautaire en sensibilisant les acteurs concernés à l'importance de trouver un juste équilibre entre la protection de la population et les impacts collatéraux de la pandémie.

17.
Eval Program Plann ; 92: 102094, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35472521

RESUMO

Government supported child care assistance (CCA) programs support low-income families by subsidizing costs of child care for working parents. In the United States, federal policy outlines several goals designed to guide the development and implementation of state CCA programs, however the intended outcomes are difficult to quantify. Without the collection and analysis of data related to the families and providers involved in the program, states are not able to effectively evaluate their success. This leaves program administrators and community advocates without valuable information needed for decision-making. Administrative data collected by the state CCA programs as part of their implementation offers a low-cost and effective approach to assessing program performance and execution, but there is currently no guidance for distilling the large quantities of information existing in these complex records. In this article, we present a novel evaluation framework for using administrative data to evaluate CCA program success guided by both policy and literature. We illustrate the benefit of our approach using the state of Iowa's CCA data system and offer recommendations for decision-makers seeking to use a data-driven approach to program evaluation.


Assuntos
Cuidado da Criança , Criança , Humanos , Avaliação de Programas e Projetos de Saúde , Estados Unidos
18.
Health Econ ; 2022 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-35484690

RESUMO

In this study, we find that children in Vietnam who were born in December of a given year have better health outcomes than those born in January of the following year. Children born in December are taller, heavier, and less likely to be underweight and suffer from stunted growth than those born in January of the following year, though these two groups of children differ in age by only 1 month. We argue that the effect of being born in December compared to January on children's health is translated through early preschool attendance. In Vietnam, children born in December are more likely to start preschool as well as primary school 1 year earlier than those born in January of the following year. Thus, the health benefit for a child born in December would come from earlier and longer exposure to preschool. Importantly, we find that the positive effect of preschool persists over time as children grow. A possible major reason why preschool attendance improves health is the nutrition provided for children in preschools.

19.
Artigo em Inglês | MEDLINE | ID: mdl-35409980

RESUMO

Little is known about the cleaning products used by early care and education programs that contribute to childhood asthma, particularly in Oklahoma where rates of uncontrolled asthma are higher than national rates (60.0% vs. 50.3%, respectively). We conducted a cross-sectional study of cleaning products used by Oklahoma-licensed family child care homes (FCCHs) (n = 50) to characterize and identify potential respiratory-health risks associated with chemical contents. Overall, 386 chemicals were abstracted from the 132 reported products. Of these, 100 unique chemicals were identified. Four percent (4.2%) of providers used a product with a sensitizer that may cause allergy or asthma symptoms if inhaled and 35.4% used a product with an irritant that may cause irritation to the respiratory tract. Most (62.5%) reported using a product with a chemical that had a C=C double bond in its molecular structure that may make it highly reactive with other substances in the air and produce secondary air pollutants and 83.3% reported using a sodium hypochlorite containing product. Twenty-three percent reported products that contain carcinogens. Policy, educational, and technical assistance interventions are needed to promote the use of safer products and reduce respiratory and other health risks posed by chemicals in Oklahoma FCCHs.


Assuntos
Asma , Cuidado da Criança , Asma/induzido quimicamente , Asma/epidemiologia , Criança , Saúde da Criança , Estudos Transversais , Humanos , Oklahoma/epidemiologia , Sistema Respiratório
20.
Sleep Sci ; 15(Spec 1): 128-134, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35273758

RESUMO

Objective: The purpose of this study was to compare the duration of sleep and nap patterns between children in private kindergartens and those in a tabika-transit facility, in Malaysia. Methods: The sleep duration of children aged 3-6, who attended either a kindergarten or a childcare transit facility (tabika-transit in Malay) was investigated. Observational sleeping records were maintained for 24 hours, over 14 consecutive days. A self-administered questionnaire for caregivers investigated the children's lifestyles. Naps were optional at kindergartens but mandatory at the tabika-transit. Results: Of 35 participating children, data from 33 were analyzed. All respondents belonged to the Malay ethnicity, with 16 boys (48.5%) and 17 girls (51.5%). The average age of the children was 5.4 years; 11 of them were from kindergartens and 22 from a tabika-transit. The children slept longer and woke up later on weekends than on weekdays. There was a significant difference in the naptaking rate between the two groups; it was 100% in the tabika-transit, and 30% in the kindergartens during weekdays. However, on weekends, 19 of 22 tabika- transit children did not nap on any of the days (86.4%). The kindergarten group's naps showed no outstanding differences between weekdays and weekends. Concerning the bedtime and wake-up times, no differences were found between the two groups. Discussion: During weekdays, all children in the tabika-transit took naps, whereas one-third of them did in the kindergartens. Larger study is needed to assess how this mandatory napping style affects children's lifestyle and development.

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