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Historically, the child care industry has been unprepared for emergencies. A previous study identified gaps in Michigan’s child care programs’ emergency plans. Study objectives were to reassess programs’ preparedness plans after introduction of state-mandated emergency plans and to examine the effect of the coronavirus disease 2019 (COVID-19) pandemic on programs’ operations.
Methods:
A 29-question survey was sent to ∼500 child care programs across Michigan in 2020 to assess emergency plans and response to COVID-19. Data were analyzed using descriptive statistics and qualitative methods.
Results:
A total of 346 programs (70%) responded. Most (92%) reported having a written plan, but one-third reported having no infectious outbreak plan pre-pandemic. One-third of programs lacked plans for special needs children (vs 40% in 2014); 62% lacked plans for child reunification (vs 60% in 2014); 46% reported staff received no preparedness training. COVID-19 impacted programs substantially: 59% closed, 20% decreased capacity, 27% changed disinfecting protocols. Several themes related to the pandemic’s effect on programs were identified: (1) changes in learning, (2) changes in socialization, (3) increased family burden, (4) financial challenges, (5) lack of guidance.
Conclusions:
Significant preparedness gaps remain among Michigan’s child care programs, suggesting the need for increased support and addition of emergency preparedness to programs’ quality ratings.
Vitamin E is an important nutrient from the earliest stages of life. It plays key roles as an antioxidant and in the maintenance of the immune system, among others. Vitamin E deficiency (VED), which occurs more frequently in children, is rarely addressed in the literature. This narrative review aims to summarise the chemistry, biology, serum indicators and clinical trials that have evaluated the impact of fortification and other relevant aspects of vitamin E, in addition to the prevalence of its deficiency, in children worldwide. Vitamin E intake in recommended amounts is essential for this nutrient to perform its functions in the body. Serum α-tocopherol is the most widely used biochemical indicator to assess the prevalence of VED. VED has been associated with symptoms secondary to fat malabsorption and may lead to peripheral neuropathy and increased erythrocyte haemolysis. Reduced concentrations of α-tocopherol may be caused by the combination of diets with low amounts of vitamin E and inadequate consumption of fats, proteins and calories. The lowest prevalence of VED was found in Asia and the highest in North America and Brazil. High proportions of VED provide evidence that this nutritional deficiency is a public health problem in children and still little addressed in the international scientific literature. The planning, evaluation and implementation of health policies aimed at combatting VED in the paediatric population are extremely important.
Do gender quotas lead political parties to become more inclusive of women’s preferences? Chapter 4 explores the relationship between quotas and party priorities using manifesto data and qualitative case studies. I focus on the link between quotas and party priorities on three areas : equality, welfare state expansion, and work-family policies. Using matching and regression methods with a panel dataset of parties in OECD democracies, I find that parties in countries that implement a quota law devote more attention to equality than similar parties in countries without a quota. In line with expectations, no change is found to party priorities on welfare state expansion. Using a new dataset of party attention to various work-family policies in four country cases (Belgium, Austria, Portugal, and Italy), I find that quotas are linked to an increase in attention to policies that promote maternal employment (child care, equality-promoting leave) and a reduction in attention to policies that do not (cash transfers that encourage women to stay at home). My qualitative analysis suggests that in countries that have implemented a quota law, parties across the political spectrum jointly promote parental leave and encourage fathers to participate. This is not the case in countries without a quota.
Americans are regularly presented with examples of the horrific consequences of US childcare, when children are harmed, sometimes fatally, in unsafe settings. These episodes draw attention to instances of malpractice, neglect, and even violence in US childcare centers. What tends not to rise to the level of public attention is the quotidian reality of early childhood education and care in the United States: that the quality of too many programs is at best mediocre (Barnett and Frede 2017, 153–4). This is the case despite the high cost of these services to parents, creating challenges for many to afford decent care but especially burdening low- and moderate-income families. The consequences of this expensive, variable-quality system reverberate across US society, depressing women’s workforce participation, undermining the potential gains for children of early education, and reproducing class, racial, and gender inequalities.
Edward Zigler pioneered and insisted upon the integration of science, practice, and policy development to support vulnerable children and families, reduce poverty, and improve US wellbeing, writ large. His far-reaching scholarship in turn critically shaped developmental science and US policy in multiple areas. This review reflects upon Zigler's influence on US child care, Head Start, Early Head Start, and prekindergarten programs. It describes the integration of one major area of developmental science, the field of attachment theory, research, and intervention, with US child care and early childhood education programs and policy. The integration of attachment into these systems not only epitomizes Zigler's overarching canon but also has improved services and advanced attachment theory and research. Throughout the review, I suggest next steps for leveraging attachment theory, research, and intervention to improve US child care and early childhood education systems in ways that both reflect and carry forward the legacy of Edward Zigler.
Parental practices can affect children’s weight and BMI and may even be related to a high prevalence of obesity. Therefore, the aim of this study was to evaluate the relationship between parents’ practices related to feeding their children and excess weight in preschoolers in Bucaramanga, Colombia, using artificial intelligence. A cross-sectional study was carried out between September and December 2017. The sample included preschoolers who attended child development institutions belonging to the Colombian Institute for Family Wellbeing in Bucaramanga and the metropolitan area (n 384). The outcome variable was excess weight and the main independent variable was parental feeding practices. Confounding variables analysed included sociodemographic characteristics, food consumption, and children’s physical activity. All equipment for the anthropometric measurements was calibrated. Logistic regression was used to predict the effect of parental practices on the excess weight of the children, and the AUC was used to measure performance. The parental practices with the greatest association with excess weight in the children involved using food to control their behaviour and restricting the amount of food they offered (use of food to control emotions (OR 1·77; 95 % CI 1·45, 1·83; P = 0·034) and encouraging children to eat less (OR 1·22; 95 % CI 1·14, 1·89; P = 0·045)). Childrearing practices related to feeding were found to be an important predictor of excess weight in children. The results of this study represent implications for public health considering this as a baseline for the design of nutrition education interventions focused on parents of preschoolers.
Research has long observed the absence of gender in child care policy, media, and elections. However, the COVID-19 pandemic has invoked critical questions about child care and its importance to states’ economic recoveries around the world. In this research note, we analyze news coverage of child care in major Canadian daily newspapers to explore whether and how news narratives regarding child care are shifting in light of the COVID-19 pandemic. In particular, are we seeing a focus on women and gender in child care coverage amid the compounding pressures that women face in the current social and economic climate? The results of our analysis suggest that the pandemic has not shifted the conversation on child care and that current coverage principally reflects long-standing trends in child care framing. We find that gender remains systematically written out of coverage of child care, occluded by a larger focus on health-, economic-, and accessibility-related concerns about child care services.
Households in Canada and Australia have exhibited similar trends in the gendered allocation of additional child care responsibilities resulting from policy responses to the COVID-19 pandemic. In this article, we employ survey data to analyze the extent to which policy interventions related to COVID-19 have exacerbated gender disparities in child care obligations. We find that existing asymmetrical distributions of child care obligations in Canada and Australia have been amplified during the pandemic, resulting in a disproportionate burden on women. During the pandemic we also find that, in households with children, women tend to report experiencing poorer mental health than men.
To estimate the impact of recent changes to the Child and Adult Care Food Program (CACFP) meal pattern on young children’s diets in family child care homes (FCCHs) serving racially/ethnically diverse children.
Design:
In a natural experimental study of thirteen CACFP-participating FCCHs, we used digital photographs taken of children’s plates before and after meals matched with menus to measure children’s dietary intake both prior to implementation of the new meal patterns (summer/fall of 2017) and again 1 year later (summer/fall of 2018). Generalised estimating equations tested for change in intake of fruits, vegetables, whole grains, 100 % juice, grain-based desserts, meat/meat alternates and milk, adjusting for clustering of observations within providers.
Setting:
FCCHs in Boston, MA, USA.
Participants:
Three- to 5-year-old children attending FCCHs.
Results:
We observed 107 meals consumed by twenty-eight children at the thirteen FCCHs across an average of 2·5 (sd 1·3) d before the CACFP policy change, and 239 meals consumed by thirty-nine children across 3·8 d (sd 1·4) 1 year later. During lunch, fruit intake increased by about a third of a serving (+0·38 serving, 95 % CI 0·04, 0·73, P = 0·03), and whole grain intake increased by a half serving (+0·50 serving, 95 % CI 0·19, 0·82, P = 0·002). No changes were seen in other meal components.
Conclusion:
Young children’s dietary intake in CACFP-participating FCCHs improved following the CACFP meal pattern change, particularly for fruits and whole grains, which were targets of the new policy. Additional research should examine impacts of the changes in other child care settings, age groups and locales.
In recent years there has been increasing policy focus on keeping mature-age people engaged in the labour market. At the same time, grandparents play an important role as regular child-care providers for many families. Yet, little research has explored how grandparents negotiate these dual, often competing demands of paid employment and intergenerational care. Drawing on focus groups with 23 grandparents and an online survey of 209 grandparents providing regular child care for their grandchildren in Australia, this paper addresses this gap in the literature by examining how Australian grandparents experience and negotiate competing responsibilities as older workers and intergenerational care providers. The paper draws on the concept of gendered moral rationalities to examine the way in which grandparents’ decisions about participation in paid work are deeply embedded in idealised forms of parenting and grandparenting that are highly gendered. The paper suggests that, as the rate of both maternal and mature-age participation in the paid labour market continues to rise, inadequate attention is being paid to how time spent undertaking unpaid care is compressed, reorganised and redistributed across genders and generations as a result.
Antipoverty efforts must begin early because abundant evidence demonstrates that experiences during the first five years of life lay a foundation for future learning and the acquisition of skills. Public investments can help foster early childhood development, but these efforts must begin early and must involve both parents and children. This chapter describes the patterns of convergence and divergence in state approaches to supporting early childhood development. For the prenatal period until age three, the federal government is the primary source of funds, and there is fairly limited variation in how this money is spent across the states. For the period from age three until entrance to kindergarten, the federal government and states largely share the cost of supporting early childhood development, leading to significant differences among the states, particularly in access to preschool for three- and four-year-olds. This chapter explores these funding differences, emphasizing the political economy of state choices and noting that, perhaps surprisingly, some conservative-leaning states, not known for generous social welfare spending, are making a substantial effort to invest in early childhood education, especially for four-year-olds. The chapter closes with insights for both advocates and scholars.
Following retirement, older immigrants increasingly tend to engage in circular migration. This back-and-forth movement introduces a variety of challenges affecting the nature of grandparenthood as well as grandparental involvement in the upbringing of grandchildren. For circular migrant grandparents, maintaining intergenerational relationships requires them to overcome not only geographic distances, but also linguistic and cultural differences. In families with circular migrant grandparents, intergenerational conflict often springs from disparate generational exposure to acculturation processes, producing divergent aspirations within the first and second generations regarding the upbringing of the third generation. This study explores how first-generation Turkish circular migrant grandparents attempt to raise grandchildren who reside in Germany by implementing ‘cultural and instrumental transfers’. This study undertakes a qualitative approach: semi-structured interviews with a purposive sample of first-generation Turkish circular migrant grandparents (N = 40). The analysis finds that child-care assistance is characterised by intergenerational conflict – rather than solidarity or altruistic support – between the first and second generations. Moreover, through transnational arranged marriages, as a cultural transfer, and inter vivos gifts, as an instrumental transfer, grandparents encourage their grandchildren to return to Turkey permanently.
To evaluate whether a multipronged pilot intervention promoting healthier beverage consumption improved at-home beverage consumption and weight status among young children.
Design:
In this exploratory pilot study, we randomly assigned four childcare centres to a control (delayed-intervention) condition or a 12-week intervention that promoted consumption of healthier beverages (water, unsweetened low- or non-fat milk) and discouraged consumption of less-healthy beverages (juice, sugar-sweetened beverages, high-fat or sweetened milk). The multipronged intervention was delivered via childcare centres; simultaneously targeted children, parents and childcare staff; and included environmental changes, policies and education. Outcomes were measured at baseline and immediately post-intervention and included children’s (n 154) at-home beverage consumption (assessed via parental report) and overweight/obese status (assessed via objectively measured height and weight). We estimated intervention impact using difference-in-differences models controlling for children’s demographics and classroom.
Setting:
Two northern California cities, USA, 2013–2014.
Participants:
Children aged 2–5 years and their parents.
Results:
Relative to control group children, intervention group children reduced their consumption of less-healthy beverages from baseline to follow-up by 5·9 ounces/d (95 % CI −11·2, −0·6) (–174·5 ml/d; 95 % CI –331·2, –17·7) and increased their consumption of healthier beverages by 3·5 ounces/d (95 % CI −2·6, 9·5) (103·5 ml/d; 95 % CI –76·9, 280·9). Children’s likelihood of being overweight decreased by 3 percentage points (pp) in the intervention group and increased by 3 pp in the control group (difference-in-differences: −6 pp; 95 % CI −15, 3).
Conclusions:
Our exploratory pilot study suggests that interventions focused comprehensively on encouraging healthier beverage consumption could improve children’s beverage intake and weight. Findings should be confirmed in longer, larger studies.
Propositions about street-level bureaucracy run the risk of violating the scientific precept that a theoretical generalisation should be tested by replication in a variety of contexts. Many examples can be found of writings that simply indicate that street-level discretion is pervasive. This prompts the questions, ‘but how’, and under what conditions ‘may’ that happen? Comparison is needed to answer these questions, particularly cross-national ones. It will be argued that good cross-national comparative work must rest upon precise specification of the contexts to be compared and avoiding comparing tasks that seem similar, but in fact serve different functions in different contexts. To explore this one particular task – pre-school child care – is selected. The discussion of this specific example is examined as a model for similar comparative work.
Children are at increased risk for experiencing negative physical and mental health outcomes as a result of disasters. Millions of children spend their days in childcare centers or in residential family childcare settings. The purpose of this study was to describe childcare providers’ perceived levels of preparedness capabilities and to assess differences in levels of perceived preparedness between different types of childcare providers.
Methods
A national convenience sample of childcare center administrators and residential family childcare administrators completed a brief online survey about their preparedness efforts.
Results
Overall, there were few differences in preparedness between childcare centers and residential family childcare providers. However, childcare centers were more likely to report that they had written plans (94.47%) than residential family childcare providers (83.73%) were (χ12=15.62; P<.001). Both types of providers were more likely to report being very prepared/prepared for fires (91.31%) than they were for any other type of emergency (flooding, active shooter, etc.; 45.08% to 79.34%).
Conclusions
Future work should assess how childcare providers respond to and recover from emergencies, as well as explore the types of resources childcare providers need in order to feel comfortable caring for children during such emergency situations. (Disaster Med Public Health Preparedness. 2019;13:704–708)
Caring for one's grandchildren has become a more common experience for individuals partly as a result of a longer overlap between the lives of grandparents and their grandchildren. Existing research shows that around 50 per cent of grandparents engage in some grandparental child care in most European countries, however, this proportion is higher among older people with a migrant background, partly due to greater economic necessity among migrant families. Research has also highlighted ethnic differences in parents’ child-care selection, even after controlling for their socio-economic status. Building on these strands of work, this paper investigates the differences in the use of (grandparental) child care among parents from different Black and Minority Ethnic (BME) groups in the United Kingdom, using data from Understanding Society. The results show that parents from Other White, Indian, Pakistani, Bangladeshi and African communities are less likely to use child care than White British parents, while the opposite is true for Caribbean parents. However, among parents using child care, individuals from the Other White, Caribbean and African groups are less likely than the White British majority to be using grandparental child care as a supplement to other child-care types, or on its own. Ethnic differentials in the use of child care per se and grandparental child care in particular, have significant policy implications, and may mask other kinds of ethnic differences.
Pre-school nutrition-related behaviours influence diet and development of lifelong eating habits. We examined the prevalence and congruence of recommended nutrition-related behaviours (RNB) in home and early childhood education (ECE) services, exploring differences by child and ECE characteristics.
Design
Telephone interviews with mothers. Online survey of ECE managers/head teachers.
Setting
New Zealand.
Subjects
Children (n 1181) aged 45 months in the Growing Up in New Zealand longitudinal study.
Results
A mean 5·3 of 8 RNB were followed at home, with statistical differences by gender and ethnic group, but not socio-economic position. ECE services followed a mean 4·8 of 8 RNB, with differences by type of service and health-promotion programme participation. No congruence between adherence at home and in ECE services was found; half of children with high adherence at home attended a service with low adherence. A greater proportion of children in deprived communities attended a service with high adherence, compared with children living in the least deprived communities (20 and 12 %, respectively).
Conclusions
Children, across all socio-economic positions, may not experience RNB at home. ECE settings provide an opportunity to improve or support behaviours learned at home. Targeting of health-promotion programmes in high-deprivation areas has resulted in higher adherence to RNB at these ECE services. The lack of congruence between home and ECE behaviours suggests health-promotion messages may not be effectively communicated to parents/family. Greater support is required across the ECE sector to adhere to RNB and promote wider change that can reach into homes.
We aimed to identify the differences in personal disaster preparedness and disaster risk perception among child care and preschool teachers in South Korea by using demographic characteristics and disaster-related questions.
Methods
A cross-sectional self-reporting questionnaire was administered from February to October 2014.
Results
Of all the participants, 68.1% had received disaster preparedness education and training on 2 or more occasions per year; 13.2% had received no education or training. Personal disaster preparedness differed significantly by marital status (P<0.05), the number of disaster education and training sessions attended (P<0.05), and having purchased home insurance (P<0.001). Disaster risk perception differed significantly by children’s age group under a teacher’s care (P<0.05). The topic on which child care teachers wanted more training was “fractures and bleeding emergency care” (53.9%). The most probable disaster was considered to be a typhoon (66.0%).
Conclusions
Disaster preparedness is important for both young children and their teachers. Field-based teacher disaster preparedness education and training should be provided so that they can respond effectively to disaster occurrence regardless of type, time, or location. (Disaster Med Public Health Preparedness. 2018; 12: 321–328)
The present study evaluated the extent to which child-care centre menus prepared in advance correspond with food and beverage items served to children. The authors identified centre and staff characteristics that were associated with matches between menus and what was served.
Design
Menus were collected from ninety-five centres in New York City (NYC). Direct observation of foods and beverages served to children were conducted during 524 meal and snack times at these centres between April and June 2010, as part of a larger study designed to determine compliance of child-care centres with city health department regulations for nutrition.
Setting
Child-care centres were located in low-income neighbourhoods in NYC.
Results
Overall, 87 % of the foods and beverages listed on the menus or allowed as substitutions were served. Menu items matched with foods and beverages served for all major food groups by >60 %. Sweets and water had lower match percentages (40 and 32 %, respectively), but water was served 68 % of the time when it was not listed on the menu. The staff person making the food and purchasing decisions predicted the match between the planned or substituted items on the menus and the foods and beverages served.
Conclusions
In the present study, child-care centre menus included most foods and beverages served to children. Menus planned in advance have potential to be used to inform parents about which child-care centre to send their child or what foods and beverages their enrolled children will be offered throughout the day.