دورية أكاديمية
أعرض في EDS

Federal Nutrition Assistance for Young Children: Underutilized and Unequally Accessed.

التفاصيل البيبلوغرافية
العنوان: Federal Nutrition Assistance for Young Children: Underutilized and Unequally Accessed.
المؤلفون: Andreyeva T; Department of Agricultural and Resource Economics, Rudd Center for Food Policy and Health, University of Connecticut, Storrs, Connecticut. Electronic address: tatiana.andreyeva@uconn.edu., Moore TE; Statistical Consulting Services, Center for Open Research Resources and Equipment, University of Connecticut, Storrs, Connecticut., Godoy LDC; Department of Statistics, University of Connecticut, Storrs, Connecticut., Kenney EL; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
المصدر: American journal of preventive medicine [Am J Prev Med] 2024 Jan; Vol. 66 (1), pp. 18-26. Date of Electronic Publication: 2023 Sep 13.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 8704773 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2607 (Electronic) Linking ISSN: 07493797 NLM ISO Abbreviation: Am J Prev Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Elsevier Science
Original Publication: [New York, NY] : Oxford University Press, [c1985-
مواضيع طبية MeSH: Nutritional Status* , Food Assistance*, Adult ; Child ; Humans ; Child, Preschool ; Bayes Theorem ; Child Day Care Centers ; Child Care ; Food ; Nutrition Policy
مستخلص: Introduction: The federal Child and Adult Care Food Program (CACFP) improves nutrition and reduces food insecurity among young children by helping cover the food costs for child care providers and families. This nationwide study evaluated the extent and predictors of the CACFP's utilization among licensed child care centers to identify opportunities for expanding CACFP nutrition support.
Methods: Administrative data from the CACFP and child care licensing agencies in 47 states and District of Columbia were compiled and geocoded for 93,227 licensed child care centers. CACFP participation was predicted using a multivariable Bayesian spatial logistic regression model in the sample of low-income areas to target CACFP eligible child care centers. Data were collected in 2020-2021 and analyzed in 2022.
Results: Of all licensed child care centers, 36.5% participated in the CACFP, ranging from 15.2% to 65.3% across states; when restricted to low-income areas, 57.5% participated (range, 15.7%-85.7%). Income differences did not explain the large variation in CACFP participation rates across states. Having at least three CACFP sponsoring agencies per state predicted a 38% higher probability of CACFP participation (OR=1.38; 95% Credible Interval=1.08-1.78).
Conclusions: Currently CACFP participation rates among licensed child care centers point to program underutilization and unequal access, particularly in some states and regions. Work at the federal and state levels is warranted to expand participation in the program, above all in low-income areas, so that more young children could eat healthfully with the CACFP.
(Copyright © 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: K01 DK125278 United States DK NIDDK NIH HHS
تواريخ الأحداث: Date Created: 20230914 Date Completed: 20231222 Latest Revision: 20240409
رمز التحديث: 20240409
مُعرف محوري في PubMed: PMC11000260
DOI: 10.1016/j.amepre.2023.09.008
PMID: 37709155
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-2607
DOI:10.1016/j.amepre.2023.09.008