Family child care home providers as role models for children: Cause for concern?

Health behaviors associated with chronic disease, particularly healthy eating and regular physical activity, are important role modeling opportunities for individuals working in child care programs. Prior studies have not explored these risk factors in family child care home (FCCH) providers which c...

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Main Authors: Alison Tovar, Amber E. Vaughn, Anna Grummon, Regan Burney, Temitope Erinosho, Truls Østbye, Dianne S. Ward
Format: Article
Language:English
Published: Elsevier 2017-03-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335516301437
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author Alison Tovar
Amber E. Vaughn
Anna Grummon
Regan Burney
Temitope Erinosho
Truls Østbye
Dianne S. Ward
author_facet Alison Tovar
Amber E. Vaughn
Anna Grummon
Regan Burney
Temitope Erinosho
Truls Østbye
Dianne S. Ward
author_sort Alison Tovar
collection DOAJ
description Health behaviors associated with chronic disease, particularly healthy eating and regular physical activity, are important role modeling opportunities for individuals working in child care programs. Prior studies have not explored these risk factors in family child care home (FCCH) providers which care for vulnerable and at-risk populations. To address this gap, we describe the socio-demographic and health risk behavior profiles in a sample of providers (n = 166 FCCH) taken from baseline data of an ongoing cluster-randomized controlled intervention (2011–2016) in North Carolina. Data were collected during on-site visits where providers completed self-administered questionnaires (socio-demographics, physical activity, fruit and vegetable consumption, number of hours of sleep per night and perceived stress) and had their height and weight measured. A risk score (range: 0–6; 0 no risk to 6 high risk) was calculated based on how many of the following were present: not having health insurance, being overweight/obese, not meeting physical activity, fruit and vegetable, and sleep recommendations, and having high stress. Mean and frequency distributions of participant and FCCH characteristics were calculated. Close to one third (29.3%) of providers reported not having health insurance. Almost all providers (89.8%) were overweight or obese with approximately half not meeting guidelines for physical activity, fruit and vegetable consumption, and sleep. Over half reported a “high” stress score. The mean risk score was 3.39 (±1.2), with close to half of the providers having a risk score of 4, 5 or 6 (45.7%). These results stress the need to promote the health of these important care providers.
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spelling doaj.art-8459fe527c9b4c9eb8fe47ec0262b6782022-12-22T02:42:28ZengElsevierPreventive Medicine Reports2211-33552017-03-015C30831310.1016/j.pmedr.2016.11.010Family child care home providers as role models for children: Cause for concern?Alison Tovar0Amber E. Vaughn1Anna Grummon2Regan Burney3Temitope Erinosho4Truls Østbye5Dianne S. Ward6Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, Rhode Island 02881, United StatesUniversity of North Carolina Center for Health Promotion and Disease Prevention, 1700 Airport Rd., CB 7426, Chapel Hill, NC 27599-7426, United StatesUniversity of North Carolina Center for Health Promotion and Disease Prevention, 1700 Airport Rd., CB 7426, Chapel Hill, NC 27599-7426, United StatesUniversity of North Carolina Center for Health Promotion and Disease Prevention, 1700 Airport Rd., CB 7426, Chapel Hill, NC 27599-7426, United StatesUniversity of North Carolina Gilling's School of Global Public Health,170 Rosenau Hall, CB #7400, 135 Dauer Drive, Chapel Hill, NC 27599-7400, United StatesDuke University Medical Center, 310 Trent Drive, Durham, NC 27710, United StatesUniversity of North Carolina Center for Health Promotion and Disease Prevention, 1700 Airport Rd., CB 7426, Chapel Hill, NC 27599-7426, United StatesHealth behaviors associated with chronic disease, particularly healthy eating and regular physical activity, are important role modeling opportunities for individuals working in child care programs. Prior studies have not explored these risk factors in family child care home (FCCH) providers which care for vulnerable and at-risk populations. To address this gap, we describe the socio-demographic and health risk behavior profiles in a sample of providers (n = 166 FCCH) taken from baseline data of an ongoing cluster-randomized controlled intervention (2011–2016) in North Carolina. Data were collected during on-site visits where providers completed self-administered questionnaires (socio-demographics, physical activity, fruit and vegetable consumption, number of hours of sleep per night and perceived stress) and had their height and weight measured. A risk score (range: 0–6; 0 no risk to 6 high risk) was calculated based on how many of the following were present: not having health insurance, being overweight/obese, not meeting physical activity, fruit and vegetable, and sleep recommendations, and having high stress. Mean and frequency distributions of participant and FCCH characteristics were calculated. Close to one third (29.3%) of providers reported not having health insurance. Almost all providers (89.8%) were overweight or obese with approximately half not meeting guidelines for physical activity, fruit and vegetable consumption, and sleep. Over half reported a “high” stress score. The mean risk score was 3.39 (±1.2), with close to half of the providers having a risk score of 4, 5 or 6 (45.7%). These results stress the need to promote the health of these important care providers.http://www.sciencedirect.com/science/article/pii/S2211335516301437Child careChronic disease riskRole modelingFamily child care homesObesity
spellingShingle Alison Tovar
Amber E. Vaughn
Anna Grummon
Regan Burney
Temitope Erinosho
Truls Østbye
Dianne S. Ward
Family child care home providers as role models for children: Cause for concern?
Preventive Medicine Reports
Child care
Chronic disease risk
Role modeling
Family child care homes
Obesity
title Family child care home providers as role models for children: Cause for concern?
title_full Family child care home providers as role models for children: Cause for concern?
title_fullStr Family child care home providers as role models for children: Cause for concern?
title_full_unstemmed Family child care home providers as role models for children: Cause for concern?
title_short Family child care home providers as role models for children: Cause for concern?
title_sort family child care home providers as role models for children cause for concern
topic Child care
Chronic disease risk
Role modeling
Family child care homes
Obesity
url http://www.sciencedirect.com/science/article/pii/S2211335516301437
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