Family child care home providers as role models for children: Cause for concern?
Family child care home providers as role models for children: Cause for concern?
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DOI：
10.1016/j.pmedr.2016.11.010
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发表时间：
2017-03-01
影响因子：
2.8
通讯作者：
Ward, Dianne S
中科院分区：
文献类型：
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作者：
Tovar, Alison;Vaughn, Amber E;Ward, Dianne S
与慢性疾病相关的健康行为，特别是健康饮食和定期体育活动，是在儿童保育计划中工作的个人的重要角色建模机会。以前的研究没有探讨这些危险因素的家庭儿童保育院（FCCH）提供者照顾弱势和高危人群。为了解决这一差距，我们描述了从北卡罗来纳州正在进行的群集随机对照干预（2011 - 2016）的基线数据中获取的提供者样本（n = 166 FCCH）的社会人口统计学和健康风险行为特征。数据是在现场访问期间收集的，提供者完成了自我管理的问卷调查（社会人口统计学，体力活动，水果和蔬菜消费，每晚睡眠时间和感知压力），并测量了他们的身高和体重。风险评分（范围：0 - 6; 0无风险到6高风险）是根据以下情况的多少来计算的：没有健康保险，超重/肥胖，不符合体力活动，水果和蔬菜，睡眠建议，以及压力大。计算参与者和FCCH特征的平均值和频率分布。近三分之一（29.3%）的供应商报告没有医疗保险。几乎所有的供应商（89.8%）都超重或肥胖，其中大约一半不符合体育活动，水果和蔬菜消费以及睡眠的指导方针。超过一半的人报告了“高”压力评分。平均风险评分为3.39（± 1.2），近一半的供应商的风险评分为4、5或6（45.7%）。这些结果强调了促进这些重要护理提供者健康的必要性。
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.