Status of Beverages Served to Young Children in Child Care After Implementation of California Policy, 2012–2016
ORIGINAL RESEARCH — Volume 17 — April 9, 2020
PEER REVIEWED
Figure 1.
Adherence to policy by California child care sites several months (in 2012) and several years (in 2016) after beverage policies for young children were enacted. Data on policy adherence were collected from 2012 and 2016 surveys of California licensed child care providers.
| Policy Provision | 2012 (n = 435) | 2016 (n = 680) | P Value |
|---|---|---|---|
| Milk: usually serve 1% or nonfat and never serve whole, 2%, or flavored | 41.4 | 65.0 | <.001 |
| Water: easily available for self-serve indoors and outside | 69.9 | 77.2 | .20 |
| 100% juice: serve no more than once per day | 81.5 | 91.2 | <.001 |
| Sugar-sweetened beverages: not served | 93.4 | 97.4 | .006 |
| All policy provisions combined | 27.2 | 45.1 | <.001 |
Figure 2.
Adherence to all provisions of the California beverage policy, by type of child care in 2016 (n = 597). Data were collected from 2012 and 2016 surveys of California licensed child care providers. Because responses were missing for 1 or more beverages served to children aged 1–5 years, 597 sites in 2016 were assessed for full adherence to beverage policies. Results determined from pairwise comparisons. Values not sharing the same letter were significantly different from each other at P < .05 after applying the Bonferroni-Holm adjustment for multiple comparisons. Abbreviation: CACFP, Child and Adult Care Food Program.
| Child care type | Percentage of Child Care Sites |
|---|---|
| Child care category | |
| Head Start (n = 90) | 51.1a,b |
| State preschool (n = 116) | 50.8a,b |
| Center on CACFP (n = 164) | 57.3a |
| Center not on CACFP (n = 127) | 33.1b,c |
| Family home on CACFP (n = 62) | 38.7a,b |
| Family home not on CACFP (n = 38) | 10.5c |
| CACFP Participation | |
| CACFP (n = 432) | 51.6 |
| Non-CACFP (n = 165) | 27.9 (P < .001) |
| Child care centers and family child care homes | |
| Center (n = 497) | 48.5 |
| Home (n = 100) | 28.0 (P = .001) |
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