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State Variations in Infant Feeding Regulations for Child Care
Sara E Benjamin-Neelon1, Sarah Gonzalez-Nahm2, Elyse Grossman2
1Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland; sara.neelon@jhu.edu.
States have significantly improved infant feeding regulations in early care and education settings since 2008. These policy changes show growing attention to supporting infant nutrition in childcare environments.
Area of Science:
- Public Health Policy
- Child Nutrition
- Early Childhood Education
Background:
- Early care and education (ECE) settings are key areas for policy reform.
- Infant feeding regulations in ECE have been a focus of state-level policy changes.
- Previous research in 2008 assessed state and regional variations in these regulations.
Purpose of the Study:
- To assess changes in infant feeding regulations for ECE settings from 2008 to 2016.
- To compare state and regional regulations against national standards over time.
- To evaluate improvements in regulations supporting infant feeding in ECE.
Main Methods:
- Cross-sectional study reviewing US state regulations for child care centers and family child care homes.
- Comparison of state regulations against 10 national standards.
- Assessment of new regulations aligned with national standards since 2008.
Main Results:
- Significant improvements observed in 7 of 10 national standards for centers and 4 of 10 for homes between 2008 and 2016.
- Delaware and Michigan showed improved regulations for centers by 2016.
- Several states, including Delaware, Mississippi, and Vermont, demonstrated enhanced regulations for homes by 2016.
Conclusions:
- Enacting new regulations appears to positively influence child health outcomes.
- The findings indicate a rising governmental interest in infant feeding policies within ECE.
- Policy development in infant feeding for ECE settings is an evolving area.
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