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Status of Beverages Served to Young Children in Child Care After Implementation of California Policy, 2012-2016

Danielle L Lee1, Klara Gurzo1,2, Lilly A Nhan1,3

  • 1University of California, Division of Agriculture and Natural Resources, Nutrition Policy Institute, Berkeley, California.

Preventing Chronic Disease
|April 10, 2020
PubMed

Insights

California child care centers showed improved adherence to healthy beverage policies by 2016, with higher compliance in centers and those participating in the Child and Adult Care Food Program (CACFP). Further support is recommended for non-CACFP sites and homes.

Area of Science:

  • Public Health Nutrition
  • Childhood Obesity Prevention
  • Health Policy Evaluation

Background:

  • California mandated healthy beverage standards in child care settings in 2012.
  • The policy restricts sweetened beverages and promotes low-fat milk and water access.
  • Previous evaluation assessed initial policy implementation.

Purpose of the Study:

  • To evaluate adherence to California's Healthy Beverages in Child Care Act four years after its implementation.
  • To compare adherence rates between 2012 and 2016.
  • To identify factors associated with higher adherence.

Main Methods:

  • Random sampling of licensed California child care centers and homes in 2012 and 2016.
  • Survey data collected on beverage practices and provisions for children aged 1-5 years.
  • Logistic regression analysis used to compare adherence between years, site types, and Child and Adult Care Food Program (CACFP) participation.

Main Results:

  • Overall policy adherence increased significantly from 27.2% in 2012 to 45.1% in 2016.
  • Adherence to specific provisions for milk, 100% juice, and sugar-sweetened beverages also improved.
  • Adherence was higher in child care centers compared to homes and in CACFP-participating sites compared to non-CACFP sites.

Conclusions:

  • Beverage policy adherence in California child care settings has improved over time.
  • Child care centers and CACFP sites demonstrate higher adherence rates.
  • Targeted support and promotion are recommended for non-CACFP sites and homes to enhance compliance.
Abstract

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