Dept. of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA, USA.
J Phys Act Health. 2010 Mar;7 Suppl 1:S108-19. doi: 10.1123/jpah.7.s1.s108.
As interventions increasingly emphasize early child care settings, it is necessary to understand the state regulatory context that provides guidelines for outdoor physical activity and safety and sets standards for child care environments.
Researchers reviewed regulations for child care facilities for 50 states, the District of Columbia and the Virgin Islands. We compared state regulations with national standards for 17 physical activity- and safety-related items for outdoor playground settings outlined in Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs (CFOC). State regulations were coded as fully, partially or not addressing the CFOC standard and state-level summary scores were calculated.
On average, state regulations fully addressed one-third of 17 CFOC standards in regulations for centers (34%) and family child care homes (27%). Data suggest insufficient attention to outdoor play area proximity and size, equipment height, surfacing, and inspections.
Considerable variation exists among state regulations related to physical activity promotion and injury prevention within outdoor play areas. Many states' regulations do not comply with published national health and safety standards. Enhancing regulations is one component of a policy approach to promoting safe, physically active child care settings.
随着干预措施越来越强调幼儿照护环境，有必要了解为户外活动和安全提供指导方针并为儿童照护环境设定标准的国家监管环境。
研究人员审查了 50 个州、哥伦比亚特区和维尔京群岛的儿童照护设施的规定。我们将国家 17 项与户外活动和安全相关的国家标准与《关爱我们的孩子：国家健康和安全绩效标准：户外儿童照护计划指南》（Caring for Our Children，简称 CFOC）中概述的户外游乐场所的标准进行了比较。将州法规编码为完全、部分或未满足 CFOC 标准，并计算州级综合得分。
平均而言，中心（34%）和家庭儿童照护之家（27%）的法规完全涵盖了 17 项 CFOC 标准中的三分之一。数据表明，户外游乐区的接近度和大小、设备高度、表面处理和检查受到的关注不足。
与户外游乐区促进身体活动和预防伤害有关的州法规存在相当大的差异。许多州的法规不符合已公布的国家健康和安全标准。加强法规是促进安全、积极进行身体活动的儿童照护环境的政策方法的一个组成部分。
