Department of Kinesiology and Community Health, University of Illinois at Urbana Champaign, 1206 South Fourth St., 213 Huff Hall, 61820, Champaign, IL, USA,
Matern Child Health J. 2012 Nov;16(8):1559-66. doi: 10.1007/s10995-011-0874-x.
To compare the obesity related training, practices, and perceptions of home child care providers and center care providers. A self-administered survey was collected from child care providers who attended local child care training workshops in east central Illinois from March 2009 to August 2010. Study results were based on responses from 88 home care providers and 94 center providers. The survey questions addressed child care providers' training in the prior year, their obesity prevention practices including written policies, their perceptions of influences on children's health, and factors determining food menu selection. Paired t tests and Chi-square tests were used to compare the difference by child care type. 81.9% of home care providers and 58.6% of center care providers received nutrition training, while 66.7 and 43.0% of these providers received physical activity training, respectively. Nutrition content, guidelines or state regulations, and food availability were the most important factors that influenced both types of care providers' food service menus. Both care provider types perceived they have less influence on children's food preferences, eating habits, and weight status compared to the home environment. However, home care providers perceived a smaller discrepancy between the influences of child care and home environments compared to center care providers. Compared to center providers, home care providers were more likely to have had training, be involved with health promotion activities, and rate their influence higher on children's health behaviors. Findings underscore the need for obesity prevention efforts in both types of child care settings.
比较家庭儿童护理提供者和中心护理提供者的肥胖相关培训、实践和观念。2009 年 3 月至 2010 年 8 月，在伊利诺伊州中东部地区参加当地儿童护理培训研讨会的儿童护理提供者中，收集了一份自我管理的调查。研究结果基于对 88 名家庭护理提供者和 94 名中心护理提供者的回应。调查问题涉及儿童护理提供者在前一年的培训、他们的肥胖预防实践，包括书面政策、他们对儿童健康影响因素的看法，以及决定食品菜单选择的因素。配对 t 检验和卡方检验用于比较不同类型儿童护理的差异。81.9%的家庭护理提供者和 58.6%的中心护理提供者接受了营养培训，而 66.7%和 43.0%的提供者分别接受了体育活动培训。营养内容、指南或州法规以及食物供应是影响这两种类型的护理提供者餐饮服务菜单的最重要因素。两种类型的护理提供者都认为，与家庭环境相比，他们对儿童的食物偏好、饮食习惯和体重状况的影响较小。然而，与中心护理提供者相比，家庭护理提供者认为儿童护理和家庭环境的影响之间的差异较小。与中心提供者相比，家庭护理提供者更有可能接受过培训、参与健康促进活动，并认为他们对儿童健康行为的影响更大。研究结果强调了在这两种儿童护理环境中都需要开展肥胖预防工作。
