142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

300108
Does place matter for healthy early child environments?

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 9:30 AM - 9:50 AM

Karen Peifer, PhD, MPH, RN , First Things First, Phoenix, AZ
Ann Kaskel, RN , Program Division, First Things First, Phoenix, AZ
Roopa Iyer, PhD , Research and Evalution Program Division, First Things First, Phoenix, AZ
The current study examines the relation of the location of early childhood child care centers and its quality to its safe and healthy early childhood environments. As part of the state’s Quality Rating Improvement System (QRIS), child care center environments are rated on multiple environmental domains. Towards this study, the Early Childhood Environmental Rating Scale’s (ERS) personal care routine subscale scores, specific to health and safety practices is used. Our hypothesis is that (1) there is a wider variation in scores on the personal care routine subscales in high poverty areas compared to non-poverty areas, and (2) the subscale scores will be higher for 3 - 5 star rated centers (higher-quality) versus 1 - 2 star rated centers. Results from preliminary analyses of two cohorts, cohort 1 (centers located at a poverty level below 100% FPL; N = 72) and cohort 2 (located at a poverty level of 150% FPL or above; N =554), showed that the average subscale score for the two cohorts were not varied as expected, 2.13 and 2.06, respectively. Towards this, we are creating subgroups of cohort 2 and comparing to cohort 1. As hypothesized, irrespective of the cohorts, centers with a higher-quality rating on average scored higher on personal care routine demonstrating improving social, and physical child care environments through health and safety standards. Results show that towards improving the quality of child care to reflect the needs of our youngest children, the issues of poverty, quality of classrooms and location are important to consider.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe the importance of the personal care routines subscales for the child care environmental health and safety in child care centers. Discuss the differences between centers in low income and higher income locations related to health and safety standards.

Keyword(s): Child Health, Practice Guidelines

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Karen Peifer is the Senior Director of Children’s Health First Things First. She supervises the development of health specific strategies. Dr. Peifer has 25 years of experience working in research, evaluation and MCH program development. Her previous experience includes working at University Of Colorado, College Of Nursing and conducting community based participatory research with community clinics. Dr. Peifer holds a masters and doctoral degrees in public health from the University of California, Berkeley.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.