scholarly journals What Do Childcare Providers Know about Environmental Influences on Children’s Health? Implications for Environmental Health Literacy Efforts

Author(s):  
Brenda D. Koester ◽  
Stephanie Sloane ◽  
Elinor M. Fujimoto ◽  
Barbara H. Fiese ◽  
Leona Yi-Fan Su

Children are uniquely vulnerable to toxicant exposures in their environment, which can have long-lasting impacts on their health. Childcare providers are an important population to target for environmental health literacy, as most children in the United States under five years of age spend a significant number of waking hours in non-parental care. There is an increasing body of evidence that children are exposed to toxicants in the childcare environment, and yet little is known about what childcare providers know about environmental influences on the health of children in their care. We conducted semi-structured interviews with 36 home- and center-based Illinois childcare providers to better understand their knowledge, attitudes, and behaviors as they relate to environmental influences on children’s health. We found that the majority of providers had a low level of understanding of potential sources of exposure in the childcare environment, and they did not feel that environmental exposures posed a significant risk to children. Future efforts to increase environmental health literacy should focus on raising awareness and knowledge of environmental health issues for childcare providers before addressing ways that providers can reduce or prevent toxicant exposures to children in their care.

2018 ◽  
Vol 46 (2) ◽  
pp. 349-359 ◽  
Author(s):  
Vanessa W. Simonds ◽  
Frances L. Kim ◽  
Deborah LaVeaux ◽  
Velma Pickett ◽  
Jessica Milakovich ◽  
...  

Background. American Indian communities in the United States experience considerable health inequities, including increased exposure to environmental contaminants. Consequently, community members of the Apsáalooke (Crow) Nation identified the lack of water-related environmental knowledge among children as an area of concern. Aim. The purpose of this study was to provide a feasibility evaluation of an increasingly sophisticated environmental health literacy program for children. Method. A community–academic partnership developed and piloted the Guardians of the Living Water program to increase environmental health literacy among children and their families on the Crow reservation. Nutbeam’s framework for health literacy, a schema based on functional, interactive, and critical literacy, shaped the program evaluation. We used a within-subjects, quasi-experimental design without a control group. Interviews with children and parents were used to assess the feasibility of the program, while pre-/posttests assessed changes in knowledge, skills, and behavior. Results. Compared with preintervention responses, those from postintervention indicated significant increases for selected knowledge and attitude components. Based on qualitative interviews with children and caregivers, the camp was a valuable experience and increased knowledge of water quality science and reinforced cultural knowledge. Discussion. This success of our program stems from the trust initially built between partners and then expanded throughout the community. The program and the evaluation benefited from both the health literacy framework and from our integration of Apsáalooke values. Conclusion. Our findings suggest that a community-based intervention designed to increase environmental health literacy among youth and their social networks is feasible and acceptable to this American Indian community.


2021 ◽  
pp. 111160
Author(s):  
Jose Ricardo Suarez-Lopez ◽  
Maryann R. Cairns ◽  
Kam Sripada ◽  
Lesliam Quiros-Alcala ◽  
Howard W. Mielke ◽  
...  

2018 ◽  
Vol 10 (1) ◽  
pp. 70-90 ◽  
Author(s):  
Marjorita Sormunen ◽  
Svetlana Goranskaya ◽  
Valentina Kirilina ◽  
Kirsi Bykachev ◽  
Kerttu Tossavainen

2016 ◽  
Vol 24 (4) ◽  
pp. 69-80 ◽  
Author(s):  
Li-Ling Liao ◽  
Chieh-Hsing Liu ◽  
Chi-Chia Cheng ◽  
Tzu-Chau Chang

Background: Health literacy is related to health inequality, health behaviors, and health status. Globally, health literacy has primarily focused on adults and has been based on the medical model. It is necessary to understand children’s life experiences as they relate to health; thus, this study attempted to evaluate and describe the health literacy abilities of sixth-graders in Taiwan. Methods: Interviews were conducted with 10 teachers and 11 caregivers, and focus groups were conducted with 32 children. Health literacy abilities corresponding to real-life situations were identified from life skills and the Taiwanese Curriculum Guidelines for health education. Three expert meetings were held to redefine children’s health literacy using a health promotion perspective and confirmed indicators. Results: An operational definition of three aspects of children’s health literacy and 25 abilities was proposed: 11 functional health literacy abilities (e.g. understands the connection between personal health care behaviors and health); seven interactive health literacy abilities (e.g. obtains and understands information from various channels); and seven critical health literacy abilities (e.g. analyzes the relationship between personal needs and diet choices for a balanced diet). These indicators cover 10 health education categories. Conclusions: These findings highlight the importance of understanding Taiwanese children’s health literacy, and the urgency of developing an appropriate measurement tool. The definition and indicators in this study were identified using a child-centered approach focusing on children’s real-life experiences. The result serves as a solid basis for the development of the Taiwan Children’s Health Literacy Scale, and provides information for the decision-making sector on health education.


2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Maria Tan ◽  
Sandy Campbell

Books have long been recognized  resources for health literacy and healing (Fosson & Husband, 1984). Individuals with health conditions or disabilities or who are dealing with illness, disability or death among friends or loved ones, can find solace and affirmation in fictional works that depict characters coping with similar health conditions. This study asked the question “If we were to select a new collection of children’s health-related fiction in mid-2014, which books would we select and what selection criteria would we apply?”  The results of this study are a set of criteria for the selection of  current English language literary works with health-related content for the pre-kindergarten to Grade 6 (age 12) audience http://hdl.handle.net/10402/era.38842, a collection of books that are readily available to Canadian libraries - selected against these criteria http://hdl.handle.net/10402/era.38843, a special issue of the Deakin Review of Children’s Literature -  dedicated to juvenile health fiction, and book exhibits in two libraries to accompany the Deakin Review issue.


PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0220802
Author(s):  
Solveig A. Cunningham ◽  
Eeshwar K. Chandrasekar ◽  
Kate Cartwright ◽  
Kathryn M. Yount

Author(s):  
Lichtveld ◽  
Covert ◽  
Sherman ◽  
Shankar ◽  
Wickliffe ◽  
...  

Environmental health literacy (EHL) involves understanding and using environmental information to make decisions about health. This study developed a validated survey instrument with four scales for assessing media-specific (i.e., air, food, water) and general EHL. The four scales were created as follows: 1) item generation: environmental health scientists and statisticians developed an initial set of items in three domains: knowledge, attitudes, and behaviors; 2) item review: items were reviewed for face validity; 3) validation: 174 public health students, the exploratory sample, and 98 community members, the test sample, validated the scales. The scales’ factor structure was based on exploratory factor analysis (EFA) and model fit was assessed through confirmatory factor analysis (CFA). For each scale, the final EFA resulted in an independent three-factor solution for knowledge, attitudes, and behaviors. Good fit for the three-factor structure was observed. Model fit for CFA was generally confirmed with fit indices. The scales showed internal consistency with Cronbach’s alpha from 0.63 to 0.70. The 42-item instrument represents an important contribution towards assessing EHL and is designed to enable meaningful engagement between researchers and community members about environmental health. The intended outcome is sustained community–academic partnerships benefiting research design, implementation, translation, dissemination, and community action.


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