School nurses are challenged with more children having complex conditions, who are now surviving into school age. This is paralleled by a shift in focus of health systems toward primary care, and national efforts to develop the health-care services, especially those offered to vulnerable populations. Being at the forefront of this change, school…

This article explores the many ways in which states can and are addressing racial equity in problem solving and policymaking. The authors explore national data that make the case for addressing bias and advancing equity in state policy; share strategies and best practices for engaging families and communities; and provide examples of policies that…

California's longstanding efforts to promote child development and kindergarten readiness have paved the way for focusing greater attention on the role Medi-Cal, the State's Medicaid program, can play in realizing the full strength of these initiatives. As a state with a large and diverse population, California's reach and potential influence are…

The COVID-19 pandemic has raised huge concerns for the mental health of an entire generation of children. But the pandemic may represent only the tip of a mental health iceberg -- an iceberg we have ignored for far too long. For the first time, "The State of the World's Children" examines the mental health of children and adolescents.…

Background: Despite the federal initiatives on equitable provision of school nutrition programs, geographic disparity in childhood obesity persists. It may be partly because built-in school nutrition environments rely on each school's efficient use of existing operational funds or its ability to obtain expanded financial support. This study…

Body mass index classification, physical activity (PA), and sedentary behaviors were compared in adolescents with autism spectrum disorder (ASD) to typically developing adolescents. Participants included 42,747 adolescents (ASD, n = 915) from the 2011-2012 National Survey of Children's Health. After controlling for covariates, adolescents were…

Background: Insufficient sleep in adolescents has been shown to be associated with a wide variety of adverse outcomes, from poor mental and physical health to behavioral problems and lower academic grades. However, most high school students do not get sufficient sleep. Delaying school start times for adolescents has been proposed as a policy…

Background: Schools are a key setting for childhood obesity interventions, yet nurses are not often included in delivering these interventions. The objective of this systematic review and meta-analysis was to examine school-based interventions involving nurses in a role beyond anthropometric measurement for effect on change in body measures.…

Purposes/Objectives: Fruit and vegetable (F/V) consumption may aid in childhood obesity prevention. F/V consumption in youth is low. School-based salad bars (SBs) may improve F/V access in youth. The purpose of this study was to explore administrative and school nutrition personnel perspectives related to adoption and continued implementation of…

Imagine the complex factors that influence a child's opportunities in life set on either side of an old-fashioned scale. The teeter-totter of each child's scale can be influenced by parents, schools, communities and, in many ways, public policies. Positive experiences and influences--a loving and nurturing caregiver, a safe and stable place to…

Written by one of the leading experts on assessment, the new edition of this book offers a clear explanation of the role of assessment in the revised Early Years Foundation Stage (EYFS), and step-by-step guidance for those working with children from birth to five on making and recording observations in practice. Updated throughout, the second…

Nearly 17 percent of children and adolescents are obese, but early interventions in nutrition and physical activity can prevent that number from increasing. This snapshot explores how schools can enact policies to help students develop healthy habits early in life. The following topics are briefly discussed: (1) Why Target Schools?; (2) Early…

An emerging public health priority is to enhance children's opportunities for active play. Children spend a large proportion of weekdays in schools, making schools an influential and suitable setting to promote children's active play. Rather than continually increasing the burdens placed upon busy teaching staff, the use of school playground…

Aim: To assess and compare the oral health status of preschool children with and without autism spectrum disorders. Methods: A random sample of 347 preschool children with autism spectrum disorder was recruited from 19 Special Child Care Centres in Hong Kong. An age- and gender-matched sample was recruited from mainstream preschools as the control…

The landscape of childhood health and disease has changed over the past century, and school nurses are now in a unique position to address the conditions that lead to chronic disease, such as obesity. Measuring body mass index (BMI) during childhood and adolescence is the recommended method for screening and/or monitoring obesity in school…