Background: Recess is an integral part of a comprehensive school physical activity program. Immediately prior to the pandemic, state legislation doubled the amount of required recess, creating an opportunity to better understand how policies and practices influence recess. Purpose: To describe changes to recess due to COVID-19 and extended recess…

Asthma is the leading chronic health condition among children in the United States and a major cause of childhood disability. It also disproportionately affects low-income and racial and ethnic minorities. Although a wide range of interventions have been implemented to improve asthma-related outcomes among socioeconomically disadvantaged and…

This paper investigates how accountability pressures under No Child Left Behind (NCLB) may affect children's rate of overweight. Schools facing increased pressures to produce academic outcomes may reallocate their efforts in ways that have unintended consequences for children's health. For example, schools may cut back on recess and physical…

Background: Epidemic increases in childhood obesity and associated health risks are resulting in efforts to implement school policies related to nutrition and physical activity (NPA). With multicomponent policy efforts, challenges exist in characterizing the extent of policy change across the breadth of NPA policies. Methods: Aggregated policy…

This study investigated a federal comprehensive community initiative, the Promise Neighborhood initiative, in order to understand higher education community engagement in an embedded context. Promise Neighborhood programs aim to create a place-based system of family and education services that can support youth from early childhood through college…

More than 67,000 preschoolers with disabilities across five states were examined for disproportionate special education eligibilities using risk ratios (RRs). Results indicated children classified as American Indian (RR = 2.25) and Black (RR = 1.64) were disproportionate in one state, whereas children classified as Asian, Hispanic, and White…

Background: To comprehensively address the childhood and adolescent obesity epidemic, Arkansas enacted Act 1220 of 2003. Among a series of community- and school-based interventions, the Act requires each public school student to have his/her body mass index (BMI) assessed and reported annually to parents. The process of implementing this policy on…

The Family Income Standard (FIS), developed in Arkansas as a more adequate measure of families' economic well-being than the widely-criticized Federal Poverty Level (FPL), is defined as the amount of money a working family must earn to meet its daily living needs without assistance from charities. This report details the effort to update and…