Participation in the Child and Adult Care Food Program is associated with fewer barriers to serving healthier foods in early care and education

Table 3 Adjusted odds ratios (OR) and incidence rate ratios (IRR) in analyses examining barriers to serving healthier foods in ECE in CACFP and non-CACFP centers, n = 659

	OR^a (95% CI)	P
No barriers	2.03 (1.36–3.04)	0.001
Barriers to providing healthier foods
Not enough money to serve healthier meals and snacks	0.46 (0.31–0.67)	< 0.001
Children do not like the taste of healthier meals and snacks	1.11 (0.70–1.76)	0.65
Staff do not have time to prepare healthier meals and snacks	0.65 (0.33–1.26)	0.20
Lack of control over what is delivered by food service provider	0.78 (0.40–1.58)	0.47
Parents do not support the idea of serving children healthier meals and snacks	1.62 (0.75–3.51)	0.22
Staff lack the knowledge to prepare healthier meals and snacks	0.47 (0.20–1.10)	0.08
Cost as top barrier	0.48 (0.28–0.81)	0.007
	IRR^a(95% CI)	p
Total number of barriers reported	0.77 (0.64–0.92)	0.005

^aAdjusted CACFP participation, profit status, total child enrollment, years in operation, state, and director education

ISSN: 1471-2458