{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:41:27Z","timestamp":1777891287734,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["WOR"],"published-print":{"date-parts":[[2023,12,15]]},"abstract":"<jats:p>BACKGROUND: Childcare center providers in Miami-Dade County, Florida a COVID-19 hotspot, are made up almost entirely of ethnic minority women. This is a critical frontline staff that is now encountering the triple threat of respiratory illnesses from respiratory syncytial virus (RSV), influenza viruses (or the seasonal flu), and COVID-19. OBJECTIVE: To examine sociodemographic characteristics, anthropometrics, and health behaviors that were collected from a sample of CCC teachers in Miami Dade County, a COVID-19 hotspot. METHODS: Cross-sectional data were used from Healthy Caregivers, Healthy Children (HC2), a randomized controlled intervention trial (#NCT02697565) for healthy weight maintenance among children 2-to-5 years old, conducted in 24 subsidized childcare centers in MDC in 2015\u20132018. Prevalence was determined by frequency or mean\/standard deviation of each variable. Chi-squared analyses were performed to test for differences in BMI categories. RESULTS: In this sample of childcare center providers (n\u200a=\u200a255), the majority (61%) had an elevated body mass index. Positive health behaviors such as regular exercise and eating fruits and vegetables were only reported in about a third of the sample. CONCLUSION: It is vital that we encourage the uptake of regular vaccination schedules as a means to protect our community, especially the critical frontline workers that have been caring for our young children.<\/jats:p>","DOI":"10.3233\/wor-230111","type":"journal-article","created":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T11:46:32Z","timestamp":1687866392000},"page":"1311-1316","source":"Crossref","is-referenced-by-count":0,"title":["Health status of childcare center providers in a COVID-19 hotspot"],"prefix":"10.1177","volume":"76","author":[{"given":"Cynthia N.","family":"Lebron","sequence":"first","affiliation":[{"name":"School of Nursing and Health Studies, University of Miami, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaray","family":"Agosto","sequence":"additional","affiliation":[{"name":"Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohit","family":"Nair","sequence":"additional","affiliation":[{"name":"Health Science Center at Houston, University of Texas School of Public Health, Dallas Regional Campus, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Sunil","family":"Mathew","sequence":"additional","affiliation":[{"name":"Health Science Center at Houston, University of Texas School of Public Health, Dallas Regional Campus, Dallas, TX, USA"},{"name":"Center for Pediatric Population Health, Children\u2019s Health System of Texas, University of Texas Health Science Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruby","family":"Natale","sequence":"additional","affiliation":[{"name":"Mailman Center for Child Development, University of Miami Miller School of Medicine, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Messiah","sequence":"additional","affiliation":[{"name":"Health Science Center at Houston, University of Texas School of Public Health, Dallas Regional Campus, Dallas, TX, USA"},{"name":"Center for Pediatric Population Health, Children\u2019s Health System of Texas, University of Texas Health Science Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"2","key":"10.3233\/WOR-230111_ref8","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1542\/peds.2012-1255","article-title":"The burden of influenza in young children, 2004\u20132009","volume":"131","author":"Poehling","year":"2013","journal-title":"Pediatrics"},{"issue":"10340","key":"10.3233\/WOR-230111_ref9","doi-asserted-by":"crossref","first-page":"2047","DOI":"10.1016\/S0140-6736(22)00478-0","article-title":"Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in children younger than 5 years in a systematic analysis","volume":"399","author":"Li","year":"2022","journal-title":"The Lancet"},{"issue":"12","key":"10.3233\/WOR-230111_ref14","doi-asserted-by":"crossref","first-page":"2120","DOI":"10.1016\/j.jada.2007.09.015","article-title":"Brief psychosocial fruit and vegetable tool is sensitive for the US Department of Agriculture\u2019s Nutrition Education Programs","volume":"107","author":"Townsend","year":"2007","journal-title":"Journal of the American Dietetic Association"},{"issue":"6","key":"10.3233\/WOR-230111_ref15","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1177\/0272989X08327068","article-title":"Decision making in the transtheoretical model of behavior change","volume":"28","author":"Prochaska","year":"2008","journal-title":"Medical Decision Making"},{"issue":"1","key":"10.3233\/WOR-230111_ref18","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1161\/CIRCULATIONAHA.120.047659","article-title":"Obesity is a risk factor for severe COVID-19 infection: multiple potential mechanisms","volume":"142","author":"Sattar","year":"2020","journal-title":"Circulation"},{"issue":"5","key":"10.3233\/WOR-230111_ref24","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1007\/s10643-021-01223-z","article-title":"Physical, mental, and financial stress impacts of COVID-19 on early childhood educators","volume":"49","author":"Swigonski","year":"2021","journal-title":"Early Childhood Education Journal"},{"issue":"1","key":"10.3233\/WOR-230111_ref27","doi-asserted-by":"crossref","first-page":"69","DOI":"10.3233\/WOR-203355","article-title":"Ergonomics factors influencing school education during the COVID-19 pandemic: A literature review","volume":"68","author":"Soltaninejad","year":"2021","journal-title":"WORK"}],"container-title":["Work"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/WOR-230111","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:59:24Z","timestamp":1777615164000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/WOR-230111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,15]]},"references-count":7,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3233\/wor-230111","relation":{},"ISSN":["1051-9815","1875-9270"],"issn-type":[{"value":"1051-9815","type":"print"},{"value":"1875-9270","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,15]]}}}