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. 2019 Nov 29;17:101021. doi: 10.1016/j.pmedr.2019.101021

Table 3.

Barriers to implementing best practices in serving foods and beverages by geographic location (urban, rural) and organizational structure (Child Care Center [CCC] vs. Family Child Care Home [FCCH]) (N = 1170).

Urban(n = 591)
Rural(n = 579)
Barriers to Providing Healthier Meals and Snacks to Children in Child Care CCC(n = 119)% FCCH(n = 472)% χ2 CCC(n = 81)% FCCH(n = 498)% χ2
1. Limited space for food storage 31.1 12.4 24.343 ** 27.2 16.3 5.604 *
2. Limited time to shop more than once/ week 29.9 36.9 1.966 37.0 39.6 0.196
3. Not enough money to cover the cost of serving healthier meals and snacks 28.8 40.8 5.692 * 44.4 48.7 0.497
4. Children would not like the taste of healthier meals and snacks 28.6 37.2 3.073 32.1 40.1 1.822
5. Lack of control over the delivered foods 27.1 3.7 66.046 ** 18.5 5.2 18.542 **
6. Lack of the time to prepare healthier foods 16.1 24.6 3.817 * 26.3 22.9 0.421
7. Other areas have higher priority than nutrition at this time 13.6 7.6 4.165 * 8.6 5.4 1.337
8. Many different recommendations to follow 12.6 18.0 1.939 18.5 23.0 0.819
9. Parents do not support serving healthier foods 9.2 9.8 0.039 10.1 12.7 0.425
10. Lack of the knowledge to prepare healthier foods 8.4 5.0 2.107 9.9 4.4 4.324 *
11. Lack of support from other providers 6.8 3.7 2.174 8.8 3.9 3.750 *
12. Unsure which foods can be reimbursed by CACFP 5.9 8.4 0.850 6.3 11.9 2.111
13. Lack of availability of healthy foods in my area 4.2 3.2 0.268 18.5 21.6 0.393

Notes: Chi square analysis using 2x2 contingency table; *p < .05, **p < .01.