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Physical and Mental Health of Caregivers and Educators of Preschool-Aged Children: Identifying Benefits and Barriers to Outdoor Time, How Outdoor Time Can Make a Difference for Health Equity, and Why Income Matters

Author

Listed:
  • Amber L. Fyfe-Johnson

    (Institute for Research and Education to Advance Community Health, Elson S. Floyd College of Medicine, Washington State University, Seattle, WA 98101, USA)

  • Carolyn J. Noonan

    (Institute for Research and Education to Advance Community Health, Elson S. Floyd College of Medicine, Washington State University, Seattle, WA 98101, USA)

  • Maria B. Butcher

    (Elson S. Floyd College of Medicine, Washington State University, Spokane, WA 99202, USA)

  • Magdalena K. Haakenstad

    (Department of Urban Planning, University of Washington, Seattle, WA 98105, USA)

Abstract

Outdoor time is positively associated with improved physical and mental health in adults. Little is known about the specific effects of outdoor time on health outcomes for parents and educators of preschool-aged children. Early childhood is a critical window for growth and development, as parental and educator stress negatively impacts young children; thus, it is of paramount importance to systematically support parents and educators during these developmental years. The objectives of this research were to use a cross-sectional natural experiment to (1) evaluate the association between outdoor time and physical and mental health in caregivers and educators who engage with preschool-aged children; (2) evaluate the association between income and physical and mental health in caregivers and educators who engage with preschool-aged children; and (3) identify benefits and barriers of outdoor time and the importance, availability, and accessibility of community resources for outdoor time. Participants were recruited from three stakeholder groups: preschool educators, parents of children attending an outdoor preschool, and parents of preschool-aged children in the local community. Participants completed a health needs assessment ( n = 46) to assess demographics, mental and physical health outcomes, and benefits, barriers, and resources for outdoor time. Caregivers and educators in the higher income group (≥USD 70,000) were 41% (95% CI: 12%, 70%) more likely to report very good or excellent self-reported health. Mean anxiety, depression, and perceived stress were lower in the higher-income group. Caregivers and educators in the higher outdoor time group had lower body mass index (−5.5 kg/m 2 ; 95% CI: −11.6, 0.7), and outdoor time appeared to be protective for general health independent of income. Thus, outdoor time may be a critical protective factor to enhance biological resilience for caregivers and educators, especially for those facing financial adversity.

Suggested Citation

  • Amber L. Fyfe-Johnson & Carolyn J. Noonan & Maria B. Butcher & Magdalena K. Haakenstad, 2025. "Physical and Mental Health of Caregivers and Educators of Preschool-Aged Children: Identifying Benefits and Barriers to Outdoor Time, How Outdoor Time Can Make a Difference for Health Equity, and Why ," IJERPH, MDPI, vol. 22(2), pages 1-17, February.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:2:p:236-:d:1585808
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    References listed on IDEAS

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    1. repec:mpr:mprres:4373 is not listed on IDEAS
    2. Kuo, F.E. & Faber Taylor, A., 2004. "A potential natural treatment for attention-deficit/hyperactivity disorder: Evidence from a national study," American Journal of Public Health, American Public Health Association, vol. 94(9), pages 1580-1586.
    3. Birute Balseviciene & Liuda Sinkariova & Regina Grazuleviciene & Sandra Andrusaityte & Inga Uzdanaviciute & Audrius Dedele & Mark J. Nieuwenhuijsen, 2014. "Impact of Residential Greenness on Preschool Children’s Emotional and Behavioral Problems," IJERPH, MDPI, vol. 11(7), pages 1-14, June.
    4. McInnis, Nicardo, 2023. "Long-term health effects of childhood parental income," Social Science & Medicine, Elsevier, vol. 317(C).
    5. Alessandro Rigolon & Matthew H. E. M. Browning & Olivia McAnirlin & Hyunseo (Violet) Yoon, 2021. "Green Space and Health Equity: A Systematic Review on the Potential of Green Space to Reduce Health Disparities," IJERPH, MDPI, vol. 18(5), pages 1-27, March.
    6. repec:mpr:mprres:3903 is not listed on IDEAS
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