Juliana F.W. Cohen ScD, RD , Monica D. Zuercher PhD , Dania Orta-Aleman PhD , Leah E. Chapman PhD , Christina A. Hecht PhD , Kenneth Hecht LLB , Punam Ohri-Vachaspati PhD, RD , Deborah A. Olarte PhD, RD , Anisha I. Patel MD , Michele Polacsek PhD , Marlene B. Schwartz PhD , Lorrene D. Ritchie PhD, RD , Wendi Gosliner DrPH, RD
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引用次数: 0
Abstract
Objective
To examine the impact of deimplementing universal free school meal (UFSM) policies on school food authorities (SFAs) vs continuing UFSM with state-level policies.
Design
Cross-sectional study.
Participants
A total of 941 SFAs in 8 US states with and without UFSM policies completed a survey during the spring of 2023.
Main Outcome Measures
The SFA survey assessed school meal participation rates, foodservice revenues, staffing needs, administrative burdens, and student stigma and meal debt.
Analyses
Chi-square tests (Test of homogeneity) and generalized estimating equation regression models clustering by state were used to examine differences by UFSM status (deimplementing vs continuing), adjusting for school demographic characteristics.
Results
Compared with SFAs in states that continued UFSM, deimplementation of UFSM was associated with reported declines in school meal participation and foodservice revenues (73% reported declines with deimplementation vs 15% with UFSM policies; P < 0.001), as well as increases in school meal debt (76% vs 5%; P < 0.001) and stigma for students from low-income households (26% vs 5%; P < 0.001). States that deimplemented UFSM reported lower foodservice staffing challenges, potentially because of the lower participation rates.
Conclusions and Implications
Overall, the results of this study suggest that deimplementing UFSM is adversely impacting SFAs and students. Policies to reimplement UFSM could help reduce stigma and meal debt, as well as provide more students access to healthy meals and better nutrition. Strategies to support states with UFSM—including more ways to address current staffing challenges/shortages—are needed.
期刊介绍:
The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas.
The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.