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Participation in the national school lunch program: importance of school-level and neighborhood contextual factors.

机译:参加国家学校午餐计划:学校水平和邻里环境因素的重要性。

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BACKGROUND: This study examined the effect of stigma (proxied by school-level peer participation), neighborhood food environment, and demographic characteristics on participation in the U.S. Department of Agriculture National School Lunch Program (NSLP). METHODS: The 1997 and 2003 waves of the Child Development Supplement to the Panel Study of Income Dynamics were linked to external data on school-level free lunch eligibility rate, fast food restaurant availability in the school zip code, and food store availability and neighborhood socioeconomic status in the home zip code. Probit models examined the effects of contextual and demographic factors on NSLP participation and free/reduced-price NSLP participation, conditional on eligibility. Differences were analyzed by grade. RESULTS: A 10% higher free lunch eligibility rate in a child's school was associated with a 1.8 percentage point increase in the probability of NSLP participation and 2.6 and 6.7 percentage points increase in free/reduced-price NSLP participation among all and high school eligible student, respectively. Fewer grocery stores and more convenience stores increased NSLP participation. Fast food restaurant availability in the school neighborhood decreased free/reduced-price NSLP participation for high school students only. The addition of the contextual factors reduced the estimated association with several of the demographic covariates, especially race. CONCLUSIONS: The significant positive association between NLSP participation and school-level free lunch eligibility, especially for the free/reduced-price NSLP participation, suggested that stigma, or possibly peers, affected participation. Neighborhood and school contextual variables had significant effects on school lunch take-up and the results differed between high school and elementary/middle school students.
机译:背景:这项研究调查了耻辱感(由学校级别的同伴参与),邻里食物环境和人口统计学特征对参与美国农业部国家学校午餐计划(NSLP)的影响。方法:《 1997年和2003年收入动态小组研究的儿童发展补编浪潮》与学校一级的免费午餐合格率,学校邮政编码中的快餐店可用性以及食品商店的可用性和邻里社会经济状况的外部数据相关联邮递区号中的状态。 Probit模型检查了环境和人口因素对NSLP参与和免费/降价NSLP参与的影响(取决于资格)。差异按年级进行分析。结果:儿童学校的免费午餐合格率提高10%,与所有和高中合格学生的NSLP参与概率增加1.8个百分点,NSLP的免费/降价NSLP参与率分别增加2.6和6.7个百分点, 分别。更少的杂货店和更多的便利店增加了NSLP的参与度。在学校附近,快餐店的供应量减少了,仅针对高中生免费/减价NSLP参与。上下文因素的添加减少了与某些人口统计学协变量,尤其是种族的估计关联。结论:NLSP参与和学校水平的免费午餐资格之间存在显着的正相关性,特别是对于免费/减价的NSLP参与,表明耻辱感或同龄人影响了参与。邻里和学校环境变量对学校午餐摄入量有显着影响,高中生与小学/初中生的结果有所不同。

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