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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Food insecurity: could school food supplementation help break cycles of intergenerational transmission of social inequalities?
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Food insecurity: could school food supplementation help break cycles of intergenerational transmission of social inequalities?

机译:粮食不安全:学校补充食物能否帮助打破社会不平等的代际传播周期?

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OBJECTIVE: The aim of our study was to investigate the moderating effect of school food programs in schools in disadvantaged neighborhoods on the association between household food insecurity and scholastic difficulties among adolescents. METHODS: We analyzed data from the Social and Health Survey of Children and Adolescents in Quebec, Canada, which was conducted in 1999 and included 2346 adolescent students 13 and 16 years of age (and 1983 of their parents). Sample-weighted regression analyses were performed to determine the association between household food insecurity and school difficulties and to explore the moderating role of food supplementation programs with respect to this association. RESULTS: Household food insecurity, which was linked to the indicators of family socioeconomic status, was strongly associated with the indicators of scholastic difficulties. This association disappeared for adolescents who benefited from food supplementation programs in schools in disadvantaged neighborhoods. The risk of school activity limitation decreased from OR = 2.76 (95% confidence interval [CI]: 1.41-5.41) to OR = 1.57 (95% CI: 1.35-3.40), the risk of below-average grades in the language of instruction decreased from OR = 2.19 (95% CI: 1.28-3.74) to OR = 0.59 (95% CI: 0.21-1.63), the risk of repeating a year decreased from OR = 2.14 (95% CI: 1.35-3.40) to OR = 0.87 (95% CI: 0.42-1.81), and the risk of self-rated poor academic performance decreased from OR = 1.74 (95% CI: 1.08-2.81) to OR = 0.81(95% CI: 0.37-1.78). CONCLUSION: School food supplementation is a moderating factor in the association between household food insecurity and scholastic difficulties for adolescents.
机译:目的:我们的研究目的是调查弱势社区学校的学校食品计划对家庭食品不安全与青少年学业困难之间联系的调节作用。方法:我们分析了加拿大魁北克省儿童和青少年社会和健康调查的数据,该调查于1999年进行,其中包括2346名13岁和16岁的青少年学生(及其1983年父母)。进行了样本加权回归分析,以确定家庭粮食不安全与学校困难之间的联系,并探讨与该联系有关的食物补充计划的调节作用。结果:家庭粮食不安全与家庭社会经济状况指标相关,与学业困难指标密切相关。对于那些在贫困社区的学校中从食物补充计划中受益的青少年来说,这种联系消失了。学校活动受限的风险从OR = 2.76(95%置信区间[CI]:1.41-5.41)降低到OR = 1.57(95%CI:1.35-3.40),即教学语言中成绩低于平均水平的风险从OR = 1.19(95%CI:1.28-3.74)降至OR = 0.59(95%CI:0.21-1.63),重复一年的风险从OR = 2.14(95%CI:1.35-3.40)降至OR = 0.87(95%CI:0.42-1.81),自我评估的学习成绩差的风险从OR = 1.74(95%CI:1.08-2.81)降至OR = 0.81(95%CI:0.37-1.78)。结论:学校食品补充是家庭粮食不安全与青少年学业困难之间联系的调节因素。

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