School Breakfast Program Participation and Rural Adolescents' Purchasing Behaviors in Food Stores and Restaurants

Journal of School Health - Tập 87 Số 10 - Trang 723-731 - 2017
Caitlin E. Caspi1, Qi Wang2, Amy Shanafelt1, Nicole Larson3, Susan Wei4, Mary O. Hearst5, Marilyn S. Nanney1
1Department of Family Medicine and Community Health, University of Minnesota, 717 Delaware St. SE, Minneapolis, MN 55414
2Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, 717 Delaware St SE, Minneapolis, MN 55414
3Division of Epidemiology and Community Health, University of Minnesota, Suite 300, 1300 South 2nd Street, Minneapolis, MN 55454
4Division of Biostatistics, University of Minnesota, 420 Delaware St. SE, Minneapolis, MN 55455
5Henriette Schmoll School of Health, St. Catherine University, 2004 Randolph Ave., St. Paul, MN 55105

Tóm tắt

ABSTRACTBACKGROUNDLittle is known about adolescents' food purchasing behaviors in rural areas. This study examined whether purchasing food at stores/restaurants around schools was related to adolescents' participation in school breakfast programs and overall diet in rural Minnesota.METHODSBreakfast‐skippers enrolled in a group‐randomized intervention in 2014 to 2015 (N = 404 from 8 schools) completed 24‐hour dietary recalls and pre/post surveys assessing food establishment purchase frequency. Healthy Eating Index Scores (HEI‐2010) were calculated for each student. Student‐level school breakfast participation (SBP) was obtained from school food service records. Mixed‐effects regression models estimated: (1) whether SBP was associated with store/restaurant use at baseline, (2) whether an increase in SBP was associated with a decrease in store/restaurant use, and (3) whether stores/restaurant use was associated with HEI‐2010 scores at baseline.RESULTSStudents with increased SBP were more likely to decrease fast‐food restaurant purchases on the way home from school (OR 1.017, 95% CI 1.005, 1.029), but were less likely to decrease purchases at food stores for breakfast (OR 0.979, 95% CI 0.959, 0.999). Food establishment use was associated with lower HEI‐2010 dairy component scores (p = .017).CONCLUSIONSIncreasing participation in school breakfast may result in modest changes in purchases at food establishments.

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Journal of School Health

Tập 87 Số 10

723-731

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