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The Role of District Wellness Policies in Encouraging Student Participation in the School Breakfast Program, United States

1
Institute for Health Research and Policy, University of Illinois Chicago, 1747 W. Roosevelt Road, M/C 275, Chicago, IL 60608, USA
2
Division of Health Policy and Administration, School of Public Health, University of Illinois Chicago, 1603 W. Taylor Street, M/C 923, Chicago, IL 60612, USA
3
College of Education, Boise State University, 1910 University Drive, Boise, ID 83725, USA
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(8), 2187; https://doi.org/10.3390/nu12082187
Received: 17 June 2020 / Revised: 17 July 2020 / Accepted: 21 July 2020 / Published: 23 July 2020
Eating breakfast is associated with better academic performance and nutrition and lower risk of obesity, but skipping breakfast is common among children and adolescents, and participation in the U.S. Department of Agriculture’s School Breakfast Program (SBP) is low. This study assessed the association between school district wellness policy provisions coded as part of the National Wellness Policy Study and student SBP participation and acceptance of the breakfasts provided using cross-sectional survey data from the School Nutrition and Meal Cost Study. Separate survey-adjusted multivariable logistic regressions were computed, linking students eating (N = 1575) and liking (N = 726) the school breakfast to corresponding district policy measures, controlling for school and student characteristics. Strong district policy, as opposed to no policy, was associated with significantly higher odds of students eating the school breakfast (odds ratio (OR): 1.86; 95% CI: 1.09, 3.16; p = 0.022), corresponding to an adjusted prevalence of 28.4% versus 19.2%, and liking the school breakfast (OR: 2.14; 95% CI: 1.26, 3.63; p = 0.005), corresponding to an adjusted prevalence of 69.0% versus 53.9%. District policy has the potential to play an important role in encouraging higher levels of SBP participation. View Full-Text
Keywords: child nutrition; School Breakfast Program; district wellness policy; legal epidemiology; policy surveillance child nutrition; School Breakfast Program; district wellness policy; legal epidemiology; policy surveillance
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Leider, J.; Lin, W.; Piekarz-Porter, E.; Turner, L.; Chriqui, J.F. The Role of District Wellness Policies in Encouraging Student Participation in the School Breakfast Program, United States. Nutrients 2020, 12, 2187.

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