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Article

Assessing the Relationship between District and State Policies and School Nutrition Promotion-Related Practices in the United States

1
Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA
2
Siteman Cancer Center and Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO 63110, USA
3
College of Education, Boise State University, Boise, ID 83725, USA
4
Institute for Health Research and Policy, University of Illinois Chicago, Chicago, IL 60608, USA
5
Division of Health Policy and Administration, School of Public Health, University of Illinois Chicago, Chicago, IL 60612, USA
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(8), 2356; https://doi.org/10.3390/nu12082356
Received: 19 June 2020 / Revised: 29 July 2020 / Accepted: 31 July 2020 / Published: 7 August 2020
School environments are an optimal setting to promote healthy student diets, yet it is unclear what role state and district policies play in shaping school contexts. This study examined how state and district policies are associated with school-reported practices for promoting student participation in school lunch programs. School nutrition manager data were obtained from the School Nutrition and Meal Cost Study’s (SNMCS) sample of 1210 schools in 46 states and the District of Columbia (DC) during school year 2014–2015. Relevant state laws and district policies were compiled and coded. Multivariable logistic and Poisson regressions, controlling for school characteristics, examined the relationship between state/district laws/policies and school practices. Compared to schools in districts or states with no policies/laws, respectively, schools were more likely to provide nutritional information on school meals (AOR = 2.59, 95% CI = 1.33, 5.05) in districts with strong policies, and to promote school meals at school events (AOR = 1.93, CI = 1.07, 3.46) in states with strong laws. Schools in states with any laws related to strategies to increase participation in school meals were more likely to seek student involvement in menu planning (AOR = 2.02, CI = 1.24, 3.31) and vegetable offerings (AOR = 2.00, CI = 1.23, 3.24). The findings support the association of laws/policies with school practices. View Full-Text
Keywords: school; nutrition; legal epidemiology; school meals school; nutrition; legal epidemiology; school meals
MDPI and ACS Style

McLoughlin, G.M.; Turner, L.; Leider, J.; Piekarz-Porter, E.; Chriqui, J.F. Assessing the Relationship between District and State Policies and School Nutrition Promotion-Related Practices in the United States. Nutrients 2020, 12, 2356. https://doi.org/10.3390/nu12082356

AMA Style

McLoughlin GM, Turner L, Leider J, Piekarz-Porter E, Chriqui JF. Assessing the Relationship between District and State Policies and School Nutrition Promotion-Related Practices in the United States. Nutrients. 2020; 12(8):2356. https://doi.org/10.3390/nu12082356

Chicago/Turabian Style

McLoughlin, Gabriella M., Lindsey Turner, Julien Leider, Elizabeth Piekarz-Porter, and Jamie F. Chriqui 2020. "Assessing the Relationship between District and State Policies and School Nutrition Promotion-Related Practices in the United States" Nutrients 12, no. 8: 2356. https://doi.org/10.3390/nu12082356

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