Local Wellness Policy 5 years later: is it making a difference for students in low-income, rural Colorado elementary schools?

Local Wellness Policy 5 years later: is it making a difference for students in low-income, rural Colorado elementary schools?
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DOI:
10.5888/pcd10.130002
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发表时间:
2013-11-07
影响因子:
5.5
通讯作者:
Marshall JA
Marshall JA
中科院分区:
医学3区
文献类型:
--
作者:
Belansky ES;Cutforth N;Gilbert L;Litt J;Reed H;Scarbro S;Marshall JA

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联邦授权的地方健康政策(LWP)旨在促进学校学生的健康。本研究评估了为期5年的影响,LWP的农村小学在科罗拉多的卫生实践。一年前和5年后的LWP任务,调查管理的随机抽样的校长,体育(PE)教师,并在45个农村,低收入的小学在科罗拉多餐饮服务经理。2005年的答复率为71%,2011年为89%。体育课和课间休息的时间没有增加,新鲜水果和蔬菜的供应也没有增加。更多的学校采取政策,禁止教师将课间休息作为惩罚(2005年为9.7%,2011年为38.5%,P = 0.02)或弥补错过的教学时间,课堂作业或其他科目的测试(2005年为3.2%,2011年为28.2%,P = 0.03)。更多的学校在午餐前安排休息时间(2005年为22.6%,2011年为46.2%,P = 0.04),并制定了自动售货机政策(2005年为42.9%,2011年为85.7%,P = 0.01)和派对政策(2005年为21.4%,2011年为57.9%,P = 0.004)。学校做法的变化是适度的,可以说,重要的学校做法,如增加体育和课间休息时间,增加水果和蔬菜的供应,在午餐线没有改变,在5年以来的任务生效。需要进一步的调查,以确定知识,技能和态度,以及所需的财政和物质资源的学校管理人员作出改变,在学校的做法。
The federally mandated Local Wellness Policy (LWP) was intended to promote student health in schools. This study assesses the 5-year effects of the LWP on the health practices of rural elementary schools in Colorado. One year before and 5 years after the LWP mandate, a survey was administered to a random sample of principals, physical education (PE) teachers, and food-service managers in 45 rural, low-income elementary schools in Colorado. Response rates were 71% in 2005 and 89% in 2011. Minutes for PE and recess did not increase, nor did offerings of fresh fruits and vegetables. More schools adopted policies prohibiting teachers from taking recess away as punishment (9.7% in 2005 vs 38.5% in 2011, P = .02) or for making up missed instructional time, class work, or tests in other subjects (3.2% in 2005 vs 28.2% in 2011, P = .03). More schools scheduled recess before lunch (22.6% in 2005 vs 46.2% in 2011, P = .04) and developed policies for vending machines (42.9% in 2005 vs 85.7% in 2011, P = .01) and parties (21.4% in 2005 vs 57.9% in 2011, P = .004). Changes in school practices are modest, and arguably the important school practices such as increased PE and recess time and increased offerings of fruits and vegetables in the lunch line have not changed in the 5 years since the mandate went into effect. Further investigation is needed to identify the knowledge, skills, and attitudes as well as financial and physical resources required for school administrators to make changes in school practices.
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