Breakfast-Skipping and Selecting Low-Nutritional-Quality Foods for Breakfast Are Common among Low-Income Urban Children, Regardless of Food Security Status
Breakfast-Skipping and Selecting Low-Nutritional-Quality Foods for Breakfast Are Common among Low-Income Urban Children, Regardless of Food Security Status
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DOI：
10.3945/jn.115.225516
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发表时间：
2016-03-01
影响因子：
4.2
通讯作者：
Bauer, Katherine W.
中科院分区：
文献类型：
--
作者：
Dykstra, Holly;Davey, Adam;Bauer, Katherine W.
背景：普及学校早餐计划(SBP)旨在帮助低收入和食物不安全的学生克服吃早餐的障碍。然而，尽管普遍获得，可持续发展方案的参与率仍然很低。目的：本研究的目的是在一个大样本的城市中调查普遍使用SBP的学生的早餐行为，并找出来自食物安全家庭和食物不安全家庭的儿童早餐行为的差异。方法：对来自16所学校的821名四至六年级学生及其家长进行横断面研究。学生在数据收集当天上午报告了所选择的食品/饮料和获得食品/饮料的地点，家长使用6项食品安全调查模块报告了家庭食品安全状况，学区提供了2013年秋季学期SBP参与数据。结果：31.2%的学生参与了SBP，13%的学生从未参与过SBP。五分之一(19.4%)的学生早餐在街角的商店买东西，16.9%的学生不吃早餐。46%的学生食物不安全；不同食物安全水平的早餐行为几乎没有差异。结论：尽管普遍可以获得SBP，但SBP的参与率很低。无论家庭的食物安全状况如何，早上不吃早餐和选择营养质量低的食物是很常见的。为了进一步减少学生获得免费健康早餐的障碍，可能需要更多新颖的SBP实施和满足学生的早餐偏好。这项试验在Clinicaltrials.gov上注册为NCT01924130。
Background: Universal access to the School Breakfast Program (SBP) is intended to help low-income and food-insecure students overcome barriers to eating breakfast. However, SBP participation is often still low despite universal access. Further information is needed with regard to these children's breakfast behaviors, and in particular breakfast behaviors among youth from food-insecure families, to inform effective breakfast interventions.Objectives: The objective of this study was to examine breakfast behaviors among a large sample of urban students with universal access to the SBP and to identify differences in breakfast behaviors among children from food-secure compared with food-insecure households.Methods: A cross-sectional study of 821 fourth-through sixth-grade students and their parents from 16 schools was conducted. Students reported the foods/drinks selected and location of obtaining food/drink on the morning of data collection, parents reported household food security status using the 6-item Food Security Survey Module, and the school district provided SBP participation data during the fall semester of 2013. Multivariable linear regression models accounting for school-level clustering were used to examine differences in breakfast behaviors across 3 levels of household food security: food secure, lowfood secure, and very lowfood secure.Results: Students participated in the SBP 31.2% of possible days, with 13% never participating in the SBP. One-fifth (19.4%) of students purchased something from a corner store for breakfast, and 16.9% skipped breakfast. Forty-six percent of students were food insecure; few differences in breakfast behaviors were observed across levels of food security.Conclusions: Despite universal access to the SBP, participation in the SBP is low. Breakfast skipping and selection of foods of low nutritional quality in the morning are common, regardless of household food security status. Additional novel implementation of the SBP and addressing students' breakfast preferences may be necessary to further reduce barriers to students obtaining a free, healthful breakfast. This trial was registered at clinicaltrials.gov as NCT01924130.