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

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  • Additional Information
    • Availability:
      Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: [email protected]; Web site: http://www.wiley.com/WileyCDA
    • Peer Reviewed:
      Y
    • Source:
      9
    • Sponsoring Agency:
      National Heart, Lung, and Blood Institute (DHHS/NIH)
    • Contract Number:
      5R01HL11323503
    • Education Level:
      Secondary Education
    • Subject Terms:
      Breakfast Programs; Adolescent Attitudes; Dining Facilities; Purchasing; Rural Schools; Student Behavior; Student Participation; Randomized Controlled Trials; Intervention; Incidence; Eating Habits; Nutrition; Food Standards; Regression (Statistics); Health Education; Correlation; Secondary School Students
    • Subject Terms:
      Minnesota
    • Accession Number:
      10.1111/josh.12546
    • ISSN:
      0022-4391
    • Abstract:
      Background: Little 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. Methods: Breakfast-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. Results: Students 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 = 0.017). Conclusions: Increasing participation in school breakfast may result in modest changes in purchases at food establishments.
    • Abstract:
      As Provided
    • Publication Date:
      2017
    • Accession Number:
      EJ1153440