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竞争食品、歧视与国家学校午餐计划参与度

Competitive foods, discrimination, and participation in the National School Lunch Program.

机构信息

San Francisco Department of Public Health, San Francisco, CA 94102, USA.

出版信息

Am J Public Health. 2011 Aug;101(8):1380-6. doi: 10.2105/AJPH.2011.300134. Epub 2011 Jun 16.

Abstract

Meals served through the National School Lunch Program (NSLP) must meet rigorous nutritional standards; however, barriers to student participation may limit the program's health and social equity benefits. Unsubsidized meals and food offerings competing with the NSLP offerings in school lunch environments may be lowering qualified student participation either directly or via identification of subsidized low-income students or stigmatization of the NSLP. We document a pilot intervention conducted in San Francisco in 2009 and 2010 that demonstrated gains in NSLP participation after removal of separate competitive à la carte lunch meal offerings. Our observations suggest the need for greater attention to the potential discriminatory effects of competitive foods and to the issue of stigma by school nutrition program administrators, researchers, regulators, and policymakers.

摘要

通过国家学校午餐计划(NSLP)提供的膳食必须符合严格的营养标准;然而,学生参与的障碍可能会限制该计划的健康和社会公平效益。非补贴餐和与学校午餐环境中 NSLP 竞争的食品供应可能会直接降低合格学生的参与度,或者通过识别补贴的低收入学生或污名化 NSLP 来降低参与度。我们记录了 2009 年和 2010 年在旧金山进行的一项试点干预措施,该措施表明在取消单独的竞争性特色餐供应后,NSLP 参与度有所提高。我们的观察结果表明,学校营养计划管理人员、研究人员、监管机构和政策制定者需要更加关注竞争食品的潜在歧视性影响以及污名化问题。

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