Datar Ashlesha, Nicosia Nancy
RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA 90407, USA,
J Policy Anal Manage. 2012 Spring;31(2):312-337. doi: 10.1002/pam.21602.
Despite limited empirical evidence, there is growing concern that junk food availability in schools has contributed to the childhood obesity epidemic. In this paper, we estimate the effects of junk food availability on BMI, obesity, and related outcomes among a national sample of fifth-graders. Unlike previous studies, we address the endogeneity of the school food environment by controlling for children's BMI at school entry and estimating instrumental variables regressions that leverage variation in the school's grade span. Our main finding is that junk food availability does not significantly increase BMI or obesity among this fifth grade cohort despite the increased likelihood of in-school junk food purchases. The results are robust to alternate measures of junk food availability including school administrator reports of sales during school hours, school administrator reports of competitive food outlets, and children's reports of junk food availability. Moreover, the absence of any effects on overall food consumption and physical activity further support the null findings for BMI and obesity.
尽管实证证据有限,但人们越来越担心学校里垃圾食品的供应助长了儿童肥胖症的流行。在本文中,我们估计了垃圾食品供应对全国五年级学生样本的体重指数(BMI)、肥胖及相关结果的影响。与以往研究不同的是,我们通过控制儿童入学时的BMI,并估计利用学校年级跨度变化的工具变量回归,来解决学校食物环境的内生性问题。我们的主要发现是,尽管在校购买垃圾食品的可能性增加了,但垃圾食品的供应并没有显著增加该五年级队列学生的BMI或肥胖率。这些结果对于垃圾食品供应的替代衡量指标具有稳健性,这些指标包括学校管理人员关于上课时间内销售额的报告、学校管理人员关于竞争性食品销售点的报告以及儿童关于垃圾食品供应情况的报告。此外,对总体食物消费和身体活动没有任何影响,这进一步支持了关于BMI和肥胖的零结果。