Askelson Natoshia M, Golembiewski Elizabeth H, Ghattas Andrew, Williams Steven, Delger Patti J, Scheidel Carrie A
Department of Community and Behavioral Health, Public Policy Center, University of Iowa, Iowa City, IA.
Department of Health Policy and Management, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN.
J Nutr Educ Behav. 2017 Feb;49(2):107-116.e1. doi: 10.1016/j.jneb.2016.10.011. Epub 2016 Dec 8.
To explore parental attitudes and perceptions about the school breakfast program in a state with low school breakfast participation.
A cross-sectional study design that used an online survey completed by parents supplemented with district data from a state department of education. The survey included quantitative and qualitative components.
A rural Midwestern state with low school breakfast participation.
Parents and caregivers of children in grades 1-12 were recruited through schools to complete a survey (n = 7,209).
Participation in a school breakfast program.
A generalized estimating equation model was used to analyze the data and account for the possible correlation among students from the same school district. Open-end survey items were coded.
Parents identified several structural and logistic barriers in response to open-ended survey items. Factors associated with breakfast participation include perceived benefits, stigma related to those for whom breakfast is intended, and the importance of breakfast.
Interventions should be designed to test whether changing parent perceptions and decreasing stigma will lead to increased breakfast participation. Policy, systems, and environment changes addressing the structural and logistic barriers also may have the potential to increase participation.
在一个学校早餐参与率较低的州，探讨家长对学校早餐计划的态度和看法。
一项横断面研究设计，采用家长完成的在线调查，并辅以州教育部的地区数据。该调查包括定量和定性部分。
一个学校早餐参与率较低的中西部农村州。
通过学校招募1至12年级学生的家长和照顾者来完成一项调查（n = 7209）。
参与学校早餐计划的情况。
使用广义估计方程模型分析数据，并考虑来自同一学区的学生之间可能存在的相关性。对开放式调查项目进行编码。
家长在回答开放式调查项目时指出了几个结构和后勤方面的障碍。与早餐参与相关的因素包括感知到的益处、与早餐对象相关的污名以及早餐的重要性。
应设计干预措施，以测试改变家长观念和减少污名是否会导致早餐参与率提高。解决结构和后勤障碍的政策、系统及环境变化也可能有提高参与率的潜力。
