School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Propel Centre for Population Health Impact, Waterloo, Ontario, Canada.
Health Promot Chronic Dis Prev Can. 2017 Sep;37(9):303-312. doi: 10.24095/hpcdp.37.9.05.
Provincial, national and international public health agencies recognize the importance of school nutrition policies that help create healthful environments aligned with healthy eating recommendations for youth. School-wide support for healthy living within the pillars of the comprehensive school health (CSH) framework (social and physical environments; teaching and learning; healthy school policy; and partnerships and services) has been positively associated with fostering improvements to student health behaviours. This study used the CSH framework to classify, compare and describe school support for healthy eating during the implementation of the Ontario School Food and Beverage Policy (P/PM 150).
We collected data from consenting elementary and secondary schools in a populous region of Ontario in Time I (2012/13) and Time II (2014). Representatives from the schools completed the Healthy School Planner survey and a food environmental scan (FES), which underwent scoring and content analyses. Each school's support for healthy eating was classified as either "initiation," "action" or "maintenance" along the Healthy School Continuum in both time periods, and as "high/increased," "moderate" or "low/decreased" within individual CSH pillars from Time I to Time II.
Twenty-five school representatives (8 elementary, 17 secondary) participated. Most schools remained in the "action" category (n = 20) across both time periods, with varying levels of support in the CSH pillars. The physical environment was best supported (100% high/increased support) and the social environment was the least (68% low/decreased support). Only two schools achieved the highest rating (maintenance) in Time II. Supports aligned with P/PM 150 were reportedly influenced by administration buy-in, stakeholder support and relevancy to local context.
Further assistance is required to sustain comprehensive support for healthy eating in Ontario school food environments.
省级、国家级和国际公共卫生机构都认识到学校营养政策的重要性，这些政策有助于营造符合青少年健康饮食建议的健康环境。在全面学校健康（CSH）框架的支柱（社会和物理环境；教学和学习；健康学校政策；以及伙伴关系和服务）范围内为健康生活提供全校支持，与培养学生健康行为的改善呈正相关。本研究使用 CSH 框架对安大略省学校食品和饮料政策（P/PM 150）实施期间的学校健康饮食支持进行分类、比较和描述。
我们在安大略省一个人口稠密地区的时间 I（2012/13 年）和时间 II（2014 年）从同意参与的小学和中学收集数据。学校代表填写了健康学校规划者调查和食品环境扫描（FES），这些调查和扫描都经过了评分和内容分析。根据健康学校连续体，每所学校在两个时期都被分为“启动”、“行动”或“维持”，并且在从时间 I 到时间 II 的各个 CSH 支柱内分为“高/增加”、“中”或“低/减少”。
25 名学校代表（8 名小学代表，17 名中学代表）参与了调查。大多数学校在两个时期都保持在“行动”类别（n=20），在 CSH 支柱方面有不同程度的支持。物理环境得到了最好的支持（100%的高/增加支持），社会环境得到的支持最少（68%的低/减少支持）。只有两所学校在时间 II 达到了最高评级（维持）。据报道，与 P/PM 150 一致的支持受到行政部门的支持、利益相关者的支持以及与当地情况的相关性的影响。
安大略省学校食品环境中维持全面支持健康饮食还需要进一步的帮助。
