Asada Yuka, Hughes Alejandro G, Read Margaret, Schwartz Marlene B, Chriqui Jamie F
Institute for Health Research and Policy, School of Public Health, University of Illinois at Chicago, 1747W Roosevelt Rd M/C 275, Chicago, IL 60608.
UConn Rudd Center for Food Policy and Obesity, University of Connecticut, One Constitution Plaza, Suite 600, Hartford, CT 06103.
J Sch Health. 2017 Nov;87(11):842-849. doi: 10.1111/josh.12562.
The Healthy, Hunger-Free Kids Act of 2010 (HHFKA) directed the US Department of Agriculture (USDA) to revise school meal standards. Students are most affected by efforts to improve the school food environment; yet, few studies directly include students. This study examined high school students' experiences of school meal reform to gain insight into implementation recommendations.
We conducted 5 focus groups with high school students (N = 15) from high schools across 9 states. We also conducted follow-up interviews to further explore personal experiences. Focus groups and interview transcripts were coded and organized in Atlas.ti v7 by analysts, following principles of constant comparative analysis.
Students reported overall positive perceptions of the revised school meal standards and supported continued efforts to improve the food environment. Recommendations to improve the food environment included engaging students, focusing on the quality and palatability of meal items, moving toward scratch-cooking, and addressing cafeteria infrastructure.
Students' recommendations point to opportunities where school districts, as well as local, state, and federal organizations can work to improve the school food environment. Their insights are directly relevant to USDA's recently released Local School Wellness Policy final rule, of which school meal standards are one provision.
2010年的《健康、无饥饿儿童法案》（HHFKA）指示美国农业部（USDA）修订学校膳食标准。学生是改善学校食品环境举措的最大受影响群体；然而，很少有研究直接纳入学生群体。本研究调查了高中生对学校膳食改革的体验，以深入了解实施建议。
我们与来自9个州高中的高中生（N = 15）进行了5次焦点小组讨论。我们还进行了后续访谈，以进一步探讨个人经历。焦点小组讨论和访谈记录由分析人员按照持续比较分析原则在Atlas.ti v7中进行编码和整理。
学生对修订后的学校膳食标准总体持积极看法，并支持继续努力改善食品环境。改善食品环境的建议包括让学生参与进来、关注膳食质量和适口性、转向现做烹饪以及解决食堂基础设施问题。
学生的建议指出了学区以及地方、州和联邦组织可以努力改善学校食品环境的机会。他们的见解与美国农业部最近发布的《地方学校健康政策最终规则》直接相关，学校膳食标准是其中一项规定。
