Vale Diôgo, Lyra Clélia de Oliveira, Santos Thais Teixeira Dos, Souza Camila Valdejane Silva de, Roncalli Angelo Giuseppe
Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte (UFRN). BR-406, Km 145, Bairro Planalto. 59570-000 Ceará-Mirim RN Brasil.
Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Norte. Mossoró RN Brasil.
Cien Saude Colet. 2021 Feb;26(2):637-650. doi: 10.1590/1413-81232021262.17392020. Epub 2020 Jul 29.
The scope of this study was to evaluate the acceptance of school food by Brazilian adolescents, taking individual and school context determinants into consideration. A total of 10,262 adolescents in public schools of the 2015 Brazilian National Survey of School Health (PeNSE 2015) were assessed. Multilevel regression was used to estimate the effect of variables of the individual context and the school environment on low acceptance of school food by adolescents. The prevalence of low acceptance (consumption of school meals ≤ 2 days/week) was 64.2% in this group. The explanatory model showed less acceptance of this practice among female adolescents (PR=1.09; CI: 1.03-1.14), among those aged 15 years or older (PR=1.08; CI: 1.02-1.14), those who regularly consumed soft drinks (PR=1.09; CI: 1.03-1.15), those who did not regularly have lunch and dinner with parents and guardians (PR=1.08; CI: 1.02-1.14), and those who lived in households with less than 4 people (PR=1.07; CI: 1.02-1.13). Concerning the school environment, studying in schools with more than 1,000 students (PR=1.22; CI: 1.12-1.33) and the presence of a cafeteria (PR=1.15; CI: 1.08-1.22) led to low acceptance. The results revealed the importance of the school context in determining the consumption of school meals by adolescents.
本研究的范围是评估巴西青少年对学校食物的接受程度，并考虑个体和学校环境的决定因素。对2015年巴西全国学校健康调查（PeNSE 2015）公立学校中的10262名青少年进行了评估。采用多水平回归来估计个体背景和学校环境变量对青少年对学校食物接受程度低的影响。该组中接受程度低（每周食用学校餐食≤2天）的患病率为64.2%。解释模型显示，女性青少年（PR=1.09；CI：1.03-1.14）、15岁及以上青少年（PR=1.08；CI：1.02-1.14）、经常饮用软饮料的青少年（PR=1.09；CI：1.03-1.15）、不经常与父母和监护人共进午餐和晚餐的青少年（PR=1.08；CI：1.02-1.14）以及生活在人口少于4人的家庭中的青少年（PR=1.07；CI：1.02-1.13）对这种做法的接受程度较低。关于学校环境，在学生人数超过1000人的学校就读（PR=1.22；CI：1.12-1.33）以及有自助餐厅（PR=1.15；CI：1.08-1.22）会导致接受程度低。结果揭示了学校环境在决定青少年学校餐食消费方面的重要性。
