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一项混合方法、准实验评估,探索中学普及免费校餐干预试点的影响。

A Mixed Methods, Quasi-Experimental Evaluation Exploring the Impact of a Secondary School Universal Free School Meals Intervention Pilot.

机构信息

Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK.

NIHR PHIRST Insight, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK.

出版信息

Int J Environ Res Public Health. 2023 Mar 22;20(6):5216. doi: 10.3390/ijerph20065216.

Abstract

Food insecurity amongst households with children is a growing concern globally. The impacts in children include poor mental health and reduced educational attainment. Providing universal free school meals is one potential way of addressing these impacts. This paper reports findings on the impact of a universal free school meals pilot in two English secondary schools. We adopted a mixed-methods, quasi-experimental design. The intervention schools were one mainstream school ( = 414) and one school for students with special educational needs ( = 105). Two other schools were used as comparators ( = 619; = 117). The data collection comprised a cross sectional student survey during the pilot ( = 404); qualitative interviews with students ( = 28), parents ( = 20) and school staff ( = 12); and student observations of lunchtimes ( = 57). Qualitative data were analysed using thematic analysis, and descriptive analyses and logistic regressions were conducted on the quantitative data. Self-reports of food insecurity were high at both intervention (26.6%) and comparator schools (25.8%). No effects of the intervention were seen in the quantitative findings on either hunger or food insecurity. Qualitative findings indicated that students, families and staff perceived positive impact on a range of outcomes including food insecurity, hunger, school performance, family stress and a reduction in stigma associated with means-tested free school meals. Our research provides promising evidence in support of universal free school meals in secondary schools as a strategy for addressing growing food insecurity. Future research should robustly test the impact of universal free school meals in a larger sample of secondary schools, using before and after measures as well as a comparator group.

摘要

全球范围内,儿童家庭的粮食不安全问题日益严重。这对儿童的影响包括心理健康状况不佳和受教育程度降低。提供普及的免费学校餐食是解决这些影响的一种潜在方法。本文报告了在英格兰两所中学开展普及的免费学校餐食试点的影响。我们采用了混合方法、准实验设计。干预学校包括一所主流学校(=414 名学生)和一所为有特殊教育需求的学生开设的学校(=105 名学生)。另外两所学校作为对照组(=619 名学生;=117 名学生)。数据收集包括试点期间的学生横断面调查(=404 名学生);对学生(=28 名)、家长(=20 名)和学校工作人员(=12 名)进行的定性访谈;以及对午餐时间的学生观察(=57 名学生)。使用主题分析对定性数据进行分析,并对定量数据进行描述性分析和逻辑回归分析。干预组和对照组的学生自我报告的粮食不安全率均较高(干预组为 26.6%,对照组为 25.8%)。定量研究结果未发现该干预对饥饿或粮食不安全有任何影响。定性研究结果表明,学生、家庭和工作人员认为,该干预对一系列结果产生了积极影响,包括粮食不安全、饥饿、学校表现、家庭压力以及与经济状况调查免费学校餐食相关的耻辱感减少。我们的研究为在中学推行普及的免费学校餐食作为解决日益严重的粮食不安全问题的策略提供了有希望的证据。未来的研究应在更大的中学样本中,使用前后测和对照组,更有力地检验普及的免费学校餐食的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5423/10049258/8f78e4cfa9c4/ijerph-20-05216-g001.jpg

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