Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; Department of Nutrition and Dietetics, Institute of Public Health, College of Medicine and Health Sciences, Jimma University, Jimma, Ethiopia.
Department of Nutrition and Dietetics, Institute of Public Health, College of Medicine and Health Sciences, Jimma University, Jimma, Ethiopia.
Clin Nutr ESPEN. 2023 Aug;56:187-192. doi: 10.1016/j.clnesp.2023.05.017. Epub 2023 Jun 3.
School Feeding Programs (SFPs) in low-income countries help vulnerable children learn better and maintain their health through the provision of nutritious food to school children. Ethiopia scaled up the implementation of SFP in Addis Ababa.
We aimed at evaluating the effect of the SFP on the school performance of primary school adolescents in Addis Ababa, Central Ethiopia.
A prospective cohort study design was employed on 322 SFP-beneficiary and equal-size non-beneficiary adolescents. SPSS version 24 and multivariable linear regression models were used.
In linear regression, unadjusted model (Model 1), compared with the non-school-fed adolescent, the mean difference in difference of average academic scores of school-fed adolescents was higher by 2.11 (β 2.11, 95% CI 1.39-2.83). The beta coefficient remained positive after adjusted for age and sex (Model 2: β 2.11, 95% CI 1.39-2.83), sociodemographic variable (Model 3: β 2.16, 95% CI 1.45-2.88), health and lifestyle variable (Model 4: β 2.21, 95% CI 1.38-3.04). In the final model, adjusted for model five, school absenteeism, there was a significant difference in favor of school-fed adolescents on GPA-score (Model 5: β 2.32, 95% CI 1.47-3.17). Furthermore, being adolescents in middle tertile wealth index families decrease GPA by 1.22 (β -1.22, 95% CI -2.19 to -0.26) as compared to high tertile wealth index.
School feeding was positively associated with academic performance. However, these changes may not be meaningful to generate a firm conclusion on the utility of school feeding in improving the academic performance of adolescents.
在低收入国家，学校供餐计划（SFPs）通过向在校儿童提供营养食品，帮助弱势儿童更好地学习和保持健康。埃塞俄比亚在亚的斯亚贝巴扩大了 SFP 的实施规模。
我们旨在评估 SFP 对埃塞俄比亚中部亚的斯亚贝巴的小学生学业成绩的影响。
采用前瞻性队列研究设计，对 322 名 SFP 受益和同等规模的非受益青少年进行研究。使用 SPSS 版本 24 和多变量线性回归模型。
在线性回归中，未调整模型（模型 1）中，与非在校供餐的青少年相比，在校供餐的青少年的平均学业成绩差异平均高出 2.11（β 2.11，95%CI 1.39-2.83）。在调整年龄和性别（模型 2：β 2.11，95%CI 1.39-2.83）、社会人口统计学变量（模型 3：β 2.16，95%CI 1.45-2.88）、健康和生活方式变量（模型 4：β 2.21，95%CI 1.38-3.04）后，β 系数仍然为正。在最终模型中，调整了模型五中的学校缺课情况，在校供餐的青少年在 GPA 评分上有显著差异（模型 5：β 2.32，95%CI 1.47-3.17）。此外，与高 tertile 财富指数家庭相比，处于中等 tertile 财富指数家庭的青少年的 GPA 降低 1.22（β-1.22，95%CI-2.19 至-0.26）。
学校供餐与学业成绩呈正相关。然而，这些变化可能不足以得出学校供餐对提高青少年学业成绩有用的结论。
