School Breakfast Program Participation and Rural Adolescents' Purchasing Behaviors in Food Stores and Restaurants

Overview

Journal J Sch Health

Publisher Wiley

Specialties Health Services
Medical Education
Nursing

Date 2017 Sep 7

PMID 28876476

Citations 3

Authors

Caitlin Eicher Caspi

Qi Wang

Amy Shanafelt

Nicole Larson

Susan Wei

Mary O Hearst

Marilyn S Nanney

Affiliations

Soon will be listed here.

Abstract

Background: Little is known about adolescents' food purchasing behaviors in rural areas. This study examined whether purchasing food at stores/restaurants around schools was related to adolescents' participation in school breakfast programs and overall diet in rural Minnesota.

Methods: Breakfast-skippers enrolled in a group-randomized intervention in 2014 to 2015 (N = 404 from 8 schools) completed 24-hour dietary recalls and pre/post surveys assessing food establishment purchase frequency. Healthy Eating Index Scores (HEI-2010) were calculated for each student. Student-level school breakfast participation (SBP) was obtained from school food service records. Mixed-effects regression models estimated: (1) whether SBP was associated with store/restaurant use at baseline, (2) whether an increase in SBP was associated with a decrease in store/restaurant use, and (3) whether stores/restaurant use was associated with HEI-2010 scores at baseline.

Results: Students with increased SBP were more likely to decrease fast-food restaurant purchases on the way home from school (OR 1.017, 95% CI 1.005, 1.029), but were less likely to decrease purchases at food stores for breakfast (OR 0.979, 95% CI 0.959, 0.999). Food establishment use was associated with lower HEI-2010 dairy component scores (p = .017).

Conclusions: Increasing participation in school breakfast may result in modest changes in purchases at food establishments.

Citing Articles

Subjectively-measured Environmental Support for Physical Activity, Healthy Eating, and Breastfeeding in the Rural United States: A Scoping Review to Inform Opportunities for Public Health Surveillance.

Wende M, Umstattd Meyer M, Krey K, Morgan R, Houghtaling B J Healthy Eat Act Living. 2025; 5(1):31-63.

PMID: 40060773 PMC: 11887920.

A scoping review of policies to encourage breastfeeding, healthy eating, and physical activity among rural people and places in the United States.

Umstattd Meyer M, Houghtaling B, Wende M, Kheshaifaty K, Delgado H, Eze S BMC Public Health. 2024; 24(1):2160.

PMID: 39123168 PMC: 11313091. DOI: 10.1186/s12889-024-19173-7.

Food Consumed by High School Students during the School Day.

Garrido-Fernandez A, Garcia-Padilla F, Sanchez-Ramos J, Gomez-Salgado J, Trave-Gonzalez G, Sosa-Cordobes E Nutrients. 2020; 12(2).

PMID: 32075022 PMC: 7071212. DOI: 10.3390/nu12020485.

An Economic Analysis of Updating and Expanding School Breakfast Program Offerings in High Schools.

Shanafelt A, Magliocco B, Milbrath K, Nanney M, Caspi C J Sch Health. 2019; 89(5):417-422.

PMID: 30932207 PMC: 7773131. DOI: 10.1111/josh.12749.

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