Perceptions and experiences of Universal School Meals in California: Qualitative insights from school food service directors on participation, stigma, and operational benefits and challenges.

IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Journal of the Academy of Nutrition and Dietetics Pub Date : 2024-11-08 DOI:10.1016/j.jand.2024.11.002
Dania Orta-Aleman, Monica D Zuercher, Christina Hecht, Kenneth Hecht, Isha Poudel, Deborah A Olarte, Anisha Patel, Michele Polacsek, Lorrene D Ritchie, Juliana F W Cohen, Wendi Gosliner
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Abstract

Background: Universal school meals (USM) aim to eliminate barriers to school meal access by providing free meals to all students regardless of family income. During the COVID-19 pandemic, United States Department of Agriculture waivers allowed schools nationwide to offer meals free of charge to all students. While USM programs have demonstrated positive effects on student health and participation, limited research has focused on the perspectives of Food Service Directors (FSD) who manage them.

Objective: The study aims to explore the operational benefits and challenges encountered by FSDs, and their perceptions of the benefits of USM for students and parents during the implementation of USM during the 2021-22 school year.

Design: Qualitative using semi-structured interviews.

Participants/setting: Twenty-nine California FSDs selected through purposive sampling to ensure diversity in district size, urbanicity, and student eligibility for free or reduced-price meals. Interviews were conducted via Zoom in Spring 2022.

Analysis: Thematic analysis using an immersion-crystallization approach.

Results: FSDs perceived multiple benefits of USM, including increased meal participation, reduced stigma around free meals, and strong support for USM from parents and school communities. They believed consistent access to meals improved learning readiness and behavior. Operationally, FSDs reported increased administrative efficiency and the elimination of student meal debt. However, higher meal demand led to increased workloads compounded by staffing shortages, challenges in hiring and retention, and supply issues exacerbated by the pandemic. California's Kitchen Infrastructure and Training grants supported equipment upgrades. Despite challenges, FSDs were optimistic about the future of USM and expressed a strong desire for its continuation.

Conclusions: FSDs perceived USM as beneficial for improving meal access, reducing stigma, and enhancing administrative efficiency. However, sustaining these benefits requires addressing operational challenges through targeted support and investments. Future research should assess the long-term viability of USM and strategies for overcoming challenges outside the pandemic context.

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加利福尼亚州普及学校膳食的看法和经验:学校膳食服务主任对参与、耻辱感以及运营效益和挑战的定性见解。
背景:学校全面供餐(USM)旨在通过向所有学生(无论其家庭收入如何)提供免费餐食来消除学校供餐的障碍。在 COVID-19 大流行期间,美国农业部允许全国学校向所有学生免费提供膳食。尽管全美学生膳食计划对学生的健康和参与产生了积极影响,但对管理这些计划的膳食服务主任(FSD)的观点的研究却很有限:本研究旨在探讨在 2021-22 学年实施全校参与计划的过程中,餐饮服务总监在运营方面的益处和遇到的挑战,以及他们对全校参与计划为学生和家长带来的益处的看法:设计:采用半结构式访谈的定性方法:通过有目的性的抽样,选取了 29 个加利福尼亚州的 FSD,以确保学区规模、城市化程度和学生免费或减价膳食资格的多样性。访谈于 2022 年春季通过 Zoom 进行:分析:采用沉浸-结晶方法进行专题分析:家庭与学校服务处认为全校监控有多种益处,包括提高了膳食参与率、减少了对免费膳食的偏见,以及家长和学校社区对全校监控的大力支持。他们认为,持续获得膳食可改善学习准备和行为。在运营方面,"家庭与学校服务处 "报告说,行政效率提高了,学生的膳食债务也消除了。然而,膳食需求的增加导致了工作量的增加,而人员短缺、招聘和留用方面的挑战以及供应问题又因大流行病而加剧。加州厨房基础设施和培训补助金为设备升级提供了支持。尽管面临挑战,但消防局对 USM 的未来持乐观态度,并表达了继续开展下去的强烈愿望:消防员认为全美超市有利于改善就餐条件、减少耻辱感和提高行政效率。然而,要保持这些益处,就必须通过有针对性的支持和投资来应对运营方面的挑战。未来的研究应评估统一膳食管理的长期可行性,以及在大流行病之外克服挑战的策略。
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来源期刊
CiteScore
7.20
自引率
10.40%
发文量
649
审稿时长
68 days
期刊介绍: The Journal of the Academy of Nutrition and Dietetics is the premier source for the practice and science of food, nutrition, and dietetics. The monthly, peer-reviewed journal presents original articles prepared by scholars and practitioners and is the most widely read professional publication in the field. The Journal focuses on advancing professional knowledge across the range of research and practice issues such as: nutritional science, medical nutrition therapy, public health nutrition, food science and biotechnology, foodservice systems, leadership and management, and dietetics education.
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