州法律利用社区资格条款为所有人建立健康的学校膳食:内容分析。

IF 4 2区 医学 Q2 NUTRITION & DIETETICS Journal of the Academy of Nutrition and Dietetics Pub Date : 2025-10-01 Epub Date: 2025-02-11 DOI:10.1016/j.jand.2025.02.006
Elizabeth Piekarz-Porter JD , Juliana Cohen ScD , Rebecca M. Schermbeck MPH, MS, RD , Julien Leider MA , Tanya Agurs-Collins PhD, RD , Jamie F. Chriqui PhD, MHS
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引用次数: 0

摘要

背景:联邦儿童营养计划是营养安全网的重要组成部分,但成本是学生参与的主要障碍。当学生无力支付他们的餐费时,这也会导致学校的餐费债务。社区资格条款(CEP)旨在通过向低收入学校或学区的所有学生提供免费膳食来解决这些挑战。虽然与大流行有关的豁免在全国范围内提供了普遍的学校供餐,但一旦豁免到期,各州再次面临参与供餐的障碍。目的:了解国家法律对CEP和USM的处理情况。设计:内容分析。截至2023年12月31日生效的州法律是从商业法律数据库中获得的,并使用序数编码方案进行编码,作为国家癌症研究所“与学校学生相关的法律分类”系统的一部分。参与者/背景:在所有50个州和哥伦比亚特区收集了法规和条例。主要结果指标:指标包括:1)法律提供免费早餐和/或午餐的程度,2)学校/地区CEP合规/实施的报告要求,3)基于可行性的扩大用餐要求的豁免,4)提供免费膳食的额外报销,以及5)临时资金或有资金突发事件的项目。进行统计分析:一致性百分比和kappa统计评估编码方案的互译可靠性。计算描述性统计来检查州法律中特定项目的流行程度。结果:编码项目的平均一致性百分比为97%,平均kappa为0.856。30个州的法律旨在通过使用CEP和/或其他普遍膳食计划来减轻学校早餐和/或午餐的成本负担。具体到午餐政策,12个州的法律规定,当学生有资格享受低价午餐时,他们必须免费享用午餐。其他法律根据确定的学生百分比(ISP)而有所不同-通过参加其他经济状况调查计划(如补充营养援助计划(SNAP))直接认证有资格获得免费膳食的学生百分比;一个州的法律规定CEP在ISP的参与率要超过40%,两个州的法律规定ISP的参与率要超过40%,还有十个州的法律要求普及免费午餐。结论:各州可以利用诸如CEP之类的联邦项目来撬动所有可用资金来帮助喂养儿童。州法律可以作为跳板,为所有倡议提供更广泛的健康学校膳食。
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State Laws Leveraging the Community Eligibility Provision to Build Healthy School Meals for All: A Content Analysis

Background

Federal child nutrition programs are a key part of the nutrition safety net, but cost serves as a key participation barrier for students. This can also lead to meal debt for schools when students are unable to pay for the meals they take. The US Department of Agriculture Community Eligibility Provision (CEP) seeks to address these challenges by providing free meals to all students within lower-income schools or school districts. Whereas pandemic-related waivers provided universal school meals nationwide, once the waivers expired, states were again confronted with meal participation barriers.

Objective

To examine the prevalence of state laws addressing CEP and universal school meals.

Design

Content analysis. State laws effective as of December 31, 2023, were obtained from commercial legal databases and coded using an ordinal coding scheme as part of the National Cancer Institute’s Classification of Laws Associated with School Students system.

Participants/setting

Statutes and regulations were collected in all 50 states and the District of Columbia.

Main outcome measures

Measures included degree to which laws provided access to free breakfast and/or lunch, reporting requirements for school/district CEP compliance/implementation, waivers from expanded meal access requirements based on feasibility, additional reimbursement to provide free meals, and temporary funding or programs with funding contingencies.

Statistical analyses performed

Percent agreement and kappa statistics assessed the interrater reliability of the coding scheme. Descriptive statistics were computed to examine the prevalence of specific items in state laws.

Results

Mean percent agreement was 97% and mean kappa was 0.856 across the items coded. Thirty states’ laws aimed to reduce the cost burden of school breakfast and/or lunch through the use of CEP and/or other universal meal initiatives. Specific to lunch policy, 12 states’ laws mandated that when students qualify for reduced-priced lunch, they must be served a lunch at no cost. Other laws varied based on identified student percentage—the percent of students directly certified as eligible for free meals through participation in other means-tested programs, such as the Supplemental Nutrition Assistance Program; 1 state’s law mandated CEP participation at identified student percentage above 40%, 2 states’ laws at identified student percentage of 40%, and 10 states’ laws required universal free lunch.

Conclusions

Federal programs such as CEP can be used by states to leverage all available funding to help feed children. State laws can act as a springboard toward broader healthy school meals for all initiatives.
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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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