Disparities in Local Wellness Policies Implementation Across Maryland Schools.
evaluation
health policy
health status disparities
nutrition and diet
physical fitness and sport
social determinants of health
Journal
The Journal of school health
ISSN: 1746-1561
Titre abrégé: J Sch Health
Pays: United States
ID NLM: 0376370
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
revised:
15
04
2021
received:
01
04
2020
accepted:
17
04
2021
pubmed:
22
10
2021
medline:
15
12
2021
entrez:
21
10
2021
Statut:
ppublish
Résumé
School-level implementation of district-level local wellness policies (LWPs) is needed to create school environments that promote nutrition and physical activity (PA). Disparities in classroom-specific LWPs implementation were examined. An administrator survey (N = 756 schools; 24/24 districts) included 6 classrooms LWP best-practice items (fully/not fully implemented: restricting food celebrations or rewards, incorporating PA breaks or integrating PA in curricula, restricting withholding or using PA as punishment). A sum score (alpha = .71; elementary and middle/high examined separately) was used to examine associations with student body income (free-and-reduced priced meals (FARMS): ≤40%, 41-75%, ≥75%), race/ethnicity, and school location (rural/urban/suburban), accounting for district-level clustering, with moderation examined. Classroom implementation scores were: elementary = 3.1 ± 1.8 (range: 0-6/6 items) and middle/high = 2.3 ± 1.6 (range:0-5/5 items). Among elementary and middle/high schools, 65% and 55% had >40% FARMS, 39% and 46% had ≥50% white student body, and 24% and 23% were urban, respectively. Elementary schools with >40% of FARMS-eligible students and middle/high schools with <25% white students reported implementing fewer items. Location was not associated with classroom practices nor was moderation observed. Disparities in classroom-specific LWP best practices implementation were observed by income and race/ethnicity. Tailored support may be needed to improve classroom LWP implementation in schools serving low-income students.
Sections du résumé
BACKGROUND
School-level implementation of district-level local wellness policies (LWPs) is needed to create school environments that promote nutrition and physical activity (PA). Disparities in classroom-specific LWPs implementation were examined.
METHODS
An administrator survey (N = 756 schools; 24/24 districts) included 6 classrooms LWP best-practice items (fully/not fully implemented: restricting food celebrations or rewards, incorporating PA breaks or integrating PA in curricula, restricting withholding or using PA as punishment). A sum score (alpha = .71; elementary and middle/high examined separately) was used to examine associations with student body income (free-and-reduced priced meals (FARMS): ≤40%, 41-75%, ≥75%), race/ethnicity, and school location (rural/urban/suburban), accounting for district-level clustering, with moderation examined.
RESULTS
Classroom implementation scores were: elementary = 3.1 ± 1.8 (range: 0-6/6 items) and middle/high = 2.3 ± 1.6 (range:0-5/5 items). Among elementary and middle/high schools, 65% and 55% had >40% FARMS, 39% and 46% had ≥50% white student body, and 24% and 23% were urban, respectively. Elementary schools with >40% of FARMS-eligible students and middle/high schools with <25% white students reported implementing fewer items. Location was not associated with classroom practices nor was moderation observed.
CONCLUSIONS
Disparities in classroom-specific LWP best practices implementation were observed by income and race/ethnicity. Tailored support may be needed to improve classroom LWP implementation in schools serving low-income students.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
992-1001Subventions
Organisme : American Heart Association
ID : 19CDA34660015/Elizabeth Parker/2019
Organisme : VA
Pays : United States
Organisme : University of Maryland Baltimore SEED program
Organisme : CDC HHS
ID : Cooperative Agreement #U48 DP001929
Pays : United States
Organisme : NIDDK NIH HHS
ID : F32 DK115146
Pays : United States
Organisme : University of Maryland Prevention Research Center
ID : Special Interest Project #12-062
Organisme : University of Maryland
Organisme : CDC HHS
ID : Cooperative Agreement #2B01OT009025
Pays : United States
Organisme : Maryland Department of Health and Mental Hygiene
Organisme : Veterans Affairs Health Administration Office of Health Informatics
Organisme : CDC HHS
ID : Cooperative Agreement #5U58DP003497
Pays : United States
Organisme : National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases
ID : F32DK115146
Organisme : University of Maryland Center for Integrative Medicine
Organisme : NIH HHS
Pays : United States
Informations de copyright
© 2021 American School Health Association.
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