More than 21.8 million school-age children receive free or reduced-price school lunch and 12.6 million children receive free or reduced-price breakfast each day. Since updated nutrition standards for school meals, snack foods, and beverages have been implemented following passage of the 2010 Healthy, Hunger-Free Kids Act, a growing body of evidence shows their effectiveness in More
More than 21.8 million school-age children receive free or reduced-price school lunch and 12.6 million children receive free or reduced-price breakfast each day. Since updated nutrition standards for school meals, snack foods, and beverages have been implemented following passage of the 2010 Healthy, Hunger-Free Kids Act, a growing body of evidence shows their effectiveness in More
Online grocery services may be a promising strategy to increase food access by creating systems that increase the self-reliance of communities to meet their food needs; however, there may be unintended consequences that should be considered. Despite the potential to increase healthier choices, individuals may purchase more soft drinks and juices online than fresh produce. More
Using economic modeling, this study seeks to advance nutritional equity by identifying ways to lower economic barriers to healthy eating among low-income households with children. This study will identify mechanisms for directing unhealthy food and beverage tax revenues towards healthy incentives, particularly through existing federally-funded, but local and state-run programs such as WIC and SNAP. More
The healthcare sector is a promising venue for systems interventions to reduce children’s sugar-sweetened beverage (SSB) consumption, but clinical staff lack the time for high-intensity in-person interventions. We propose to develop and pilot a parent-informed, technology-enabled healthcare system-based intervention. The goals of the intervention are to: reduce SSB consumption, promote guideline-appropriate levels of fruit juice More
The Children’s Food and Beverage Advertising Initiative (CFBAI) is a voluntary industry initiative in which companies commit to feature only foods meeting specific nutrition criteria in advertising directed primarily to children under age 12. Uniform nutrition criteria were originally established in 2011, and new criteria will go into effect in January 2020. The public health More
Sugar-sweetened beverages (SSBs) and, to some extent, fruit juice are modifiable risk factors for childhood obesity. Data on consumption have not been previously systematically collected in the electronic health record (EHR) in a way that could facilitate observational research and population health management. In 2017 to 2018, we used data from an EHR-based SSB and More
For children from low-income families, school meals are a significant portion of daily caloric intake and hence an opportunity to address food insecurity. Many states have pursued legislation to institutionalize programs such as farm to school that aim to improve the quality of school meals and acceptance of healthy foods (fruits and vegetables) to address More
Since 1975, the US Department of Agriculture has sponsored the Summer Food Service Program as a nationwide strategy for providing nutritious meals to children and youth (aged 18 years or younger) in low-income communities during the summer months. Many programs are sponsored by community organizations as well as school districts that may offer the program More
Ensuring safe, accessible drinking water in schools is a national health priority. The objective of this study was to identify whether there are differences in water quality, availability, and education- related practices in schools by demographic characteristics. In 2017–2018, we analyzed data from the 2014 School Health Policies and Practices Study (SHPPS), a nationally representative, More
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