Rural disparities in health behaviors and weight status jeopardize the well-being of millions of Americans. Compared to urban children, rural children have higher rates of obesity and consume more calories, less fruit, and fewer vegetables. A health-promoting school environment can modify risk behaviors, and periodic assessment of school environments provides crucial information about opportunities for improvement, but national surveillance options are limited. There is also a need to gather nuanced information about the factors that support or limit implementation of systems changes at rural schools. The Food and Fitness survey, part of the RWJF-funded Bridging the Gap Research Program, surveyed a nationally-representative sample of 640 public elementary schools in 2013-14. This project will re-survey schools to examine changes between 2013-14 and 2019-20, with a sample large enough to examine disparities. Aims are to: 1) examine changes in school practices between 2013-14 and 2019-20; and 2) identify the unique strengths and challenges of rural schools, through collection of qualitative data in a purposive sample.
Conducting a Large-Scale Surveillance of Public School Environments to Advance Wellness-Related Practices, With a Focus on Rural Schools
Stories of Success: A Qualitative Examination of Contributors to Excellence in School Drinking Water Access
Drinking water instead of beverages with added sugar can help prevent obesity and cavities and promote overall health. Children spend much of their day in school, where they have variable access to drinking water. In 2010, federal and state law required California public schools to provide free potable water to … More
The Every Student Succeeds Act (ESSA) was signed into law on December 10, 2015, reauthorizing the Elementary and Secondary Education Act of 1965. ESSA created an opportunity to broaden accountability beyond traditional subjects, such as math, to potentially focus on health and wellness in schools. States could select health and … More
Food Environment Near Schools and Body weight-A Systematic Review of Associations by race/ethnicity, Gender, Grade, and Socio-Economic Factors
Previous research reported modest associations between food environments near schools and adiposity among children overall. The associations within sociodemographic subgroups have not been synthesized. This review assessed the evidence on the associations between food environments near schools and childhood obesity within different demographic and socio-economic subgroups. PubMed and Scopus databases … More