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
This Brief summarizes select characteristics of state-level policies and programs to test for lead in school drinking water. It is based on a study from researchers at the Harvard T. H. Chan School of Public Health and the University of California Nutrition Policy Institute. The full results of the study, … More
The marketing of unhealthy foods to children and youth is a major public health concern. Children in the United States grow up surrounded by food and beverage marketing, which primarily promotes products with excessive amounts of added sugar, salt, and fat, and inadequate amounts of fruits, vegetables, and whole grains. … More
CSPI developed a case study that provides insights into policy strategy and advocacy best practices that resulted in passage of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA). The case study outlines key lessons to help inform nutrition and public health policy initiatives, as well as continued implementation and defense of … More