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Barriers and Facilitators to High School Meal Program Participation

A Qualitative Study of Students and Their Caregivers

Bibliographic Data

ID21354159
AuthorsAlexander J O'Donnell (0000-0002-3628-0046, DePaul University 2219 N. Kenmore Avenue Chicago IL 60614, corresponding author), Dana Mansfield (DePaul University 2219 N. Kenmore Avenue Chicago IL 60614), Bernardo Loiacono (0000-0003-3083-3276, DePaul University 2219 N. Kenmore Avenue Chicago IL 60614, corresponding author), Margaret H Clark Withington (0000-0002-7947-748X, DePaul University, corresponding author), Molly Cory (0000-0002-6005-0320, DePaul University 2219 N. Kenmore Avenue Chicago IL 60614, corresponding author), Dylan Sagan (DePaul University 2219 N. Kenmore Avenue Chicago IL 60614, corresponding author), Joanna Buscemi (0000-0003-3829-2515, DePaul University 2219 N. Kenmore Avenue Chicago IL 60614, corresponding author)
Year2022
Volume92
Issue12
Pages1186-1193
Publication date2022-12-01
Open AccessYes
TypeARTICLE
VenueJournal of School Health (JOURNAL)
Journal identifiersISSN: 0022-4391 • E-ISSN: 1746-1561
PublisherWiley (PUBLISHER • GB)
DOI10.1111/josh.13229
PMID35878882
OpenAlexW4287731294
LanguageEN
Citations received3
References cited25

BACKGROUND: The school food environment is a critically important area to target the health of millions of students, especially those experiencing food insecurity. However, both students and caregivers have noted significant barriers to participation in the school meal program, including taste, lunchroom experience, and limited availability of fresh, healthy foods. There is a lack of qualitative research which considers both caregiver and adolescent perspectives, particularly among youth of color. METHODS: Forty-seven students (77% Black) and 24 caregivers across 4 midwestern high schools participated in focus groups and key informant interviews assessing barriers and facilitators to school meal participation. We conducted thematic analysis of the data using matrix intersection queries and reviewing frequencies of relevant nodes to identify themes. RESULTS: Themes about the importance of freshness and quality of the foods served in the lunchroom emerged from both students and caregivers. CONCLUSIONS: Future research may explore differences in meal participation depending on types of vender, farm to school program status, and other local variations in public schools and determine whether they increase participation, reduce food insecurity, and increase diet quality.

Environmental health · Focus group · Meal · Medical education · Qualitative property · Qualitative research · School meal · Sociology · Thematic analysis · Food Security and Health in Diverse Populations · Medicine · Obesity, Physical Activity, Diet · Organic Food and Agriculture · Psychology

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Citations per year1.5
Citation span2024 - 2025 (2)
Highly citedNo

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