Mary O Hearst1, Amy Shanafelt2, Qi Wang3, Robert Leduc4, Marilyn S Nanney5. 1. St. Catherine University, Henrietta Schmoll School of Health, 2004 Randolph Ave., St. Paul, MN 55105. mohearst@stkate.edu. 2. University of Minnesota, Department of Family Medicine and Community Health, Program in Health Disparities Research, 717 Delaware Ave., Minneapolis, MN 55454. shanafel@umn.edu. 3. University of Minnesota, Department of Family Medicine and Community Health, 717 Delaware Ave., Minneapolis, MN 55454. wangx890@umn.edu. 4. University of Minnesota, Division of Biostatistics, 717 Delaware Ave., Minneapolis, MN 55454. robertl@ccbr.umn.edu. 5. University of Minnesota, Department of Family Medicine and Community Health, Program in Health Disparities Research, 717 Delaware Ave., Minneapolis, MN 55454. msnanney@umn.edu.
Abstract
BACKGROUND: We sought to determine if perceived barriers, benefits, and modifiable behaviors support or interfere with breakfast consumption in a racially and economically diverse rural high school population. METHODS: The participants were 832 Minnesota adolescents from 16 rural high schools. We used baseline data from a group randomized trial aimed at increasing school breakfast participation through policy and environmental-level school changes. Students completed an online survey asking about demographics, breakfast eating behaviors, and the barriers and benefits of eating as it relates to school performance. Bivariate and multivariate logistic regression, accounting for clustering by school, was performed using SAS. Each scale was modeled independently. RESULTS:Participants were 9th and 10th grade students, 36% free/reduced-price lunch (FRL), 30% non-White, and 55% female. Breakfast skippers compared to nonbreakfast skippers reported fewer school related benefits and beliefs and more barriers to eating breakfast (p < .01). Adjusted models revealed students reported more positive beliefs (OR = 0.78, 95% CI = 0.73-0.83), more benefits (OR = 0.95, 95% CI = 0.93-0.97) and fewer barriers (OR = 0.85, 95% CI = 0.82-0.87) and were less likely to skip breakfast. CONCLUSIONS: Future intervention research should focus on alleviating barriers and enhancing education around the school related benefits of eating breakfast.
RCT Entities:
BACKGROUND: We sought to determine if perceived barriers, benefits, and modifiable behaviors support or interfere with breakfast consumption in a racially and economically diverse rural high school population. METHODS: The participants were 832 Minnesota adolescents from 16 rural high schools. We used baseline data from a group randomized trial aimed at increasing school breakfast participation through policy and environmental-level school changes. Students completed an online survey asking about demographics, breakfast eating behaviors, and the barriers and benefits of eating as it relates to school performance. Bivariate and multivariate logistic regression, accounting for clustering by school, was performed using SAS. Each scale was modeled independently. RESULTS:Participants were 9th and 10th grade students, 36% free/reduced-price lunch (FRL), 30% non-White, and 55% female. Breakfast skippers compared to nonbreakfast skippers reported fewer school related benefits and beliefs and more barriers to eating breakfast (p < .01). Adjusted models revealed students reported more positive beliefs (OR = 0.78, 95% CI = 0.73-0.83), more benefits (OR = 0.95, 95% CI = 0.93-0.97) and fewer barriers (OR = 0.85, 95% CI = 0.82-0.87) and were less likely to skip breakfast. CONCLUSIONS: Future intervention research should focus on alleviating barriers and enhancing education around the school related benefits of eating breakfast.
Authors: Bruce A Barton; Alison L Eldridge; Douglas Thompson; Sandra G Affenito; Ruth H Striegel-Moore; Debra L Franko; Ann M Albertson; Susan J Crockett Journal: J Am Diet Assoc Date: 2005-09
Authors: Caitlin Eicher Caspi; Qi Wang; Amy Shanafelt; Nicole Larson; Susan Wei; Mary O Hearst; Marilyn S Nanney Journal: J Sch Health Date: 2017-10 Impact factor: 2.118
Authors: Katherine Y Grannon; Marilyn S Nanney; Qi Wang; Nicole Larson; Mary O Hearst; Jerica Berge; Caitlin E Caspi Journal: J Sch Health Date: 2019-12-11 Impact factor: 2.118
Authors: Kaitlyn M Eck; Colleen L Delaney; Rashel L Clark; Miriam P Leary; Karla Pagan Shelnutt; Melissa D Olfert; Carol Byrd-Bredbenner Journal: Int J Environ Res Public Health Date: 2019-09-04 Impact factor: 3.390