| Literature DB >> 35955003 |
Melissa Pflugh Prescott1, Judith A Gilbride2, Sean P Corcoran3, Brian Elbel4, Kathleen Woolf2, Roland O Ofori1, Amy Ellen Schwartz5.
Abstract
School nutrition programs (SNP) provide much needed access to fruits, vegetables, and other healthy foods at low or no cost. Yet, the infrastructure of school kitchens and cafeteria vary across schools, potentially contributing to systematic barriers for SNP operation and equity. The purpose of this paper is to examine the association between school infrastructure and outcomes including meal participation, untraditional lunch periods, and having an open campus. Regression analyses were conducted using administrative data for 1804 schools and school nutrition manager survey data (n = 821) in New York City (NYC). Co-location was significantly associated with open campus status (OR = 2.84, CI: 1.11, 7.26) and high school breakfast participation (β = -0.056, p = 0.003). Overcrowding was associated with breakfast (elementary: β = -0.046, p = 0.03; middle: β = 0.051, p = 0.04; high: β = 0.042, p = 0.04) and lunch participation (elementary: β = -0.031, p = 0.01) and untraditional lunchtimes (elementary: OR = 2.47, CI: 1.05, 5.83). Higher enrollment to cafeteria capacity ratios was associated with breakfast (elementary: β = -0.025, p = 0.02) and lunch (elementary: β = -0.015, p = 0.001; high: β = 0.014, p = 0.02) participation and untraditional lunchtimes (middle: OR = 1.66, CI: 1.03, 2.68). Infrastructure characteristics are an important source of variation across NYC schools that may hinder the equity of school nutrition programs across the city.Entities:
Keywords: cafeteria infrastructure; co-location; kitchen infrastructure; meal participation; open campus; overcrowding; school nutrition programs; untraditional lunch periods
Mesh:
Year: 2022 PMID: 35955003 PMCID: PMC9368604 DOI: 10.3390/ijerph19159649
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 4.614
Figure 1Service Line Types in New York City. From top left to bottom right: Portable Service Line, Narrow Rolling Gate, T-Line, Straight Roll-up Gate, Double Service Line and Wide Roll-up Gate were the six serving line types available to NYC public schools in 2013–2014. Photo source: NYC Office of Food and Nutrition Services.
Descriptive Statistics of School Infrastructure and Meal Program Characteristics among New York City Public Schools.
| Binary Variables |
| Share of Schools 1 | ||||||
|---|---|---|---|---|---|---|---|---|
| Freq. | Pct. (%) | Manhattan | Bronx | Brooklyn | Queens | Staten Island | ||
| Frequency (%) by Borough | ||||||||
| Untraditional lunch times | 1754 | 869 | 49.54 | 132 (39.05) | 209 (48.27) | 249 (44.70) | 231 (65.81) | 48 (64.00) |
| Open campus | 741 | 66 | 8.91 | 18 (19.15) | 18 (11.18) | 14 (5.93) | 14 (6.54) | 2 (5.56) |
| Co-location | 1802 | 1076 | 59.71 | 244 (68.54) | 308 (69.53) | 357 (62.52) | 148 (41.46) | 19 (25.33) |
| Cooking kitchen | 818 | 812 | 99.27 | 145 (97.97) | 166 (100.00) | 288 (100.00) | 179 (98.35) | 34 (100.00) |
| Portable service line | 818 | 134 | 16.38 | 44 (29.53) | 24 (14.29) | 42 (14.58) | 23 (12.85) | 1 (2.94) |
| Double service line | 818 | 272 | 33.25 | 47 (31.54) | 69 (41.07) | 79 (27.43) | 64 (35.75) | 13 (38.24) |
| T-line | 818 | 195 | 23.84 | 31 (20.81) | 27 (16.07) | 92 (31.94) | 41 (22.91) | 4 (11.76) |
| Wide rolling gate | 818 | 117 | 14.30 | 24 (16.11) | 42 (25.00) | 29 (10.07) | 18 (10.06) | 4 (11.76) |
| Narrow rolling gate | 818 | 77 | 9.41 | 4 (2.68) | 27 (16.07) | 24 (8.33) | 20 (11.17) | 2 (5.88) |
| Straight rolling gate | 818 | 133 | 16.26 | 20 (13.42) | 24 (14.29) | 47 (16.32) | 32 (17.88) | 10 (29.41) |
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| Cafeteria capacity | 1732 | 411.58 (221.75) | 0–2000 | 376.58 (201.89) | 463.04 (262.13) | 415.62 (214.26) | 381.95 (185.15) | 383.60 (212.27) |
| Students per cafeteria capacity | 1691 | 2.56 (1.34) | 0.16–10.20 | 2.90 (1.61) | 2.63 (1.30) | 2.27 (1.25) | 2.65 (1.16) | 2.27(0.96) |
| Number of service lines | 819 | 1.50 (0.68) | 1–5 | 1.43 (0.57) | 1.71 (0.90) | 1.42 (0.54) | 1.52 (0.70) | 1.38 (0.55) |
| Students per service line | 810 | 720.33 (429.16) | 74–3877 | 783.90 (369.97) | 743.66 (508.51) | 707.22 (438.08) | 685.24 (376.64) | 623.32 (409.51) |
| Breakfast Average Daily Participation (%) | 1756 | 26.47 (20.38) | 0.00–118.18 | 24.01 (21.84) | 30.46 (20.64) | 27.53 (21.00) | 22.41 (16.84) | 25.76 (17.86) |
| Lunch Average Daily Participation (%) | 1756 | 65.90 (23.71) | 0.52–133.14 | 56.34 (27.49) | 71.21 (20.00) | 68.26 (24.29) | 66.40 (20.19) | 58.54 (22.14) |
1 Share of schools that possess the characteristics listed under binary variables. Untraditional lunch times are defined as periods that begin before 11:00 a.m. or after 1:30 p.m. Cafeteria capacity and number of service lines are unstandardized. SD = Standard deviation.
Multivariate Beta Regression Results (Average Marginal Effects) for Percent Breakfast and Lunch Average Daily Participation (ADP) by School Level in New York City Public Schools.
| Variables |
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|---|---|---|---|---|---|---|
| Breakfast ADP | Breakfast ADP | Breakfast ADP | Lunch ADP | Lunch ADP | Lunch ADP | |
| Co-Location Status | 0.030 | −0.031 | −0.056 ** | 0.002 | −0.026 | −0.033 |
| (0.017) | (0.019) | (0.019) | (0.010) | (0.019) | (0.029) | |
| Building Overcrowded | −0.046 * | 0.051 * | 0.042 * | −0.031 ** | −0.006 | 0.015 |
| (0.021) | (0.025) | (0.020) | (0.011) | (0.020) | (0.022) | |
| Portable Service Line | 0.018 | 0.043 | 0.013 | 0.020 | −0.007 | 0.060 |
| (0.026) | (0.043) | (0.025) | (0.016) | (0.034) | (0.032) | |
| Double Service Line | −0.017 | 0.002 | −0.024 | −0.021 | −0.0004 | 0.055 * |
| (0.026) | (0.031) | (0.020) | (0.015) | (0.024) | (0.025) | |
| T-line Service Line | 0.022 | 0.072 * | 0.020 | 0.011 | 0.058 * | 0.045 |
| (0.025) | (0.035) | (0.025) | (0.013) | (0.026) | (0.030) | |
| Wide Rolling Gate | 0.018 | 0.027 | −0.002 | −0.00005 | 0.003 | −0.006 |
| (0.025) | (0.028) | (0.022) | (0.014) | (0.019) | (0.026) | |
| Narrow Rolling Gate | 0.021 | 0.034 | −0.008 | 0.013 | 0.023 | −0.070 * |
| (0.034) | (0.027) | (0.032) | (0.019) | (0.025) | (0.030) | |
| Straight Rolling Gate | 0.052 * | 0.072 * | 0.014 | 0.003 | 0.033 | 0.021 |
| (0.026) | (0.035) | (0.036) | (0.015) | (0.027) | (0.032) | |
| Students per Cafeteria Capacity | −0.025 * | −0.004 | 0.007 | −0.015 ** | 0.006 | 0.014 * |
| (0.011) | (0.009) | (0.006) | (0.005) | (0.008) | (0.006) | |
| Students per Service line | −0.0001 | −0.0001 | −0.00003 | −0.00002 | −0.0001 *** | −0.0001 *** |
| (0.0001) | (0.00004) | (0.00002) | (0.00002) | (0.00003) | (0.00002) | |
| Cooking Kitchen | −0.119 | 0.037 | 0.034 | −0.060 | ||
| (0.079) | (0.045) | (0.052) | (0.045) | |||
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| 300 | 221 | 212 | 296 | 221 | 212 |
Robust standard errors in parentheses. Levels of Significance: *** p < 0.001, ** p < 0.01, * p < 0.05. Each regression is adjusted for school-level demographics (race, ethnicity, sex, free/reduced priced lunch eligibility, limited English proficiency), charter school status, special education school status, participation in the Universal Free Meals program, and community school district). Breakfast ADP regressions are also adjusted for school-wide and partial participation in the Breakfast in the Classroom program.
Logistic Regression Results for Untraditional Lunch Times by School Level in New York City Public Schools.
| Variables |
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|---|---|---|---|
| Untraditional Lunch Time | Untraditional Lunch Time | Untraditional Lunch Time | |
| Co-Location Status | 0.96 | 0.44 | 0.32 |
| [0.46, 2.04] | [0.19, 1.01] | [0.08, 1.27] | |
| Building Overcrowded | 2.47 * | 0.98 | 2.18 |
| [1.05, 5.83] | [0.29, 3.35] | [0.63, 7.48] | |
| Portable Service Line | 1.87 | 0.25 | 3.68 |
| [0.64, 5.46] | [0.04, 1.43] | [0.78, 17.39] | |
| Double Service Line | 2.93 * | 0.63 | 4.01 * |
| [1.03, 8.35] | [0.19, 2.17] | [1.11, 14.47] | |
| T-line Service Line | 2.84 * | 0.97 | 0.70 |
| [1.02, 7.93] | [0.24, 3.96] | [0.17, 2.92] | |
| Wide Rolling Gate | 1.25 | 0.68 | 4.87 * |
| [0.46, 3.39] | [0.20, 2.30] | [1.17, 20.22] | |
| Narrow Rolling Gate | 1.24 | 0.61 | 1.01 |
| [0.30, 5.14] | [0.15, 2.58] | [0.20, 5.15] | |
| Straight Rolling Gate | 1.23 | 0.46 | 3.69 |
| [0.39, 3.90] | [0.11, 1.89] | [0.64, 21.13] | |
| Students per Cafeteria Capacity | 1.06 | 1.66 * | 1.08 |
| [0.72, 1.55] | [1.03, 2.68] | [0.81, 1.44] | |
| Students per Service line | 1.00 | 1.00 | 1.00 |
| [1.00, 1.00] | [1.00, 1.00] | [1.00, 1.00] | |
| Cooking Kitchen | (omitted) † | (omitted) † | 0.44 |
| [0.02, 12.04] | |||
|
| 302 | 208 | 204 |
Odds Ratios/Exponentiated coefficients; 95% confidence intervals in brackets. Levels of Significance: * p < 0.05. Each regression is adjusted for school-level demographics (race, ethnicity, sex, free/reduced priced lunch eligibility, limited English proficiency), charter school status, special education school status, participation in the Universal Free Meals program, and community school district). † Variable omitted due to lack of variation.
Logistic Regression and 95% Confidence Intervals Results for Open Campus in New York City Public Schools.
| Variables | Open Campus |
|---|---|
| Co-Location Status | 2.84 * |
| [1.11, 7.26] | |
| Building Overcrowded | 1.87 |
| [0.65, 5.37] | |
| Portable Service Line | 4.33 * |
| [1.34, 13.99] | |
| Double Service Line | 1.23 |
| [0.43, 3.49] | |
| T-line Service Line | 2.27 |
| [0.71, 7.20] | |
| Wide Rolling Gate | 2.40 |
| [0.75, 7.71] | |
| Narrow Rolling Gate | 1.32 |
| [0.37, 4.73] | |
| Straight Rolling Gate | 3.41 |
| [0.93, 12.50] | |
| Students per Cafeteria Capacity | 1.10 |
| [0.77, 1.57] | |
| Students per Service line | 1.00 |
| [1.00, 1.00] | |
| Cooking Kitchen | (omitted) † |
|
| 353 |
Odds Ratios/Exponentiated coefficients; 95% confidence intervals in brackets. Levels of Significance: * p < 0.05. Each regression is adjusted for school-level demographics (race, ethnicity, sex, free/reduced priced lunch eligibility, limited English proficiency), charter school status, special education school status, participation in the Universal Free Meals program, and community school district). † Variable omitted due to lack of variation.