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How healthy and affordable are foods and beverages sold in school canteens? A cross-sectional study comparing menus from Victorian primary schools

Title: How healthy and affordable are foods and beverages sold in school canteens? A cross-sectional study comparing menus from Victorian primary schools
Authors: Hill, Amy; Blake, Miranda; Alston, Laura Veronica; Nichols, Melanie S; Bell, Colin; Fraser, Penny; Le, Ha ND; Strugnell, Claudia; Allender, Steven; Bolton, Kristy A
Source: Public Health Nutrition ; volume 26, issue 11, page 2559-2572 ; ISSN 1368-9800 1475-2727
Publisher Information: Cambridge University Press (CUP)
Publication Year: 2023
Description: Objective: Government policy guidance in Victoria, Australia, encourages schools to provide affordable, healthy foods in canteens. This study analysed the healthiness and price of items available in canteens in Victorian primary schools and associations with school characteristics. Design: Dietitians classified menu items (main, snack and beverage) using the red, amber and green traffic light system defined in the Victorian government’s School Canteens and Other School Food Services Policy. This system also included a black category for confectionary and high sugar content soft drinks which should not be supplied. Descriptive statistics and regressions were used to analyse differences in the healthiness and price of main meals, snacks and beverages offered, according to school remoteness, sector (government and Catholic/independent) size, and socio-economic position. Setting: State of Victoria, Australia Participants: A convenience sample of canteen menus drawn from three previous obesity prevention studies in forty-eight primary schools between 2016 and 2019. Results: On average, school canteen menus were 21 % ‘green’ (most healthy – everyday), 53 % ‘amber’ (select carefully), 25 % ‘red’ (occasional) and 2 % ‘black’ (banned) items, demonstrating low adherence with government guidelines. ‘Black’ items were more common in schools in regional population centres. ‘Red’ main meal items were cheaper than ‘green’% (mean difference –$0·48 (95 % CI –0·85, –0·10)) and ‘amber’ –$0·91 (–1·27, –0·57)) main meal items. In about 50 % of schools, the mean price of ‘red’ main meal, beverages and snack items were cheaper than ‘green’ items, or no ‘green’ alternative items were offered. Conclusion: In this sample of Victorian canteen menus, there was no evidence of associations of healthiness and pricing by school characteristics except for regional centres having the highest proportion of ‘black’ (banned) items compared with all other remoteness categories examined. There was low adherence with state canteen menu ...
Document Type: article in journal/newspaper
Language: English
DOI: 10.1017/s136898002300126x
Availability: https://doi.org/10.1017/s136898002300126x; https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S136898002300126X
Rights: http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.FF60EE99
Database: BASE