Table 3.
Results of multivariate Poisson regression to predict number of lunch promotion strategies used (n=366 schools) and logistic regression to predict whether school provides students with lunch period of at least 30 minutes (n=407 schools)
| Variable | No. of Lunch Promotion Strategies | At Least 30-min Lunch Duration | ||||
|---|---|---|---|---|---|---|
|
|
|
|||||
| IRRf | 95% CI | P value | Odds ratio | 95% CI | P value | |
| State lawa | ||||||
| No law | Refg | Ref | ||||
| Any law | 1.18 | 1.06–1.32 | 0.003 | 2.26 | 1.03–4.95 | 0.042 |
| Level | ||||||
| Elementary school | Ref | Ref | ||||
| Middle school | 1.02 | 0.94–1.10 | 0.67 | 1.07 | 0.62–1.84 | 0.82 |
| High school | 1.01 | 0.94–1.10 | 0.74 | 2.43 | 1.32–4.47 | 0.005 |
| Student race/ethnicityb | ||||||
| ≥66% non-Hispanic white | Ref | Ref | ||||
| ≥50% non-Hispanic black | 0.93 | 0.83–1.04 | 0.21 | 2.10 | 0.97–4.57 | 0.06 |
| ≥50% Hispanic | 0.95 | 0.83–1.09 | 0.46 | 3.11 | 1.29–7.48 | 0.012 |
| Diverse or other majority | 0.93 | 0.80–1.07 | 0.28 | 1.27 | 0.60–2.65 | 0.53 |
| Localebc | ||||||
| Urban | Ref | Ref | ||||
| Suburban | 0.91 | 0.77–1.08 | 0.28 | 1.57 | 0.69–3.55 | 0.28 |
| Rural | 0.97 | 0.85–1.10 | 0.61 | 0.67 | 0.26–1.74 | 0.41 |
| Township | 1.00 | 0.84–1.18 | 0.96 | 0.65 | 0.21–1.96 | 0.44 |
| Socioeconomic composition (based on % of students eligible for free/reduced-priced lunch)b | ||||||
| Higher (≤40%) | Ref | Ref | ||||
| Medium (>40% to <75%) | 0.97 | 0.88–1.07 | 0.53 | 2.42 | 1.30–4.48 | 0.005 |
| Lower (≤75%) | 0.93 | 0.80–1.08 | 0.34 | 1.83 | 0.73–4.58 | 0.20 |
| Sizebd | ||||||
| Larger | Ref | Ref | ||||
| Medium | 0.94 | 0.84–1.05 | 0.24 | 1.42 | 0.67–2.99 | 0.36 |
| Smaller | 1.02 | 0.91–1.14 | 0.76 | 1.37 | 0.62–3.04 | 0.44 |
| Regione | ||||||
| West | Ref | Ref | ||||
| Midwest | 0.95 | 0.80–1.12 | 0.51 | 0.44 | 0.16–1.18 | 0.10 |
| Northeast | 0.97 | 0.82–1.14 | 0.70 | 0.60 | 0.22–1.64 | 0.32 |
| South | 0.96 | 0.82–1.13 | 0.66 | 0.51 | 0.19–1.39 | 0.19 |
Analyses linked state laws regarding strategies to promote school meals by soliciting stakeholder input (for number of lunch promotion strategies), and state laws regarding adequate time for lunch duration (for the model to predict at least 30 minutes of seated time for students to eat lunch).
Sourced from school descriptor data from Market Data Retrieval (www.schooldata.com).
Locale is based on metro-centric locale designations made by the National Center for Education Statistics, based on each school’s physical address.
Size based on total student enrollment and varies by level: for elementary and middle school, small=≤300 students; medium=301 to 500 students; large=>500 students; for high school, small=≤350 students; medium=351 to 800 students; large=>800 students.
Region is based on US census regions. West (AK, AZ, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY); Midwest (IA, IL, IN, KS, MI, MN, MO, ND, NE, OH, SD, WI); Northeast (CT, ME, MA, NH, NJ, NY, PA, RI, VT); South (AL, AR, DC, DE, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV).
IRR=incidence rate ratio.
Ref=referent category.