Table 4.
Sensitivity models1 for categories of CF&B availability using 1) different groupings of healthy, unhealthy, and neutral items; 2) using first observation; and 3) using last observation (N=815 children and observations for each outcome)
| Outcomes | Child food purchasing at school | Child dietary behaviors | Child BMI | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Any vs no sweets | Any vs no snacks | Any vs no SSBs | Number of sweets | Number of snacks | Number of SSBs | Number of fruits | Number of vegetables | Overweight or obese vs normal weight | BMI Z-score | |
| OR (CI) | OR (CI) | OR (CI) | Coeff (CI) | Coeff (CI) | Coeff (CI) | Coeff (CI) | Coeff (CI) | OR (CI) | Coeff (CI) | |
| Panel 1. Sensitivity models using different grouping | ||||||||||
| Number of healthy CF&Bs2 | 0.89 (0.69,1.14) | 0.83 (0.65,1.05) | 0.78 (0.60,1.03) | 0.86 (−0.33,2.05) | −0.03 (−0.87,0.82) | 0.23 (−1.35,1.80) | −0.03 (−0.81,0.75) | −0.57 (−1.26,0.11) | 1.06 (0.82,1.38) | 0.03 (−0.08,0.13) |
| Number of unhealthy CF&Bs2 | 1.32** (1.16,1.51) | 1.24** (1.08,1.41) | 1.18* (1.02,1.36) | −0.03 (−0.74,0.68) | 0.40 (−0.06,0.86) | 0.31 (−0.53,1.15) | 0.02 (−0.39,0.42) | 0.12 (−0.23,0.47) | 0.95 (0.83,1.08) | −0.03 (−0.08,0.03) |
| Number of neutral CF&Bs2 | 0.89 (0.73,1.09) | 0.94 (0.77,1.16) | 1.00 (0.81,1.25) | −0.96 (−2.01,0.09) | −0.77 (−1.61,0.06) | −0.51 (−1.85,0.83) | −0.07 (−0.75,0.61) | 0.44 (−0.15,1.02) | 0.96 (0.79,1.18) | 0.04 (−0.04,0.11) |
| Home food environment | 0.97* (0.94,1.00) | 0.95** (0.92,0.98) | 0.93** (0.90,0.97) | −0.62** (−0.81,−0.43) | −0.32** (−0.44,−0.20) | −0.70** (−0.93,−0.47) | 0.31** (0.20,0.42) | 0.29** (0.19,0.39) | 0.97* (0.93,1.00) | −−0.01* (−0.03,−0.00) |
| Panel 2. Sensitivity models using first observation (n=815) and clustered on school | ||||||||||
| Number of healthy CF&Bs3 | 0.79 (0.62,1.01) | 0.91 (0.72,1.15) | 0.72* (0.55,0.95) | 0.34 (−0.75,1.42) | −0.45 (−1.36,0.45) | 0.38 (−1.12,1.87) | −0.35 (−1.16,0.45) | −0.51 (−1.10,0.08) | 1.08 (0.91,1.29) | 0.05 (−0.03,0.13) |
| Number of unhealthy CF&Bs3 | 1.33** (1.15,1.54) | 1.23** (1.05,1.44) | 1.25* (1.05,1.49) | 0.11 (−0.59,0.81) | 0.39 (−0.07,0.84) | 0.52 (−0.29,1.32) | 0.19 (−0.28,0.66) | 0.27 (−0.09,0.62) | 1.00 (0.89,1.12) | −0.01 (−0.06,0.04) |
| Number of neutral CF&Bs3 | 1.09 (0.81,1.47) | 0.93 (0.69,1.24) | 1.13 (0.82,1.57) | −0.86 (−1.96,0.25) | −0.43 (−1.24,0.39) | −0.93 (−2.38,0.51) | 0.08 (−0.59,0.76) | 0.41 (−0.25,1.06) | 0.85 (0.67,1.07) | −0.01 (−0.12,0.11) |
| Home food environment | 0.96* (0.93,1.00) | 0.94** (0.91,0.97) | 0.94** (0.90,0.98) | −0.59** (−0.76,−0.42) | −0.31** (−0.43,−0.19) | −0.65** (−0.87,−0.43) | 0.30** (0.17,0.42) | 0.26** (0.17,0.35) | 0.96* (0.93,1.00) | −0.02* (−0.03,−0.00) |
| Panel 3. Sensitivity models using last observation (n=815) and clustered on school | ||||||||||
| Number of healthy CF&Bs3 | 0.8 (0.64,1.02) | 0.91 (0.71,1.17) | 0.94 (0.73,1.21) | 0.04 (−1.05,1.12) | −0.58 (−1.63,0.47) | 0.27 (−1.19,1.73) | −0.16 (−1.03,0.71) | −0.71 (−1.45,0.03) | 0.98 (0.81,1.19) | 0.01 (−0.07,0.09) |
| Number of unhealthy CF&Bs3 | 1.30** (1.13,1.51) | 1.22* (1.04,1.43) | 1.16 (0.99,1.36) | 0.42 (−0.30,1.14) | 0.61* (0.07,1.15) | 0.64 (−0.12,1.41) | 0.20 (−0.28,0.67) | 0.36 (−0.01,0.73) | 0.96 (0.87,1.06) | −0.02 (−0.07,0.02) |
| Number of neutral CF&Bs3 | 0.99 (0.74,1.34) | 0.83 (0.62,1.10) | 0.85 (0.64,1.13) | −0.72 (−2.17,0.74) | −0.68 (−1.75,0.40) | −1.15 (−2.71,0.42) | −0.17 (−1.04,0.71) | 0.61 (−0.19,1.41) | 1.05 (0.83,1.32) | 0.06 (−0.05,0.17) |
| Home food environment | 0.97 (0.94,1.01) | 0.95** (0.93,0.98) | 0.92** (0.88,0.96) | −0.61** (−0.85,−0.36) | −0.37** (−0.54,−0.20) | −0.75** (−1.02,−0.47) | 0.25** (0.12,0.38) | 0.28** (0.18,0.37) | 0.96* (0.93,1.00) | −0.01 443135 (−0.02,0.00) |
p<0.05
p<0.01
Abbreviations: competitive food and beverage (CF&B) sugar-sweetened beverage (SSB); Odds Ratio (OR); standard error (se); Linear regression coefficient (Coeff); Versus (vs); confidence interval (CI)
Controlling for child’s age in months, gender, race/ethnicity (non-Hispanic white, non-Hispanic black, Hispanic/Latino, other), highest education level among both parents (less than high school, high school graduate or equivalent, some college, and college graduate or higher), household income (<=$40,000; $40,001–$50,000; $50,001–$75,000; $75,001 or higher), marital status, and number of children in household, whether the family lives on-installation, parent’s military rank (Sergeant or lower (<=E5), Staff Sergeant (E6), Sergeant First Class or higher (>=E7), and months at current installation (12 months or less, 13–24 months, 25–48 months, 49 months or more).
Number of healthy CF&Bs (fruit, vegetables, water); Number of unhealthy CF&Bs (french fries, sandwiches/burgers/pizza, SSBs, salty snacks, sweets); Number of neutral CF&Bs (juice, milk, bread)
Number of healthy CF&Bs (fruit, vegetables, water, milk) available; Number of unhealthy CF&Bs (french fries, SSBs, salty snacks, sweets, juice) available; Number of neutral CF&Bs (sandwiches/burgers/pizza and bread) available