干旱区生态环境知识资源中心(Arid): Addressing Food Insecurity through a Health Equity Lens: a Case Study of Large Urban School Districts during the COVID-19 Pandemic

Arid

DOI	10.1007/s11524-020-00476-0
	Addressing Food Insecurity through a Health Equity Lens: a Case Study of Large Urban School Districts during the COVID-19 Pandemic
	McLoughlin, Gabriella M.; McCarthy, Julia A.; McGuirt, Jared T.; Singleton, Chelsea R.; Dunn, Caroline G.; Gadhoke, Preety
通讯作者	McLoughlin, GM
来源期刊	JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE
ISSN	1099-3460
EISSN	1468-2869
出版年	2020
卷号	97 期号:6 页码:759-775
英文摘要	Reduced access to school meals during public health emergencies can accelerate food insecurity and nutritional status, particularly for low-income children in urban areas. To prevent the exacerbation of health disparities, there is a need to understand the implementation of meal distribution among large urban school districts during emergencies and to what degree these strategies provide equitable meal access. Our case study of four large urban school districts during the COVID-19 pandemic aims to address these knowledge gaps. Guided by the Getting to Equity (GTE) framework, we conducted a mixed-methods study evaluating emergency meal distribution and strategy implementation in four large urban school districts (Chicago Public Schools, Houston Independent School District, Los Angeles Unified School District, and New York City Department of Education). We gathered data from school district websites on (1) meal service and delivery sites and (2) district documents, policies, communication, and resources. Using qualitative coding approaches, we identified unique and shared district strategies to address meal distribution and communications during the pandemic according to the four components of the GTE framework: increase healthy options, reduce deterrents, build on community capacity, and increase social and economic resources. We matched district census tract boundaries to demographic data from the 2018 American Community Survey and United States Department of Agriculture food desert data, and used geographic information systems (GIS) software to identify meal site locations relative to student population, areas of high poverty and high minority populations, and food deserts. We found that all districts developed strategies to optimize meal provision, which varied across case site. Strategies to increase healthy options included serving adults and other members of the general public, providing timely information on meal site locations, and promoting consumption of a balanced diet. The quantity and frequency of meals served varied, and the degree to which districts promoted high-quality nutrition was limited. Reducing deterrents related to using inclusive language and images and providing safety information on social distancing practices in multiple languages. Districts built community capacity through partnering with first responder, relief, and other community organizations. Increased social and economic resources were illustrated by providing technology assistance to families, childcare referrals for essential workers, and other wellness resources. Geospatial analysis suggests that service locations across cities varied to some degree by demographics and food environment, with potential gaps in reach. This study identifies strategies that have the potential to increase equitable access to nutrition assistance programs. Our findings can support (1) ongoing efforts to address child food insecurity during the pandemic and (2) future meal provision through programs like the Summer Food Service Program and Seamless Summer Option. Future research should further examine the rationale behind meal site placement and how site availability changed over time.
英文关键词	Food insecurity COVID-19 Urban schools
类型	Article
语种	英语
开放获取类型	Green Published, Bronze
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000571680900001
WOS关键词	NATIONAL-HEALTH ; OBESITY ; IMPACT ; INCOME
WOS类目	Public, Environmental & Occupational Health ; Medicine, General & Internal
WOS研究方向	Public, Environmental & Occupational Health ; General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/326425
作者单位	[McLoughlin, Gabriella M.] Washington Univ, Implementat Sci Ctr Canc Control & Prevent, Res Ctr, Brown Sch, One Brookings Dr, St Louis, MO 63130 USA; [McLoughlin, Gabriella M.] Washington Univ, Sch Med, Dept Surg, Div Publ Hlth Sci, St Louis, MO 63110 USA; [McCarthy, Julia A.] Columbia Univ, Laurie M Tisch Ctr Food Educ & Policy, Teachers Coll, 525 West 120th St,Box 137, New York, NY 10027 USA; [McGuirt, Jared T.] Univ N Carolina, Dept Nutr, 319 Coll Ave,318 Stone Bldg, Greensboro, NC 27412 USA; [Singleton, Chelsea R.] Univ Illinois, Dept Kinesiol & Community Hlth, 1206 Fourth St, Champaign, IL 61820 USA; [Dunn, Caroline G.] Harvard TH Chan Sch Publ Hlth, Dept Hlth Policy & Management, 677 Huntington Ave, Boston, MA 02115 USA; [Gadhoke, Preety] St Johns Univ, Coll Pharm & Hlth Sci, Dept Pharm Adm & Publ Hlth, 175-05 Horace Harding Expressway Room 214, Queens, NY 11365 USA
推荐引用方式 GB/T 7714	McLoughlin, Gabriella M.,McCarthy, Julia A.,McGuirt, Jared T.,et al. Addressing Food Insecurity through a Health Equity Lens: a Case Study of Large Urban School Districts during the COVID-19 Pandemic[J],2020,97(6):759-775.
APA	McLoughlin, Gabriella M.,McCarthy, Julia A.,McGuirt, Jared T.,Singleton, Chelsea R.,Dunn, Caroline G.,&Gadhoke, Preety.(2020).Addressing Food Insecurity through a Health Equity Lens: a Case Study of Large Urban School Districts during the COVID-19 Pandemic.JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE,97(6),759-775.
MLA	McLoughlin, Gabriella M.,et al."Addressing Food Insecurity through a Health Equity Lens: a Case Study of Large Urban School Districts during the COVID-19 Pandemic".JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE 97.6(2020):759-775.