PDF(Pubmed)
Abstract：
UNASSIGNED: Childhood food insecurity can persist among low socioeconomic areas in high-income countries. Universal Free School Meal (UFSM) programs are designed to respond to this pressing issue. This study aimed to conduct a multi-year evaluation of the DIATROFI Program\'s impact on household food insecurity in Greece.
UNASSIGNED: This study utilized data from 18,716 students (618 kindergarten to high schools), from low socioeconomic areas participating in the school-level UFSM Program DIATROFI between 2012 and 2019. Parents of students completed annual baseline and follow-up paper-based self-completed questionnaires. The primary outcome was household food insecurity, measured using the Food Security Survey Module (FSSM) at both questionnaires, and evaluated through mixed linear and logistic regression models with repeated measurements.
UNASSIGNED: Students\' median age was 9 years old (Interquartile range (IQR): 6.5, 12.0), 51.6% (n = 9658) were girls, and 82.2% (n = 15,382) lived in low/medium socioeconomic affluence households. Households with food insecurity reduced from 51.5% (n = 9630) to 47.6% (n = 8901) after one school year. Food insecurity score declined steadily for four years of consecutive participation, compared to baseline score (one-year b:-0.26; 95% Confidence Interval (CI):-0.30, -0.22, and four-year -1.28; -1.53, -1.03). The likelihood of retaining food insecure status reduced from 17% after one-year participation (Odds Ratio (OR): 0.83; 95% CI: 0.79, 0.87) to 36% after four-year participation (0.64; 0.49, 0.82). The Program\'s impact on household food insecurity alleviation was greater among households with low parental education and low socioeconomic affluence.
UNASSIGNED: The DIATROFI Program effectively improved household food security during and after the Greek socioeconomic crisis. School-level UFSM programs targeting underprivileged students can improve household food insecurity, with a more pronounced effect with increased years of participation, and among economically disadvantaged households.
UNASSIGNED: The DIATROFI Program was funded through various national and private organizations, including national prefecture authorities, Greek payment authorities, philanthropic/charitable organizations, and private companies.
UNASSIGNED: This study utilized data from 18,716 students (618 kindergarten to high schools), from low socioeconomic areas participating in the school-level UFSM Program DIATROFI between 2012 and 2019. Parents of students completed annual baseline and follow-up paper-based self-completed questionnaires. The primary outcome was household food insecurity, measured using the Food Security Survey Module (FSSM) at both questionnaires, and evaluated through mixed linear and logistic regression models with repeated measurements.
UNASSIGNED: Students\' median age was 9 years old (Interquartile range (IQR): 6.5, 12.0), 51.6% (n = 9658) were girls, and 82.2% (n = 15,382) lived in low/medium socioeconomic affluence households. Households with food insecurity reduced from 51.5% (n = 9630) to 47.6% (n = 8901) after one school year. Food insecurity score declined steadily for four years of consecutive participation, compared to baseline score (one-year b:-0.26; 95% Confidence Interval (CI):-0.30, -0.22, and four-year -1.28; -1.53, -1.03). The likelihood of retaining food insecure status reduced from 17% after one-year participation (Odds Ratio (OR): 0.83; 95% CI: 0.79, 0.87) to 36% after four-year participation (0.64; 0.49, 0.82). The Program\'s impact on household food insecurity alleviation was greater among households with low parental education and low socioeconomic affluence.
UNASSIGNED: The DIATROFI Program effectively improved household food security during and after the Greek socioeconomic crisis. School-level UFSM programs targeting underprivileged students can improve household food insecurity, with a more pronounced effect with increased years of participation, and among economically disadvantaged households.
UNASSIGNED: The DIATROFI Program was funded through various national and private organizations, including national prefecture authorities, Greek payment authorities, philanthropic/charitable organizations, and private companies.
摘要：
在高收入国家的低社会经济地区，儿童的粮食不安全可能持续存在。通用免费学校餐（UFSM）计划旨在应对这一紧迫的问题。这项研究旨在对DIATROFI计划对希腊家庭粮食不安全的影响进行多年评估。
■这项研究利用了18,716名学生（618名幼儿园至高中）的数据，在2012年至2019年期间，来自低社会经济领域的UFSM计划DIATROFI。学生家长完成了年度基线和后续纸质自填问卷。主要结果是家庭粮食不安全，在两份问卷中使用粮食安全调查模块(FSSM)进行测量，并通过重复测量的混合线性和逻辑回归模型进行评估。
■学生的平均年龄为9岁（四分位数间距（IQR）：6.5，12.0），51.6％（n=9658）是女孩，82.2％（n=15,382）生活在中低社会经济富裕家庭中。一个学年后，粮食不安全的家庭从51.5%(n=9630)下降到47.6%(n=8901)。粮食不安全评分连续四年稳步下降，与基线得分相比（一年b：-0.26；95％置信区间（CI）：-0.30，-0.22和四年-1.28；-1.53，-1.03）。保留食物不安全状态的可能性从参与一年后的17％（赔率（OR）：0.83；95％CI：0.79，0.87）降低到参与四年后的36％（0.64；0.49，0.82）。在父母教育程度低、社会经济富裕程度低的家庭中，该方案对减轻家庭粮食不安全的影响更大。
■DIATROFI计划有效地改善了希腊社会经济危机期间和之后的家庭粮食安全。针对贫困学生的学校一级的UFSM计划可以改善家庭粮食不安全状况，随着参与年限的增加，效果更加明显，以及经济困难家庭。
■DIATROFI计划由各种国家和私人组织资助，包括国家县当局，希腊支付当局，慈善/慈善组织，和私人公司。
■这项研究利用了18,716名学生（618名幼儿园至高中）的数据，在2012年至2019年期间，来自低社会经济领域的UFSM计划DIATROFI。学生家长完成了年度基线和后续纸质自填问卷。主要结果是家庭粮食不安全，在两份问卷中使用粮食安全调查模块(FSSM)进行测量，并通过重复测量的混合线性和逻辑回归模型进行评估。
■学生的平均年龄为9岁（四分位数间距（IQR）：6.5，12.0），51.6％（n=9658）是女孩，82.2％（n=15,382）生活在中低社会经济富裕家庭中。一个学年后，粮食不安全的家庭从51.5%(n=9630)下降到47.6%(n=8901)。粮食不安全评分连续四年稳步下降，与基线得分相比（一年b：-0.26；95％置信区间（CI）：-0.30，-0.22和四年-1.28；-1.53，-1.03）。保留食物不安全状态的可能性从参与一年后的17％（赔率（OR）：0.83；95％CI：0.79，0.87）降低到参与四年后的36％（0.64；0.49，0.82）。在父母教育程度低、社会经济富裕程度低的家庭中，该方案对减轻家庭粮食不安全的影响更大。
■DIATROFI计划有效地改善了希腊社会经济危机期间和之后的家庭粮食安全。针对贫困学生的学校一级的UFSM计划可以改善家庭粮食不安全状况，随着参与年限的增加，效果更加明显，以及经济困难家庭。
■DIATROFI计划由各种国家和私人组织资助，包括国家县当局，希腊支付当局，慈善/慈善组织，和私人公司。
