Journal
JOURNAL OF SCHOOL NURSING
Volume 36, Issue 3, Pages 193-202Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1059840518800777
Keywords
students; eating; food preferences; environment; urban health; school nursing
Categories
Funding
- Centers for Disease Control and Prevention, U.S. Department of Health and Human Services [1U58DP003557]
- Get Healthy Philly
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In Philadelphia, over 40% of youth are overweight or obese. The objective in this assessment was to learn about urban residents' perspectives regarding the local food environment and its impact on eating behaviors. Using photo-elicitation, 20 adolescents reflected on their food environments through photographs and corresponding interviews. Without specific prompting from interviewers, every participant raised concerns about their school food environments, which they commonly found to be unhealthy and unappealing. Participants' responses reflected four themes: (1) mixed reviews regarding the healthfulness of school vending machines, (2) lunch from home versus lunch from school, (3) factors that influenced food choice at school, and (4) critiques of school food environments. Students embraced the photo-elicitation approach as a way to convey their concerns and to suggest opportunities for improvements. School nurses, who are trusted by students and school personnel, are well-positioned to solicit student input and advocate for healthier school food environments.
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