Benedikt Till, Angelika Hofhansl, Thomas Niederkrotenthaler
Effects of the mental health promotion seminar 'Coping with stress' in the undergraduate medical curriculum of the Medical University of Vienna
BMC medical education
consumption fruits vegetables fv among elementary schoolaged children remains inadequate especially among lowincome children us department agricultures fresh fruit vegetable program ffvp provides fv snacks children school day outside school meals schoolbased initiatives successful changing behaviors school settings however influence behaviors outside schools needs investigation examine whether ffvp participation associated fv requests stores selfefficacy ask choose fv home fv consumption crosssectional study fourth graders six classrooms n296 three urban lowincome school districts phoenix az surveyed 2015 one ffvp one nonffvp school district similar school size percent freereducedprice meal eligibility raceethnicity enrolled students selected childrens selfreported fv requests shopping selfefficacy ask choose fv home fv consumption previous day nonffvp school day measured using questions adapted validated surveys multivariable mixedeffect regression models adjusting clustering students within classes classes within schools explored models adjusting individuallevel factors ie age sex several significant positive associations observed school ffvp participation healthier fv outcomes additionally adjusting schoollevel factors ie total enrollment hispaniclatino students significant associations observed school ffvp participation requests vegetables shopping p0001 higher scores selfefficacy choose vegetables home p0004 stronger preferences vegetables p0001 frequent consumption fruit p0006 school ffvp participation associated requests vegetables shopping higher selfefficacy make healthy choices home suggesting influence ffvp may extend beyond school day