Ebtsam Aly Abou Hashish, Hend Alnajjar
Digital proficiency: assessing knowledge, attitudes, and skills in digital transformation, health literacy, and artificial intelligence among university nursing students
BMC medical education
children consume much daily energy intake school school district policies state laws national policies revisions us department agricultures school meals standards may affect types foods beverages offered school lunches time study evaluated changes disparities school lunch characteristics 20062007 20132014 data obtained annual crosssectional surveys 4630 public elementary schools participating national school lunch program multivariate logistic regressions conducted examine lunch characteristics percentage schools regularly offering healthful items vegetables potatoes fresh fruit salad bars whole grains healthful pizzas increased significantly 20062007 20132014 percentage schools offering less healthful items fried potatoes regular pizza highfat milks decreased significantly nevertheless disparities evident 20132014 schools west significantly likely offer salad bars schools northeast midwest south adjusted prevalence west 663 northeast 223 midwest 208 south 183 majorityblack majoritylatino schools significantly less likely offer fresh fruit predominantly white schools adjusted prevalence majority black 613 majority latino 730 predominantly white 878 schools low socioeconomic status significantly less likely offer salads regularly schools middle high socioeconomic status adjusted prevalence low 385 middle 474 high 593 much progress made improving quality school lunches us public elementary schools additional opportunities improvement remain