Katie Vinopal, Taryn W Morrissey
Neighborhood disadvantage and children's cognitive skill trajectories
Children and youth services review
community eligibility provision cep healthy hungerfree kids act 2010 allows provision universal free meals ufms highpoverty school areas participation ufm programs including cep could reduce meal costs due economies scale lower administrative burden analyzed school nutrition meal cost study snmcs data 508 ufmeligible schools 103 ufms evaluate whether meal costs varied ufm status used schoollevel data address nonrandom selection ufms inverse probability treatment weighting iptw estimated generalized linear model log link gamma distribution predict meal costs ufm status school size full costs among medium large schools marginally lower ufm schools lunch 0673 95 ci 1395 00499 p 0068 significantly lower breakfast 0575 95 ci 1077 0074 p 0025 ufm associated meal costs among smaller schools healthy eating index scores vary significantly ufms suggesting lower costs could achieved without adverse effect nutritional quality analysis limited lack identified student percentage isp data needed definitively identify cep eligibility although results robust sensitivity analyses addressing lack isp data potential policy impact findings emphasizes need future studies assess isp cost recent data longitudinal designs