ArticleAmerican journal of health behavior2017
Perceived Barriers and Facilitators to Healthy Eating and School Lunch Meals among Adolescents: A Qualitative Study.
Article in American journal of health behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Towards a comprehensive school food environment audit tool in Canada: a systematic review of school food environment measurements and nutrition determinants.BMC public health · 2025Pooled it
- Acceptability of School Menus: A Systematic Review of Assessment Methods.International journal of environmental research and public health · 2023Pooled it
- What are the determinants of vegetable intake among adolescents from socioeconomically disadvantaged urban areas? A systematic review of qualitative studies.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Pooled it
- Comparison of the four co-created interventions to improve snacking and physical activity behaviour in European adolescents: the SEEDS project.BMC public health · 2025Trial
- Exploring dietary patterns during school hours in Swedish adolescent student population, focusing on out-of-school eating and snacking: a repeated cross-sectional study.BMC public health · 2026Article
- Food Service Directors' Knowledge and Beliefs About Ultraprocessed Foods in California's San Joaquin Valley Schools.Preventing chronic disease · 2026Article
- Article
- Barriers and enablers to obesity prevention in female-only high schools in Riyadh: a qualitative study exploring healthy eating, physical activity and school-based interventions using the COM-B model.BMC public health · 2026Article
- When Routines Break: The Health Implications of Disrupted Daily Life.American journal of lifestyle medicine · 2026Review
- Understanding multi-level policy implementation in the national school lunch and breakfast programs: a mixed-methods and agent-based modeling protocol.Implementation science communications · 2025Article
- Adolescents' eating habits: perspectives of students, parents, and staff in schools: a qualitative study from Rawalpindi, Pakistan.BMC public health · 2025Article
- Global prevalence of barriers and facilitators to physical activity in children and adolescents: A systematic review with meta-analysis.Preventive medicine reports · 2025Review
- Impact of mealtime social experiences on student consumption of meals at school: a qualitative analysis of caregiver perspectives.Public health nutrition · 2025Article
- Stakeholder Perspectives on the School Food Environment: Insights from South African Learners-A Pilot Study.Nutrients · 2024Article
- National Policies to Limit Nutrients, Ingredients, or Categories of Concern in School Meals: A Global Scoping Review.Current developments in nutrition · 2024Article
- The relationship between community food environment around schools and student meal participation: the role of school CEP participation status.BMC medicine · 2024Article
- Qualitative Research on the Perceptions of Factors Influencing Diet and Eating Behaviors Among Primarily Latinx Seventh-Grade Students.Journal of the Academy of Nutrition and Dietetics · 2023Article
- Factors that influence food choices in secondary school canteens: a qualitative study of pupil and staff perspectives.Frontiers in public health · 2023Article
- Strategies to Improve Adolescent Food Security from the Perspectives of Policy Advocates, Parents, and Adolescents.Nutrients · 2022Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesWe explored how perceived barriers and facilitators influence healthy eating and investigated the acceptability of changes to school lunch meals among adolescents after implementation of the Healthy, Hunger-Free Kids Act of 2010.
methodsWe conducted 8 focus groups with adolescents (N = 64) at 3 South Los Angeles high schools. Data collection instruments included a semi-structured guide and questionnaire. Two researchers independently coded transcripts.
resultsMost participants believed fruits and vegetables were available in their community and reported high relative cost, poor quality, and lack of motivation as barriers to consumption. Many said school meals were an important source of healthy food and were aware of recent changes to the school lunch program. A primary facilitator to eating school lunches was access to fresh food items (eg, a salad bar). Perceived barriers included long cafeteria lines, time constraints, lack of variety, and limited quantities of preferred items. Adolescents viewed off-campus food establishments near the school as competition to school meals.
conclusionsOur findings suggest the need to measure perceived and actual barriers to healthy eating among adolescents and to examine the effect of these barriers on dietary behavior. We provide programmatic and policy recommendations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.