ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2017
Support for healthy eating at schools according to the comprehensive school health framework: evaluation during the early years of the Ontario School Food and Beverage Policy implementation.
Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Promoting healthy school food environments and nutrition in Canada: a systematic review of interventions, policies, and programs.Nutrition reviews · 2025Pooled it
- Food environment research in Canada: a rapid review of methodologies and measures deployed between 2010 and 2021.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- Frameworks for implementation of policies promoting healthy nutrition and physically active lifestyle: systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Implementing Food Environment Policies at Scale: What Helps? What Hinders? A Systematic Review of Barriers and Enablers.International journal of environmental research and public health · 2021Pooled it
- Beverage intake among Jamaican School Children: An analysis across child and school environment levels.PloS one · 2026Article
- Factors impacting implementation of nutrition and physical activity policies in rural schools.BMC public health · 2023Article
- Shifting school health priorities pre-post cannabis legalization in Canada: Ontario secondary school rankings of student substance use as a health-related issue.Health education research · 2022Article
- School readiness to adopt a school-based adolescent nutrition intervention in urban Indonesia.Public health nutrition · 2021Article
- Implementation of KEIGAAF in Primary Schools: A Mutual Adaptation Physical Activity and Nutrition Intervention.International journal of environmental research and public health · 2020Article
- Exploring Student Food Behaviour in Relation to Food Retail over the Time of Implementing Ontario's School Food and Beverage Policy.International journal of environmental research and public health · 2019Article
- Commentary - Food for thought on food environments in Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionProvincial, national and international public health agencies recognize the importance of school nutrition policies that help create healthful environments aligned with healthy eating recommendations for youth. School-wide support for healthy living within the pillars of the comprehensive school health (CSH) framework (social and physical environments; teaching and learning; healthy school policy; and partnerships and services) has been positively associated with fostering improvements to student health behaviours. This study used the CSH framework to classify, compare and describe school support for healthy eating during the implementation of the Ontario School Food and Beverage Policy (P/PM 150).
methodsWe collected data from consenting elementary and secondary schools in a populous region of Ontario in Time I (2012/13) and Time II (2014). Representatives from the schools completed the Healthy School Planner survey and a food environmental scan (FES), which underwent scoring and content analyses. Each school's support for healthy eating was classified as either "initiation," "action" or "maintenance" along the Healthy School Continuum in both time periods, and as "high/increased," "moderate" or "low/decreased" within individual CSH pillars from Time I to Time II.
resultsTwenty-five school representatives (8 elementary, 17 secondary) participated. Most schools remained in the "action" category (n = 20) across both time periods, with varying levels of support in the CSH pillars. The physical environment was best supported (100% high/increased support) and the social environment was the least (68% low/decreased support). Only two schools achieved the highest rating (maintenance) in Time II. Supports aligned with P/PM 150 were reportedly influenced by administration buy-in, stakeholder support and relevancy to local context.
conclusionFurther assistance is required to sustain comprehensive support for healthy eating in Ontario school food environments.
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