ArticlePublic health nutrition2021
Implementation of a regulatory food policy to reduce availability of energy-dense foods in Costa Rican high schools.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 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
- Supply and advertising of food and beverages with front-of-package warning labeling in schools of Metropolitan Lima 2023.Revista peruana de medicina experimental y salud publica · 2026Article
- National Policies to Limit Nutrients, Ingredients, or Categories of Concern in School Meals: A Global Scoping Review.Current developments in nutrition · 2024Article
- Barriers and facilitators to implementation of nutrition-related actions in school settings in low- and middle-income countries (LMICs): a qualitative systematic review using the Consolidated Framework for Implementation Research (CFIR).Implementation science communications · 2023Article
- Exploratory Analysis of Social Networks Linked to the Provision of Beverages in Costa Rican Schools.Nutrients · 2023Article
- Dietary Intake and Sources of Added Sugars in Various Food Environments in Costa Rican Adolescents.Nutrients · 2022Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the extent to which mandatory Guidelines to improve the school food environment were being implemented in Costa Rican high schools and to explore the perspectives of key policy actors towards the Guidelines.
designSemi-structured interviews and site observations. Interviews were recorded, transcribed verbatim and imported to NVivo 12 for analysis. Inductive and deductive themes were identified, and elements of the RE-AIM framework and the social process framework were used when classifying these themes.
settingSixteen public high schools in San José, Costa Rica.
participantsHigh school principal and kiosk concessionaires.
resultsProducts that did not adhere to the Guidelines were still widely available in schools, and amongst the most prevalent challenges to implementation that emerged from our interviews, were a lack of understanding of the policy content, a lack of monitoring and accountability, and competing values amongst actors which affected their views on the role that the school must have in offering a healthy food environment.
conclusionMost products offered in high schools did not meet the criteria required by the mandatory Guidelines, and several contextual factors were found to influence implementation. Strengthening the implementation of the Costa Rican Guidelines will require further actions at the governmental and school levels.
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Registered trials
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