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AJPH First Look, published online ahead of print Jul 27, 2006
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September 2006, Vol 96, No. 9 | American Journal of Public Health 1542-1547
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.070946

HEALTH POLICY AND ETHICS

Healthier Choices and Increased Participation in a Middle School Lunch Program: Effects of Nutrition Policy Changes in San Francisco

Janet M. Wojcicki, PhD, MPH and Melvin B. Heyman, MD, MPH

Janet M. Wojcicki and Melvin B. Heyman are with the Department of Pediatrics, University of California, San Francisco.

Correspondence: Requests for reprints should be sent to Melvin B. Heyman, MD, MPH, Pediatric GI and Nutrition, 500 Parnassus Ave, Box 0136, University of California, San Francisco, CA 94143-0136 (e-mail: mheyman{at}peds.ucsf.edu).

In order to address overall nutritional health, including increases in numbers of overweight children and adolescents, the San Francisco Unified School District implemented a progressive nutrition policy beginning in August 2003. We review this policy and focus on its impact on school and district revenues and students’ participation in the federally subsidized school lunch program.

We examined changes in menu items and the consequent effects of these changes on student eating patterns and school revenues at Aptos Middle School in San Francisco. This case study and additional district data show that provision of healthy menu options led to increased student participation in the federal school lunch program.






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