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普惠性免费校餐与儿童体重:按年龄与暴露时长的效应

Universal free school meals and children’s bodyweight. Impacts by age and duration of exposure
Journal of Health Economics · 2024 · Angus Holford、Birgitta Rabe

中文摘要

我们研究英格兰由家计调查型供餐转向普惠性营养免费校餐对儿童体重的影响。我们利用普惠性供餐在各地方当局的逐步推行,基于对公立学校儿童由护士采集的全人口健康数据,估计在不同年龄和不同暴露时长下的效应。暴露于普惠性免费午餐降低了4—5岁和10—11岁儿童的肥胖患病率和BMI,但年龄较大儿童的体重反应弱于年龄较小儿童。我们发现了效应可能具有累积性的初步证据,因为对于在整个小学阶段均暴露于普惠性免费校餐的儿童,影响最大。

Abstract

We study the impact on children's bodyweight of switching from means-tested to universal provision of nutritious free school meals in England. We exploit the roll-out of universal provision across Local Authorities to estimate effects at different ages and durations of exposure, based on nurse-collected, population-wide health data for state school children. Exposure to universal free lunches reduces obesity prevalence and BMI among children aged 4-5 and 10-11, but older children's bodyweights are less responsive than younger children's. We find tentative evidence that effects may be cumulative, as impacts are largest for those exposed to universal free school meals throughout primary school.
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