Large-scale school meal programs and student health: Evidence from rural China

2021 ◽  
Author(s):  
Jingxi Wang ◽  
Manuel A. Hernandez ◽  
Guoying Deng
Keyword(s):  
Large Scale ◽  
Rural China ◽  
Student Health ◽  
School Meal ◽  
Meal Programs

scholarly journals Universal Welfare May Be Costly: Evidence from School Meal Programs and Student Fitness in South Korea

2019 ◽  
Vol 11 (5) ◽  
pp. 1290 ◽  
Author(s):  
Deokrye Baek ◽  
Yongjun Choi ◽  
Hong Lee
Keyword(s):  
South Korea ◽  
Household Income ◽  
Educational Programs ◽  
Physical Activities ◽  
Student Health ◽  
Welfare Programs ◽  
School Meal ◽  
Free School Meal ◽  
Free School ◽  
Meal Programs

The Free School Meal Program (FSMP) initiated in 2011 in South Korea allows participating schools to provide free lunches to all students regardless of their household income. This paper examines how universal free school meal programs are associated with student health outcomes. We empirically show that FSMP reduces the share of students with high fitness grades by up to 1.5% of the student population. We also find that expenses for physical education decrease in schools that adopt FSMP. These results suggest that FSMP could crowd out investments in student physical activities, and student fitness could be negatively impacted. The paper sheds light on the importance of budgetary balance between universal welfare programs and other educational programs.

Canada’s missed opportunity to implement publicly funded school meal programs in the 1940s

2018 ◽  
Vol 30 (2) ◽  
pp. 191-203
Author(s):  
Sarah Carbone ◽  
Elaine Power ◽  
Mary Rita Holland
Keyword(s):  
Publicly Funded ◽  
School Meal ◽  
Meal Programs ◽  
Missed Opportunity

scholarly journals Achieving blood pressure control targets in hypertensive patients of rural China – A pilot randomized trial

2020 ◽  
Author(s):  
Xiao Huang ◽  
Lishun Liu ◽  
Yun Song ◽  
Lan Gao ◽  
Min Zhao ◽  
...  
Keyword(s):  
Adverse Events ◽  
Randomized Trial ◽  
Real World ◽  
Large Scale ◽  
Rural China ◽  
Standard Group ◽  
Open Label ◽  
Target Groups ◽  
Serious Adverse Events ◽  
Hypertensive Patients

Abstract Background This study aimed to test the feasibility and titration methods to achieve specific BP control targets in hypertensive patients of rural China. Methods A randomized, controlled, open-label trial was conducted in Rongcheng, China. We enrolled 105 hypertensive participants aged over 60 years, and who had no history of stroke and cardiovascular disease. The patients were randomly assigned to one of three systolic BP target groups: standard: 140 - < 150mmHg; moderately intensive: 130 - < 140mmHg; and intensive: <130mmHg. Patients were followed for 6 months. Discussion The optimal target for SBP lowering is still uncertain worldwide and such information is critically needed, especially in China. However, in China the rates of awareness, treatment and control are only 46.9%, 40.7% and 15.3%, respectively. It is challenging to achieve BP control in the real world and it is very important to develop population-specific BP control protocols that fully consider the population’s characteristics, such as age, sex, socio-economic status, compliance, education level and lifestyle. This randomized trial showed feasibility and safety of the titration protocol to achieve desirable SBP targets (<150, <140, and <130mmHg) in a sample of rural Chinese hypertensive patients. The three BP target groups had similar baseline characteristics. After 6 months of treatment, the mean SBP measured at an office visit was 137.2mmHg, 131.1mmHg, and 124.2mmHg in the three groups. Home BP and central aortic BP measurements were also obtained. At 6 months, home BP measurements (2 hours after drug administration) showed a mean SBP of 130.9 mmHg in the standard group, 124.9 mmHg in the moderately intense group, and 119.7 mmHg in the intensive group. No serious adverse events were recorded over the 6-month study period. Rates of adverse events including dry cough, palpitations, and arthralgia were low and showed no significant differences between the three groups. This trial gained real world experience and laid the foundation for a future large-scale BP target study.

Parents' preferred care-givers in rural China: gender, migration and intergenerational exchanges

2012 ◽  
Vol 34 (5) ◽  
pp. 727-752 ◽  
Author(s):  
ZHEN CONG ◽  
MERRIL SILVERSTEIN
Keyword(s):  
Fixed Effects ◽  
Large Scale ◽  
Rural China ◽  
Migrant Children ◽  
Instrumental Support ◽  
Urban Migration ◽  
Social Changes ◽  
Moderation Effect ◽  
Care Givers ◽  
Intergenerational Exchanges

ABSTRACTThis study examines how intergenerational exchanges affect elders' choice of preferred care-givers in the case of sickness among adult children in rural China. The sample derived from a four-wave longitudinal study in Anhui Province, China, based on which we constructed three time intervals (i.e.2001–2003, 2003–2006 and 2006–2009) and stacked them. Our working sample included 10,181 observations from these three stacked intervals, representing 4,927 children with 1,170 elder parents. We used fixed-effects logistic regression to predict elders' favouritism among their children. Results show that those children who received more help with grandchild care from parents, who provided instrumental support to parents and whose spouses provided instrumental support to parents were more likely to be named the preferred care-givers. On average, parents favoured sons. For mothers, this favouritism was completely explained by proximity and intergenerational exchanges, and even reversed under certain circumstances. For fathers, this favouritism of sons was partially explained by proximity and intergenerational exchanges. Migrant children were less likely to be preferred care-givers. This effect was moderated by elder parents' help with caring for grandchildren. Particularly, mothers favoured daughters over sons if the above moderation effect was considered. We discuss these findings in the context of social changes including increased importance of daughters in elder parents' support networks and the large-scale rural to urban migration.

Child preferences and perceptions of fluid milk in school meal programs

2021 ◽  
Vol 104 (5) ◽  
pp. 5303-5318
Author(s):  
L.R. Sipple ◽  
A.N. Schiano ◽  
D.C. Cadwallader ◽  
M.A. Drake
Keyword(s):  
School Meal ◽  
Meal Programs ◽  
Fluid Milk

scholarly journals Saving sight in China and beyond: the Lifeline Express model

2018 ◽  
Vol 3 (4) ◽  
pp. e000766 ◽  
Author(s):  
Ian Yat Hin Wong ◽  
Michael Yuxuan Ni ◽  
Irene Oi Ling Wong ◽  
Nellie Fong ◽  
Gabriel M Leung
Keyword(s):  
Diabetic Retinopathy ◽  
Cataract Surgery ◽  
Large Scale ◽  
Rural China ◽  
Adult Population ◽  
Early Screening ◽  
Diabetic Retinopathy Screening ◽  
Health Strategy ◽  
Patients With Diabetes ◽  
Retinopathy Screening

Cataract and diabetic retinopathy are leading causes of blindness globally. Lifeline Express (LEX) has pioneered the provision of cataract surgery in rural China from custom-built trains and eye centres nationwide. Over the past two decades, LEX has provided free cataract surgery for over 180 000 patients in China. In China, half of the adult population has prediabetes and 113 million adults have diabetes. Recognising the rising threat of diabetic retinopathy, LEX has expanded to providing free diabetic retinopathy screening nationwide by establishing 29 Diabetic Retinopathy Screening Centres across China. Source of referrals included host hospitals, the community and out-reach mobile vans equipped with fundus cameras. Fundi photos taken in the mobile vans were electronically transferred to primary graders. LEX also leveraged the widespread smartphone use to provide electronic medical reports via WeChat, the most popular instant messenger app in China. From April 2014 to December 2016, 34 506 patients with diabetes underwent screening, of which 27.2% (9,396) were identified to have diabetic retinopathy. China’s latest national health strategy (‘Healthy China 2030 Plan’) has championed the ‘prevention first’ principle and early screening of chronic diseases. LEX has accordingly evolved to extend its services to save sight in China—from cataract surgery to diabetic retinopathy screening and most recently outreaching beyond its national borders in a pilot South–South collaboration. With health at the top of the China’s developmental agenda and the country’s growing role in global health—LEX’s large-scale telemedicine-enabled programme could represent a potentially scalable model for nationwide diabetic retinopathy screening elsewhere.

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