title: [Frequency of use of school cafeterias in middle and high schools in 3 French districts].
abstract: Reports from the French Ministry of Education warn of a decrease in the use of school food services, especially in sensitive urban areas. They also suggest that this decline has led to cases of malnutrition. This article describes the characteristics of the current supply of school meals and measures the evolution of demand observed between 1992 and 1996 in relation to the economic situation of students' families. The study was carried out in 3 departments in France: Doubs, Herault, and Val de Marne. The administrators of all public and private middle and high schools in the 3 departments received a questionnaire asking them to describe the services offered in their cafeterias and to provide the corresponding statistical and accounting data. External food services near the schools were also taken into account. Seventy-nine percent of schools responded to the survey. Concerning the services offered, 91% of schools have their own cafeterias, of which 81% are managed by the schools. Concerning the evolution of utilisation, a significant decrease in the number of meals served in seen in middle schools. On the other hand, high schools have observed stable utilisation. The positive changes in utilisation are linked, in middle schools, to characteristics of the schools' internal food services (self-service, choice of main courses, modulation of seats). In high schools, positive changes in the utilisation of school services are linked to the lack of external food services near the schools. As middle schools and high schools control the logistics and management of food services offered to students, they are potentially in a position to influence a policy on this issue. The evolution in utilisation is very different among departments and between middle and high schools. While economic precariousness has a negative structural effect on utilisation, it doesn't seem to be a major factor in the evolution of the decrease observed over the past few years.
authors.affiliation: Comité départemental d'éducation pour la santé (CODES) du Doubs, 4 rue de la Préfecture, 25000 Besançon.
authors.forename: C
authors.initials: C
authors.lastname: Michaud
authors.forename: E
authors.initials: E
authors.lastname: Feur
authors.forename: P
authors.initials: P
authors.lastname: Gerbouin-Rérolle
authors.forename: C
authors.initials: C
authors.lastname: Leynaud-Rouaud
authors.forename: S
authors.initials: S
authors.lastname: Chateil
authors.forename: M
authors.initials: M
authors.lastname: Gourdon
mesh_terms: D000066:Accounting; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D005502:Food; D005522:Food Services / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data*; D005602:France; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D012147:Restaurants; D012574:Schools / Q000191:economics / Q000458:organization & administration; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population