title: Associations between socio-economic status and school-day dietary intake in a sample of grade 5-8 students in Vancouver, Canada.
abstract: OBJECTIVE
  To examine associations between students' socio-economic status (SES) and school-day dietary intake, and the roles of parents and peers in shaping these associations.
  
  
  METHODS
  A cross-sectional survey measured school-day intake of vegetables, whole grains, low-fat milk, packaged snack foods and sugar-sweetened beverages. Logistic regression models examined associations between SES (parental education and food insecurity status) and dietary outcomes during or en route to or from school, and examined whether peer modelling or parental norms potentially mediated the associations between SES and dietary outcomes.
  
  
  METHODS
  Twenty-six public schools in Vancouver, Canada in 2012.
  
  
  METHODS
  Nine hundred and fifty students in grades 5-8.
  
  
  RESULTS
  Students whose parents completed some college, compared with those completing high school or less, were significantly more likely to consume vegetables daily (unadjusted OR = 1.85; 95 % CI 1.06, 3.22) and students whose parents completed college or university were significantly less likely to consume sugar-sweetened beverages daily (unadjusted OR = 0.67; 95 % CI 0.47, 0.94). Food secure students were also significantly less likely to consume sugar-sweetened beverages daily compared with food insecure students (unadjusted OR = 0.52; 95 % CI 0.29, 0.92). Parental norms, but not peer modelling, emerged as a potential mediator of the association between SES and vegetable intake. SES was not significantly associated with the remaining dietary outcomes.
  
  
  CONCLUSIONS
  Higher SES was significantly associated with two of five school-day dietary outcomes and predicted higher likelihood of daily nutritious food choices at school. The present study suggests that there is room for improvement in school-day dietary quality for students from all SES backgrounds in Vancouver.
authors.affiliation: 1Faculty of Land and Food Systems,University of British Columbia,2205 East Mall,Vancouver,British Columbia,Canada V6T 1Z4.
authors.forename: Naseam
authors.initials: N
authors.lastname: Ahmadi
authors.affiliation: 1Faculty of Land and Food Systems,University of British Columbia,2205 East Mall,Vancouver,British Columbia,Canada V6T 1Z4.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Black
authors.affiliation: 1Faculty of Land and Food Systems,University of British Columbia,2205 East Mall,Vancouver,British Columbia,Canada V6T 1Z4.
authors.forename: Cayley E
authors.initials: CE
authors.lastname: Velazquez
authors.affiliation: 1Faculty of Land and Food Systems,University of British Columbia,2205 East Mall,Vancouver,British Columbia,Canada V6T 1Z4.
authors.forename: Gwen E
authors.initials: GE
authors.lastname: Chapman
authors.affiliation: 2Department of Sociology,University of British Columbia,Vancouver,Canada.
authors.forename: Gerry
authors.initials: G
authors.lastname: Veenstra
mesh_terms: D000293:Adolescent; D017195:Adolescent Nutritional Physiological Phenomena; D001955:British Columbia; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D003430:Cross-Sectional Studies; D004032:Diet / Q000009:adverse effects* / Q000191:economics; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D018673:Nutrition Policy; D009749:Nutrition Surveys; D010287:Parent-Child Relations; D010290:Parents / Q000193:education; D010349:Patient Compliance; D000067074:Peer Influence; D012574:Schools; D012959:Socioeconomic Factors; D014186:Transportation; D014504:Urban Health
keywords: Diet
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