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The Effect of Universal Free School Meals on Child BMI

Author

Listed:
  • Davis, Will

    (Mississippi State University)

  • Kreisman, Daniel

    (Georgia State University)

  • Musaddiq, Tareena

    (Mathematica Policy Research)

Abstract

We estimate the effect of universal free school meal access through the Community Eligibility Program (CEP) on child BMI. Through the CEP, schools with high percentages of students qualified for free or reduced-priced meals can offer free breakfast and lunch to all students. With administrative data from a large school district in Georgia, we use student-level BMI measures from the FitnessGram to compare within-student outcomes before and after CEP implementation across eligible and non-eligible schools. We find one year of CEP exposure increased expected BMI percentile by about 0.085 standard deviations, equivalent to a nearly 1.88-pound weight increase for a student of average height. We also find that the program led to a small increase in the likelihood of overweight and limited evidence of a small decrease in the likelihood of underweight. We do not find that the program increased student obesity risk. Examining the effects of CEP on child BMI by grade suggests that the overall effect is largely driven by students in middle schools, highlighting potential heterogeneity in the program's impact across grades. The findings of this paper are relevant for researchers and policymakers concerned with the effects of universal free school meals on student health.

Suggested Citation

  • Davis, Will & Kreisman, Daniel & Musaddiq, Tareena, 2023. "The Effect of Universal Free School Meals on Child BMI," IZA Discussion Papers 16387, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp16387
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    References listed on IDEAS

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    1. Oluyemisi Kuku & Steven Garasky & Craig Gundersen, 2012. "The relationship between childhood obesity and food insecurity: a nonparametric analysis," Applied Economics, Taylor & Francis Journals, vol. 44(21), pages 2667-2677, July.
    2. Diane Whitmore Schanzenbach & Mary Zaki, 2014. "Expanding the School Breakfast Program: Impacts on Children's Consumption, Nutrition and Health," NBER Working Papers 20308, National Bureau of Economic Research, Inc.
    3. Gundersen, Craig & Kreider, Brent, 2009. "Bounding the effects of food insecurity on children's health outcomes," Journal of Health Economics, Elsevier, vol. 28(5), pages 971-983, September.
    4. Daniel L. Millimet & Rusty Tchernis & Muna Husain, 2010. "School Nutrition Programs and the Incidence of Childhood Obesity," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    5. Peter Hinrichs, 2010. "The effects of the National School Lunch Program on education and health," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 29(3), pages 479-505.
    6. Ronette R. Briefel & Mary Kay Crepinsek & Charlotte Cabili & Ander Wilson & Philip M. Gleason, 2009. "School Food Environments and Practices Affect Dietary Behaviors of US Public School Children," Mathematica Policy Research Reports c6dbf718e7a54cb0ab738b653, Mathematica Policy Research.
    7. Frisvold, David E., 2015. "Nutrition and cognitive achievement: An evaluation of the School Breakfast Program," Journal of Public Economics, Elsevier, vol. 124(C), pages 91-104.
    8. Huang, Jin & Barnidge, Ellen, 2016. "Low-income Children's participation in the National School Lunch Program and household food insufficiency," Social Science & Medicine, Elsevier, vol. 150(C), pages 8-14.
    9. Petter Lundborg & Dan-Olof Rooth & Jesper Alex-Petersen, 2022. "Long-Term Effects of Childhood Nutrition: Evidence from a School Lunch Reform [The Long-run Impact of Cash Transfers to Poor Families]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 89(2), pages 876-908.
    10. Jessie Handbury & Sarah Moshary, 2021. "School Food Policy Affects Everyone: Retail Responses to the National School Lunch Program," NBER Working Papers 29384, National Bureau of Economic Research, Inc.
    11. Arteaga, Irma & Heflin, Colleen, 2014. "Participation in the National School Lunch Program and food security: An analysis of transitions into kindergarten," Children and Youth Services Review, Elsevier, vol. 47(P3), pages 224-230.
    12. Jayanta Bhattacharya & Janet Currie & Steven J. Haider, 2006. "Breakfast of Champions?: The School Breakfast Program and the Nutrition of Children and Families," Journal of Human Resources, University of Wisconsin Press, vol. 41(3).
    13. Sean P. Corcoran & Brian Elbel & Amy Ellen Schwartz, 2016. "The Effect of Breakfast in the Classroom on Obesity and Academic Performance: Evidence from New York City," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 35(3), pages 509-532, June.
    14. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    15. David Frisvold & Joseph Price, 2019. "The Contribution of the School Environment to the Overall Food Environment Experienced by Children," Southern Economic Journal, John Wiley & Sons, vol. 86(1), pages 106-123, July.
    16. Anderson, Michael L & Gallagher, Justin & Ritchie, Elizabeth Ramirez, 2018. "School meal quality and academic performance," Department of Agricultural & Resource Economics, UC Berkeley, Working Paper Series qt9w943058, Department of Agricultural & Resource Economics, UC Berkeley.
    17. Amy Ellen Schwartz & Michah W. Rothbart, 2020. "Let Them Eat Lunch: The Impact of Universal Free Meals on Student Performance," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 39(2), pages 376-410, March.
    18. Leos-Urbel, Jacob & Schwartz, Amy Ellen & Weinstein, Meryle & Corcoran, Sean, 2013. "Not just for poor kids: The impact of universal free school breakfast on meal participation and student outcomes," Economics of Education Review, Elsevier, vol. 36(C), pages 88-107.
    19. Gundersen, Craig & Kreider, Brent & Pepper, John, 2012. "The impact of the National School Lunch Program on child health: A nonparametric bounds analysis," Journal of Econometrics, Elsevier, vol. 166(1), pages 79-91.
    20. Diane Whitmore Schanzenbach, 2009. "Do School Lunches Contribute to Childhood Obesity?," Journal of Human Resources, University of Wisconsin Press, vol. 44(3).
    21. Anderson, Michael L. & Gallagher, Justin & Ramirez Ritchie, Elizabeth, 2018. "School meal quality and academic performance," Journal of Public Economics, Elsevier, vol. 168(C), pages 81-93.
    22. Krista Ruffini, 2022. "Universal Access to Free School Meals and Student Achievement: Evidence from the Community Eligibility Provision," Journal of Human Resources, University of Wisconsin Press, vol. 57(3), pages 776-820.
    23. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    24. Gordanier, John & Ozturk, Orgul & Williams, Breyon & Zhan, Crystal, 2020. "Free Lunch for All! The Effect of the Community Eligibility Provision on Academic Outcomes," Economics of Education Review, Elsevier, vol. 77(C).
    25. repec:mpr:mprres:6160 is not listed on IDEAS
    26. Ralston, Katherine L. & Newman, Constance & Clauson, Annette L. & Guthrie, Joanne F. & Buzby, Jean C., 2008. "The National School Lunch Program: Background, Trends, and Issues," Economic Research Report 56464, United States Department of Agriculture, Economic Research Service.
    27. Travis A. Smith, 2017. "Do School Food Programs Improve Child Dietary Quality?," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 99(2), pages 339-356.
    28. Abouk, Rahi & Adams, Scott, 2022. "Breakfast After the Bell: The Effects of Expanding Access to School Breakfasts on the Weight and Achievement of Elementary School Children," Economics of Education Review, Elsevier, vol. 87(C).
    29. Benjamin L. Campbell & Rodolfo M. Nayga & John L. Park & Andres Silva, 2011. "Does the National School Lunch Program Improve Children's Dietary Outcomes?," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 93(4), pages 1099-1130.
    30. Kristen Capogrossi & Wen You, 2017. "The Influence of School Nutrition Programs on the Weight of Low‐Income Children: A Treatment Effect Analysis," Health Economics, John Wiley & Sons, Ltd., vol. 26(8), pages 980-1000, August.
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    More about this item

    Keywords

    school meals; child BMI; community eligibility provision; free lunch;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy

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