Half of children entitled to free school meals did not have access to the scheme during COVID-19 lockdown in the UK
File(s)COVID_FSM_accepted_manuscript.pdf (298.52 KB)
Accepted version
Author(s)
Parnham, JC
Laverty, AA
Majeed, A
Vamos, EP
Type
Journal Article
Abstract
OBJECTIVES: The objectives of the study were to investigate access to free school meals (FSMs) among eligible children, to describe factors associated with uptake and to investigate whether receiving FSMs was associated with measures of food insecurity in the UK using the Coronavirus (COVID-19) wave of the UK Household Longitudinal Study. STUDY DESIGN: The study design was cross-sectional analyses of questionnaire data collected in April 2020. METHODS: Six hundred and thirty-five children who were FSM eligible with complete data were included in the analytic sample. Accessing a FSM was defined as receiving a FSM voucher or a cooked meal at school. Multivariable logistic regression was used to investigate (i) associations between characteristics and access to FSMs and (ii) associations between access to FSMs and household food insecurity measures. All analyses accounted for survey design and sample weights to ensure representativeness. RESULTS: Fifty-one percent of eligible children accessed a FSM. Children in junior schools or above (aged 8+ years) (adjusted odds ratio [AOR]: 11.81; 95% confidence interval [CI]: 5.54, 25.19), who belonged to low-income families (AOR: 4.81; 95% CI: 2.10, 11.03) or still attending schools (AOR: 5.87; 95% CI: 1.70, 20.25) were more likely to receive FSMs. Children in Wales were less likely to access FSMs than those in England (AOR: 0.11; 95% CI: 0.03, 0.43). Receiving a FSM was associated with increased odds of recently using a food bank but not reporting feeling hungry. CONCLUSIONS: In the month after the COVID-19 lockdown, 49% of eligible children did not receive any form of FSMs. The present analyses highlight that the voucher scheme did not adequately serve children who could not attend school during the lockdown. Moreover, more needs to be done to support families relying on income-related benefits, who still report needing to access a food bank. As the scheme may be continued in summer or in a potential second wave, large improvements will be needed to improve its reach.
Date Issued
2020-10-01
Date Acceptance
2020-08-19
Citation
Public Health, 2020, 187, pp.161-164
ISSN
0033-3506
Publisher
Elsevier
Start Page
161
End Page
164
Journal / Book Title
Public Health
Volume
187
Copyright Statement
© 2020 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32980783
PII: S0033-3506(20)30387-5
Subjects
COVID-19
Child health
Food insecurity
Free school meals
Public health nutrition
Public health policy
Publication Status
Published
Coverage Spatial
Netherlands
Date Publish Online
2020-08-25