# School food programs and food insecurity at the REACH school network: an observational study

## TL;DR

This study examined if school food programs reduce food insecurity among children in a Canadian urban school network but found no significant link.

## Contribution

The study provides insights into the complex relationship between school food program participation and food insecurity in at-risk urban children.

## Key findings

- 134 out of 223 participants regularly participated in school food programs.
- Food insecurity was reported by 43.5% of participants, with no significant difference between participants and non-participants.
- Logistic regression showed no significant association between program participation and food insecurity.

## Abstract

Food insecurity is common in Canada and impacts children more than any other age group. This study aimed to evaluate the association between participation in school food programs and food insecurity among students attending Canada’s largest urban school-based health centre program, the REACH School Network.

This is a cross-sectional observational study from April 2022 to June 2024 at the REACH School Network. We administered the Growth and Nutrition Questionnaire to parents of children aged 3–17 years. Questions were related to dietary intake and participation in school food programs. Our primary outcome was food insecurity, using the Hunger Vital Sign. Logistic regression estimated the association between regular school food program participation and food insecurity, adjusting for covariates.

Of 477 eligible participants, 316 consented (66.2% response rate), and 223 were included in the analysis. The mean age was 9.21 years (SD = 3.08); 69.1% identified as male. Overall, 134 (60.1%) regularly participated in a school food program. Food insecurity was reported by 97 (43.5%) participants, with similar prevalence among participants (44.8%) and non-participants (41.6%). Logistic regression, both unadjusted (OR = 1.14; 95% CI 0.66–1.97; P = 0.637) and adjusted (OR = 0.82; 95% CI 0.42–1.63; P = 0.579) found no significant association between school food program participation and food insecurity.

Our study highlights the complex relationship between food insecurity and school food program participation among an at-risk, urban children. Future research is needed, with larger sample sizes and longitudinal designs to better understand these complex relationships.

The online version contains supplementary material available at 10.1186/s12889-025-23163-8.