program evaluation, social determinants of health, public health


Public Health | Public Health Education and Promotion


Participants: The analytic sample included 6,796 participants from five of the six cities in which Brighter Bites was implemented (Houston, Austin, Dallas, Washington, D.C., and Southwest Florida).

Main Outcome Measures: Predictor variables included child’s grade, gender, race/ethnicity, parent employment, and government assistance utilization. Outcome variable was a binary measure of attendance: 1=attendance at or above the threshold or 0=attendance below the threshold, where the threshold was operationalized as attending 75% of the distributions.

Analysis: A multi-level logistic regression and bivariate analysis were completed to measure the association between attendance and predictor variables.

Results: Results show, compared to Hispanics, Whites were 39% and African Americans 53% less likely to attend at the threshold. Also, families who received SNAP benefits were 33% less likely to attend and families with homemakers had 1.68 greater odds of attending.

Conclusions and Implications Identifying predictors of program attendance can inform future equitable implementation and dissemination strategies. Findings indicate race/ethnicity, parent employment and receipt of certain government assistance have significant associations with attending Brighter Bites.