Identifying parentally perceived barriers for children with celiac disease to participate in elementary school meal programs

Abstract

Several states have recently enacted laws permanently granting all public school students access to free breakfast and lunch. However, children with dietary restrictions, such as celiac disease, may encounter barriers to participation in these meal programs. We surveyed caregivers of school‐aged children with celiac disease to study barriers to universal school meals. More than half of the children with celiac disease did not participate in school meal programs due to concerns about the cafeteria's ability to prepare gluten‐free meals safely. Moreover, among those who were food insecure and gluten‐free food insecure, 50% had never consumed free school lunch and breakfast. Parental perception of nutritional quality, communication regarding gluten‐free options, and safety of school kitchens emerged as common obstacles to participation in these programs. Addressing these concerns is paramount to ensuring equitable access to nutritious meals for all students.