RT Journal A1 Turner LR, Chaloupka FJ T1 Student access to competitive foods in elementary schools: Trends over time and regional differences JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 2012 FD February 1 VO 166 IS 2 SP 164 OP 169 DO 10.1001/archpediatrics.2011.837 UL http://dx.doi.org/10.1001/archpediatrics.2011.837 AB Objective  To examine the availability of competitive foods in elementary schools.Design  Nationally representative mail-back survey.Setting  United States public and private elementary schools during the 2006-2007, 2007-2008, 2008-2009, and 2009-2010 school years.Participants  Survey respondents at 2647 public and 1205 private elementary schools.Main Outcome Measure  The availability of foods offered in competitive venues.Results  Elementary school students' access to foods in competitive venues on campus (vending machines, school stores, snack bars, or à la carte lines) remained constant over time. As of the 2009-2010 school year, approximately half of all public and private elementary school students could purchase foods in 1 or more competitive venues on campus. Sugary foods were available to almost all students with access to competitive foods on campus. Public elementary school students in the South had more access to competitive food venues and greater availability of salty and sweet products in those venues compared with students in other parts of the country; however, they also had greater availability of healthier foods, such as fruits and vegetables.Conclusions  Many elementary school students can purchase competitive foods on campus. Most students with access to competitive venues could purchase sweet products, but healthier foods were less widely available.