Assessing the Financial Impact of Changing Beverage Vending Machine Choices – Case Study Project Project Coordinator – Denise M Brown, PhD John D. Bower. M.S. School Health Network Meeting April 12-13, 2006

Study Objectives – SY  Change beverage choices in vending machines at school  Assess the financial impact on school profits  Identify approaches to promote healthful beverage choices and maintain profits for schools

Desoto County Hernando Middle School Olive Branch High School Tishomingo County Tishomingo County High School Union County West Union Attendance Center Ingomar Attendance Center Bolivar County*** West Bolivar Junior High School West Bolivar High School Hinds County Raymond High School Utica Elementary Middle School Bolton Edwards Elementary Middle School Simpson County Mendenhall Junior High School Forrest County Hattiesburg High School Burger Middle School Pearl River County Picayune Junior High School Picayune Memorial High School Harrison County Gulfport High School Gulfport Central Middle School Bayou View Middle School Schools Agreeing to Participate

School District Characteristics Enrollment 350 in smallest school 2000 in largest school 12,000+ students in all participating schools Children receiving Free Meals ranging from: 14% low 100% high (including coastal counties after hurricane Katrina)

School Year Project Requirements Change advertising on beverage vending machines Change beverage choices to water, sports drinks, and 100% fruit juices Collect and submit monthly financial data during SY Provide a $3,000 incentive per school in the project

K-12 School Comparison of Units Sold SY 04/05 to SY 05/06

K-12 Profit Comparison SY 04/05 to SY 05/06

K- 8 School Comparison of Units Sold SY 04/05 to SY 05/06

K-8 Profit Comparison SY04/05 to SY 05/06

High School Comparison of Units Sold SY 04/05 to SY 05/06

High School Profit Comparison SY 04/05 to SY 05/06

American Beverage Association Guidelines Elementary Grades water and 100% fruit juice Middle School Grades nutritious and/or lower calorie beverages water, 100% fruit juice, sports drinks, no-calorie soft drinks, and low-calorie juices High School Grades 50% of selections in vending includes water 100% fruit juice, sports drinks, and other juice drinks

Mississippi Beverage Association Board adopted American Beverage Association guidelines Fall 2005 Membership of MS Beverage Association unanimously adopted guidelines Feb 2006 Implement as soon as possible Coordinating with local school districts experiencing some resistance to changes

Factors to Consider When Changing Beverages in Vending Machines Location of current vending machines Power sources Marketing strategies Size of Cans and or Bottles Cans, Bottles, or both Pricing strategies Lower for healthier choices Price all beverages the same Price based on ounces

Proposed Objectives – Year 2 Pending Approval of The Bower Foundation Board June 2006 Continue study protocol from Year 1 All schools Add option to change teacher lounge beverage choices Change local policy to permit access to bottled water throughout the school day Middle/Junior High Schools Change choices to eliminate full calorie soft drinks

Proposed Objectives – Year 2 Pending Approval of The Bower Foundation Board June 2006 Add 10 additional schools to project Target elementary and middle/junior high schools Offer John D. Bower, MD School Health Network Schools an opportunity to join the project Open project participation to other elementary and middle/junior high schools Elementary level schools adopt American Beverage Association guidelines Middle/junior high schools adopt American Beverage Association guidelines All schools include a policy for access to bottled water throughout the school day

Expected Outcomes Year 2 Study Increase number of schools making changes Introduce stricter guidelines in K-8 grades Demonstrate changes in vending still provide profits to school Data to support development of statewide vending machine guidelines by Office of Healthy Schools