Perspectives on Universal Free School Meals Among Rural Middle and High School Students: A Mixed-Methods Study

<b>Background/Objectives</b>: School meals play an important role in ensuring reliable, healthy access to food, but there are many barriers to participation, especially for rural students. This study examined the perceived impact of UFSM policies and the perceptions of school meals among students in rural areas of Maine. <b>Methods</b>: This mixed-methods study included surveys with <i>n</i> = 61 middle and high school students and interviews with <i>n</i> = 11 middle and high school students between 2023 and 2024. The surveys and interviews focused on potential impacts of UFSM policies as well as general barriers and facilitators to participation in school meals. Quantitative surveys were analyzed using logistic regression, adjusting for demographic characteristics. Interviews were analyzed using principles of content analysis. <b>Results</b>: Students reported that UFSM had multiple benefits, and many students perceived that providing free school meals for all helped reduce the stigma associated with school meals, in part through increased participation. Students liked the variety of foods offered, but many did not perceive school meals, especially breakfast, to be "fresh" or "healthy". Additionally, many students perceived there to be long lunch lines and insufficient time to eat their meals. <b>Conclusions</b>: While students perceived multiple benefits to UFSM, opportunities to further improve the quality of school meals, as well as policies to ensure sufficient lunch period lengths, may be important complements to increase participation and consumption of school meals among rural students.