The Hong Kong Healthy Schools Award Scheme, school health and student health: An exploratory study

2018 ◽  
Vol 77 (8) ◽  
pp. 857-871 ◽  
Author(s):  
Albert Lee ◽  
Lawrence H St Leger ◽  
Kelvin WK Ling ◽  
Vera MW Keung ◽  
Amelia SC Lo ◽  
...  

Objective: The Hong Kong Healthy Schools Award Scheme (HKHSA) developed an assessment and monitoring system to examine the status of Health Promoting Schools (HPS). This study made use of the HKHSA programme to investigate the school health ‘profile’ and student health status of four gold award schools following 3–4 years’ participation in the scheme. Design: Repeated cross-sectional student health surveys of the same year level (Secondary 3) were conducted over different time periods, and achievement of HKHSA was assessed by repeated assessments of the school health profile using HPS indicators. Setting: This study included four schools with the Healthy School gold award in Hong Kong, together with students from three of the four schools. Methods: School performance in the six HPS key areas were analysed using radial plot graphs, and students’ health behaviours were measured by means of repeated cross-sectional student health surveys. Results: The four gold award schools demonstrated various degrees of achievement in different HPS key areas with student health behaviours markedly improving in these schools. Further analyses revealed how certain HPS key area components were associated with sustained positive health behaviours among students. Conclusion: The ongoing implementation of HPS impacts on schools’ environment and students’ health behaviours. The HKHSA is designed for formative and summative assessment of school health promotion. Findings provide insight into an HPS assessment process, signalling future directions for the development of school health promotion.

Author(s):  
Danielle V. R. Couturiaux ◽  
Honor Young ◽  
Rebecca E. Anthony ◽  
Nicholas Page ◽  
Emily Lowthian ◽  
...  

(1) Background: This study examines the associations between risk behaviours and adolescent emotional and physical dating and relationship violence (DRV) victimisation and perpetration, and how these vary by gender. The risk behaviours explored include bullying, cyberbullying, sexting, alcohol, and cannabis use; (2) Methods: Cross-sectional self-report data from the School Health Research Network (SHRN) 2019 Student Health Wellbeing (SHW) survey of 48,397 students aged 11–16 from 149 schools across Wales were analysed using single and multiple-behaviour logistic regression models to explore the associations between each risk behaviour and emotional and physical DRV victimisation and perpetration; (3) Results: Bivariate analyses revealed a statistically significant association between DRV and all risk behaviours. In multivariate analyses, students who reported bullying, cyberbullying, sexting, and substance use, compared to those that had not, had significantly higher odds of experiencing and perpetrating emotional and physical DRV; and (4) Conclusions: Future studies on DRV should consider a mixed-methods approach to explore the context in which DRV and risk behaviours interrelate. Results from this study indicate the possibility that prevention and intervention programmes in school settings that seek to develop healthy school environments and peer-to-peer relationships, could inadvertently reduce the occurrence of future DRV and associated risk behaviours.


Author(s):  
Vishal Samadhan Dhande ◽  
R. D. Gadekar ◽  
M. K. Doibale ◽  
P. L. Gattani ◽  
V. K. Domple ◽  
...  

Background: Though the school health services cater to health needs to an extent, the children who drop out of schools lose on this count. These children never derive the attention for the reason of school dropouts nor are they covered under any major health programs pertaining to their health problems. The objective of the study were to study health profile of the school dropout children aged 7–16 years residing in the slums of municipal corporation area of Nanded city; to study socio-demographic factors of the families of these school dropout children.Methods: It was a community based cross-sectional study carried out in urban slums of Municipal Corporation of the Nanded city in Maharashtra on the children of age group 7 to 16 who dropped out from the school. Total 455 study subjects were studied by using simple random sampling method. A pre-designed and pre-tested questionnaire was used to collect information on socio demographic variables. Thorough clinical examination of each subject was carried out.Results: The mean age of study subjects was 14.2 (±1.9 SD) years. Out of total 455 study subjects, 264 (58%) were boys and 191 (42%) were girls. 11.20% study subjects were having skin infections, 25.71% were having dental caries, 3.29% were having ear impairment, 9.89% were having visual impairment, and 1.31% was having stammering of speech.Conclusions: Anaemia, skin infections, dental caries, visual impairment were major health problems noted in the school dropped out children. Poor socioeconomic status, religion, type of family, more number of children in the family was some sociodemographic factors responsible for school dropout. 


2005 ◽  
Vol 12 (3-4) ◽  
pp. 123-130 ◽  
Author(s):  
Albert Lee ◽  
Lawrence St Leger ◽  
Alysoun Moon

Health promoting schools (HPS) and Healthy Schools Award Schemes from a number of countries have demonstrated positive changes in children's health behaviours and the culture and organisation of the school. The Hong Kong Healthy Schools Award Scheme (HKHSA) aims to promote staff development, parental education, involvement of the whole school community, and linkage with different stakeholders to improve the health and well-being of the pupils, parents and staff, and the broader community, supported by a system to monitor the achievement. This concept is very much in line with the research literature on school effectiveness and improvement. The indicators examined to evaluate the success of the HKHSA reflect outcomes related to both health and education and are not limited to changes in population health status. The early results demonstrated significant improvements in various aspects of student health and also improvement in school culture and organisation. The evaluation framework described in this paper and data collected to assess how schools perform in the HKHSA scheme, provides insight into how HPSs could lead to better outcomes for both education and health.


2021 ◽  
pp. 102-120
Author(s):  
J Patrick Vaughan ◽  
Cesar Victora ◽  
A Mushtaque R Chowdhury

Surveys are used to collect data on the population distribution and frequency of health behaviours and use of services, health risks and diseases, as well as for the monitoring the implementation of health interventions, services, and programmes. Cross-sectional surveys collect prevalence data and longitudinal surveys collect mainly incidence information. Surveys can provide more accurate data than is available from local health information or surveillance systems. Survey methods are explained, such as on objectives, choice of variables, and sampling. Before undertaking surveys, local teams are advised to seek specialist advice and support.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037720
Author(s):  
Magdalena Walbaum ◽  
Shaun Scholes ◽  
Elena Pizzo ◽  
Melanie Paccot ◽  
Jennifer S Mindell

ObjectivesThis study estimates the prevalence of chronic kidney disease (CKD) among Chilean adults and examines its associations with sociodemographic characteristics, health behaviours and comorbidities.DesignAnalysis of cross-sectional data from the two most recent large nationally representative Chilean Health Surveys (Encuesta Nacional de Salud, ENS) 2009–2010 and 2016–2017.ParticipantsAdults aged 18+ years with serum creatine data (ENS 2009–2010: n=4583; ENS 2016–2017: n=5084).Primary and secondary outcome measuresReduced kidney function (CKD stages 3a–5) based on the estimated glomerular filtration rate (eGFR <60 mL/min/1.73 m2) was the primary outcome measure. Using the urine albumin-to-creatinine ratio (ACR ≥30 mg/g), increased albuminuria was ascertained among adults aged 40+ years with diabetes and/or hypertension. Both outcomes were analysed using logistic regression with results summarised using OR. CKD prevalence (stages 1–5) among adults aged 40+ years was estimated including participants with an eGFR of >60 mL/min/1.73 m2 but with increased albuminuria (stages 1–2).ResultsOverall, 3.2% (95% CI: 2.4% to 3.8%) of adults aged 18+ in ENS 2016–2017 had reduced kidney function. After full adjustment, participants with hypertension (OR: 2.37; 95% CI: 1.19 to 4.74) and those with diabetes (OR: 1.66; 95% CI: 1.03 to 2.66) had significantly higher odds of reduced kidney function. In ENS 2016–2017, 15.5% (13.5% to 17.8%) of adults aged 40+ years with diabetes and/or hypertension had increased albuminuria. Being obese versus normal-weight (OR: 1.66; 95% CI: 1.08 to 2.54) and having both diabetes and hypertension versus having diabetes alone (OR: 2.30; 95% CI: 1.34 to 3.95) were significantly associated with higher odds of increased albuminuria in fully-adjusted analyses. At least 15.4% of adults aged 40+ years in ENS 2016–2017 had CKD (stages 1–5), including the 9.6% of adults at CKD stages 1–2.ConclusionsPrevention strategies and Chilean guidelines should consider the high percentage of adults aged 40 years and older at CKD stages 1–2.


2015 ◽  
pp. 1 ◽  
Author(s):  
Tiina Räsänen ◽  
Tomi Lintonen ◽  
Anne Konu

The aim of this study is to examine the associations between problem behavior and gambling frequency among eighth- and ninth-grade boys and girls (N = 101,167). Data were obtained from the cross-sectional School Health Promotion Study. Outcome measures were adolescents' truancy, bullying, delinquency, and substance use. Polychotomous logistic regression analyses were used to study the relationship between gambling frequency and risk behaviors in a total sample, as well as separately for boys and girls. In 2010, 62% of the adolescents had gambled during the previous year, and in 2011, 61% of the adolescents had done so. Engaging in different levels of truancy, bullying, delinquency, and substance abuse were associated with higher risks for frequent gambling. Similar patterns of associations were found among boys and girls. Adolescents who engaged in gambling on a daily or weekly basis were the most vulnerable group for problem behavior. However, even infrequent gambling was associated with different problem behaviors.


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