scholarly journals Clustering Lifestyle Risk Behaviors among Vietnamese Adolescents and Roles of School: A Bayesian Multilevel Analysis of Global School-Based Student Health Survey 2019

Author(s):  
Quynh Long Khuong ◽  
Ngoc-Anh Hoang Thi ◽  
Hong Phuong Nguyen ◽  
Tuyet Hanh Tran Thi ◽  
Kidong Park ◽  
...  

Background: Adolescence is a vulnerable period for many lifestyle risk behaviors. In this study, we investigated the clustering of risk behaviors and role of the school health promotion programs among adolescents in Vietnam. Methods: We analyzed data of 7,541 adolescents aged 13-17y from the 2019 nationally representative Global School-based Student Health Survey, conducted in 20 provinces and cities in Vietnam. We applied the latent class analysis to identify groups of clustering and used Bayesian 2-level logistic regressions to evaluate the effects of school health promotion programs on these clusters. We reassessed the school effect size by incorporating different informative priors to the Bayesian models. Findings: The most frequent lifestyle risk behavior among Vietnamese adolescents was unhealthy diet (~67%), followed by sedentary behavior (37% in boys and 48% in girls) and low fruit/vegetable intake (~31%). More than half of students had a cluster of at least two risk factors and a quarter with three risk factors. Latent class analysis detected 18% boys and 15% girls being at high-risk of lifestyle behaviors. Consistent through different priors, high quality of health promotion programs associated with lower the odds of lifestyle risk behaviors (highest quality schools vs. lowest quality schools; boys: Odds ratio (OR) = 0.69, 95% Highest Density Interval (HDI): 0.49 - 0.99; girls: OR = 0.62, 95% HDI: 0.42 - 0.92). Interpretation: Our findings demonstrated the clustering of specific lifestyle risk behaviors among Vietnamese adolescents, suggesting a special need for required courses in schools and join interventions that target sex-specific multiple risk behaviors.

2020 ◽  
Vol 12 (2) ◽  
pp. 475
Author(s):  
Nurochim Nurochim ◽  
Siti Ngaisah Nurochim

This article aims to examine the importance of school-based health promotion as an effort to improve children's health. To improve children's health through school institutions, a policy guideline that is guided by them is needed. Institutional theory is used in this article to describe how efforts to improve student health. Literature relating to students' health conditions and the implementation of health promotion is used as a database in this article. Furthermore, the data from various literatures were analyzed qualitatively based on the study group. It can be concluded that health promotion to improve the quality of health can be carried out through the School Health Promotion. Management with a Joint Regulatio of 4 (four) Ministers, namely the Ministry of Education and Culture; Ministry of Religion, Ministry of Health, and Ministry of Home Affairs. The joint regulation is one of the strengths in institutionalizing programs, namely rules or policies. Policies on school-based health education provide detailed guidance, so that actors can act systematically. With systematic action it can influence social networking and cross-sectoral coordination.


2003 ◽  
Vol 30 (4) ◽  
pp. 410-417 ◽  
Author(s):  
Stavroula K. Osganian ◽  
Guy S. Parcel ◽  
Elaine J. Stone

Research is lacking on how to make effective programs available on a large scale and how to maintain levels of implementation. CATCH: A Study of Institutionalization (CATCH-ON) was designed to help us understand the conditions under which such programs are institutionalized after the trial has ended. The Child and Adolescent Trial for Cardiovascular Health (CATCH) was the largest field trial of school-based health promotion in the United States conducted in 96 schools in four geographic areas of the United States: California, Louisiana, Minnesota, and Texas. The intervention was multicomponent, targeting school policy and practices in nutrition, physical activity, health education, and smoking. This report provides background on the CATCH study design, the conceptual framework for research on institutionalization of the CATCH program, and an overview of the seven original reports that present results from the CATCH-ON study in this theme issue.


1998 ◽  
Vol 68 (3) ◽  
pp. 106-110 ◽  
Author(s):  
Cynthia Roberts-Gray ◽  
Teshia Solomon ◽  
Nell Gottlieb ◽  
Ellen Kelsey

2021 ◽  
pp. 001789692110135
Author(s):  
Emily Darlington ◽  
Julien Masson

Background: Capacity building and community-level participation are important to enhance the efficiency and sustainability of health promotion programmes, as well as to promote empowerment and decision-making power. However, stakeholders’ participation in the design and implementation of health promotion projects often involves the provision of information and consultation rather than partnership or citizen control, especially in school settings. Co-creation could be a means to support higher levels of participation, yet its definition remains unclear. A further challenge relates to the methods needed to promote participation. Examining what co-creation represents for health promoters could help in both of these respects. Objectives and goals: This study explored how school health promotion professionals perceived and defined co-creation to gain insight into how to encourage co-creation processes in school-based health promotion. Methods: Qualitative data including documents and illustrations were collected during creative thinking activities undertaken with school health promotion professionals. All data collected were transcribed and analysed using a three-stage screening process. Results: Co-creation is a multi-dimensional construct. Based on our findings, it is a voluntary-based process of bottom-up collaboration informed by values of diversity, mutual trust, openness, autonomy, freedom, respect and shared expertise, responsibility and decision-making. Co-creation can result in out-of-the-box, new or improved tailored health-promoting practices and projects, which address a co-defined need, for the benefit of all members of the group. Conclusion: Co-creation is timely and key in school health promotion practices. Further research is needed into the specific competences needed to promote co-creation, as well as the methods used to evaluate achievements and added value of co-creation at different levels of implementation.


1999 ◽  
Vol 13 (3) ◽  
pp. 171-179 ◽  
Author(s):  
Jacqueline Hooper ◽  
Carolyn C. Cox ◽  
Karl Cambre ◽  
Debbie Wilburn ◽  
Michael Webster ◽  
...  

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