Effects of a school-based stroke education program on stroke-related knowledge and behaviour modification―school class based intervention study for elementary school students and parental guardians in a Japanese rural area

ObjectivesThis study aimed to determine the effect of a stroke education programme on elementary school students and their parental guardians in a rural area in Japan that has high stroke mortality.DesignSchool class based intervention study.SettingEleven public elementary schools in Tochigi Prefecture, Japan.Participants268 students aged 11–12 years and 267 parental guardians.InterventionsStudents received lessons about stroke featuring animated cartoons and were instructed to communicate their knowledge about stroke to their parental guardians using material (comic books) distributed in the lessons. Stroke knowledge (symptoms, risk factors and attitude towards stroke) and behavioural change for risk factors were assessed at baseline, immediately after the programme and at 3 months. We also evaluated behavioural change for risk factors among parental guardians.ResultsThe percentage of students with all correct answers for stroke symptoms, risk factors and the recommended response to stroke was significantly increased at 3 months P<0.001). We observed a significant increase in the percentage of guardians who chose all correct symptoms (P<0.001: 61.0% vs 85.4%) and risk factors (P<0.001: 41.2% vs 59.9%) at 3 months compared with baseline. The percentage of parental guardians with a high behavioural response to improving risk factors was significantly increased at 3 months compared with baseline (P<0.001).ConclusionsIn a rural population with high stroke mortality, stroke education can improve knowledge about stroke in elementary school students and their parental guardians.Ethics and disseminationWe conducted the intervention as a part of compulsory education; this study was not a clinical trial. This study was approved by the Ethics Committee of the National Cerebral and Cardiovascular Center (M27-026).

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Risk factors of soil-transmitted helminth infection among elementary school students

Paediatrica Indonesiana ◽

10.14238/pi57.6.2017.1571 ◽

2017 ◽

Vol 57 (6) ◽

pp. 295

Author(s):

Kadek Adit Wiryadana ◽

I Wayan Ardyan Sudharta Putra ◽

Putu Diah Saraswati Rahayu ◽

Made Martha Pradnyana ◽

Made Lady Adelaida ◽

...

Keyword(s):

Risk Factors ◽

Elementary School ◽

Nutritional Status ◽

Elementary School Students ◽

Helminth Infection ◽

Significant Risk ◽

Personal Hygiene ◽

Anthropometric Measurement ◽

School Students ◽

Endemic Areas

Background Helminth infection remains a health problem, especially in school-aged children. Mass eradication programs with a single dose of anti-helminthic drugs were employed by the local government in some endemic areas in Bali. However, the effectiveness of the programs has not been well evaluated.Objective To investigate prevalence and possible risk factors of helminth infection, including nutritional status, in elementary school students from endemic areas who participated in mass eradication programs.Methods This cross-sectional study involved 126 students from Elementary School No. 3 Gegelang, Karangasem, Bali, a location that had recently undergone a mass eradication program. Diagnoses were based on direct smear examination of fecal specimens. Information on suspected risk factors and nutritional status were collected by questionnaire and anthropometric measurement, respectively. Statistical analyses included Chi-square and odds ratio, using SPSS v21 software.Results The prevalence of helminth infection was 31.7% with etiologies of Trichuris trichuria (75%), Ascaris lumbricoides (17.5%), or both infections (7.5%). Habits of not using footwear [OR=4.88; 95%CI 1.15 to 20.65], not keeping nails trimmed [OR=3.33; 95%CI 1.07 to 10.37], and absence of a proper toilet [OR=4.31; 95%CI 1.93 to 9.64] were found to be significant risk factors for helminth infection. However, we found no significant association between helminth infection and nutritional status, although a considerable number of students had less than normal reference values, in terms of weight, height, and BMI for age.Conclusion The prevalence of helminth infection continues to be high, with personal hygiene and sanitation as significant risk factors. History of mass eradication programs did not confer an effective protection against helminth infection.

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A longitudinal study on risk factors of grade retention among elementary school students using a multilevel analysis: Focusing on material hardship and lack of school engagement

Children and Youth Services Review ◽

10.1016/j.childyouth.2018.02.043 ◽

2018 ◽

Vol 88 ◽

pp. 25-32 ◽

Cited By ~ 5

Author(s):

Mi-Youn Yang ◽

Zibei Chen ◽

Judith L.F. Rhodes ◽

Marmar Orooji

Keyword(s):

Risk Factors ◽

Elementary School ◽

Longitudinal Study ◽

Multilevel Analysis ◽

Elementary School Students ◽

School Engagement ◽

Grade Retention ◽

Material Hardship ◽

School Students

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Internet Addiction and Its Related Factors among Elementary School Students in a Rural Area

JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH ◽

10.21896/jksmch.2007.11.2.127 ◽

2007 ◽

Vol 11 (2) ◽

pp. 127-138

Author(s):

Lee, Young-Mee

Keyword(s):

Elementary School ◽

Rural Area ◽

Elementary School Students ◽

Internet Addiction ◽

School Students ◽

Related Factors

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Soil Transmitted Helminths Infection in Elementary School Students in Highland and Lowland Areas of Gianyar Regency

Jurnal Kesehatan Masyarakat ◽

10.15294/kemas.v13i3.6507 ◽

2018 ◽

Vol 13 (3) ◽

pp. 323-330

Author(s):

Ni Made Nuryanti ◽

I Made Subrata

Keyword(s):

Risk Factors ◽

Elementary School ◽

Elementary School Students ◽

Sampling Technique ◽

School Students ◽

Cross Sectional ◽

Soil Transmitted Helminths ◽

Highland Area ◽

Lowland Area ◽

Analytic Design

Soil-Transmitted Helminths (STH) Infection is a worm infection which is transmitted through soil. STH is still a public health problems around the world, including Indonesia. The tropical climates of Indonesia is a suitable environment for viability of STH. The prevalence of STH in Bali since 2003-2007 reached 40.94%-92.4%. The altitude of an area may affect the rate of STH infection. The rate of STH infection is higher on population in highland area compared to lowland area. This study aimed to identify risk factors of STH infection in elementary school students in highland and lowland area in Gianyar Regency. This study used cross sectional analytic design and was conducted in 2016. The total samples of this study were 104 students which were consisted of 53 students in highland area and 51 students in lowland area. The samples were collected using cluster random sampling technique. The specimens were examined using Kato-katz method. The results showed that the prevalence of STH infection in elementary school students in highland area (28.31%) was higher than in lowland area (1.96%). In lowland area, the risk factor could not be clearly identified because there was only one student with a positive STH infection. Meanwhile, the identified dominants risk factors which influence STH infection in highland area were habit of washing hands using soap (AOR=24.99), fingernails cleanliness (AOR= 13.19) and parents income (AOR=18.83).

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The Impact of Prolonged Sitting Hours on the Correct Standing up Position of Elementary School Students in Developed Rural Area

Materiale Plastice ◽

10.37358/mp.19.4.5273 ◽

2019 ◽

Vol 56 (4) ◽

pp. 831-839

Author(s):

Emanuela Georgiana Gal-Nadasan ◽

Norbert Gal-Nadasan ◽

Dan V. Poenaru ◽

Dan Surducan ◽

Diana Popa-Andrei ◽

...

Keyword(s):

Elementary School ◽

Rural Area ◽

Elementary School Students ◽

Human Body ◽

Body Position ◽

Spinal Column ◽

School Students ◽

Incorrect Position ◽

Standing Up ◽

The Impact

At young ages the spinal column, which is the central support system of the human body, is susceptible to malformations, especially if the children are sitting in an incorrect position for long period. Our study examines the case of several elementary school students from a developed rural area. The aim of this study to analyze the impact of long sitting hours (5-6 hours) in incorrect position at on the normal standing up position at elementary school students. The study group for our study consisted of 80 elementary school students were recruited from a local rural elementary school. Each student was evaluated using a Kinect based system to determine their general standing up position. For 14 weeks, twice a week, each student has executed 5 type of Schroth exercises to improve their general body position. The first evaluation has shown that the students general standing up position is affected from the long sitting hours in the school benches. Most of them have shown misalignments at the shoulder and hip levels. In many cases one of the shoulders was higher than the other and the same is true for the hips as well. After 14 weeks of physiotherapy based on Schroth exercises the miss alignments were reduced to a bare minim. The results have shown that long sitting hours in incorrect positions can affect the spinal column and the standing up posture of the human body. In many cases malicious postures start to develop from childhood. If not treated they can transform in hyper-kyphotic and scoliotic postures which can induce other complications. If these malicious postures are observed in early stages of the children and with only 2 hours a week of physiotherapy based on Schroth exercise the postures can be corrected and the hyper-kyphotic and scoliotic postures can be avoided.

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