scholarly journals How important is school environment in explaining individual variance of health behaviors?

2019 ◽  
Vol 53 ◽  
pp. 102
Author(s):  
Antonio Fernando Boing ◽  
SV Subramanian ◽  
Alexandra Crispim Boing

We analyzed data from the National School-based Health Survey (PeNSE) carried out in Brazil in 2015 (n = 102,072 adolescents) to estimate how much of the individual variance in the prevalence of health behaviors is attributable to the school level. Multilevel logistic regression models were calculated to estimate the variance partitional coefficient (VPC) of the use of drugs, intake of unhealthy food, leisure physical activity and weight-related behaviors. The between-schools variance was significant in all tested models. The highest VPCs were observed when the use of drugs was analyzed (15%-20% of the total variance of smoking and use of illegal drugs). Lower, but still significant, values were observed in the other outcomes. The school context plays an important role in the adolescents’ health and should be considered in the design of public policies and actions in public health.

Author(s):  
Christopher Campbell ◽  
Tracey Peter ◽  
Catherine Taylor

In this article, we analyze educators’ self-reported reasons for not addressing LGBTQ topics in their schools in order to develop a clearer picture of the barriers that prevent educators from engaging in LGBTQ-supportive practices. Using hierarchal OLS (ordinary least squares) and logistic regression models to analyze the impacts of demographic, individual-based, and school-based barriers to practising LGBTQ inclusive education, we found that the most common reasons for inaction reported by educators were a lack of training/resources and general fear of opposition from various sources; however, educators who felt  that confidence in the level of support for LGBTQ-inclusive education at the school level were less likely to give these as reasons for inaction.


2019 ◽  
Vol 35 (12) ◽  
Author(s):  
Alexandra Crispim Boing ◽  
Antonio Fernando Boing ◽  
S. V. Subramanian

Abstract: This study aims to quantify the overall importance of schools in explaining the individual variance of tobacco use and to test the association between characteristics of the school environment and its vicinity with the experimentation and current use of cigarettes. We analyzed data from 102,072 Brazilian adolescents interviewed in the 2015 National School Health Survey (PeNSE). Multilevel logistic regression models were performed to estimate the between-schools variance and to test the association between school-level variables and the use of tobacco. Violence in the vicinity of the school and presence of teachers or students smoking on school premises were the school-level characteristics. The analyses were adjusted by individual covariates and stratified by gender. Around 12.5% of the individual variance in ever smoking was explained by between-school variation among girls (9.2% among boys). The figures were even higher for current smoking (14.9% girls; 12.2% boys) and current use of other tobacco products (27.7% girls; 17.8% boys). In general, the use of tobacco was associated with the existence of violence in the vicinity of the schools and was higher among students whose schools reported that students and teachers (teachers only for use of other tobacco products among girls) smoke on school premises. Tobacco use on school premises and the safety of the neighborhood where the school is located are associated with some smoking behaviors among adolescents. Such findings reinforce the necessity to effectively consider interventions in the school environment and neighborhood to fight smoking among adolescents.


2019 ◽  
Vol 8 (2) ◽  
pp. 139
Author(s):  
Hadi Gunawan ◽  
Guslinda Guslinda

The background of this research is the importance of the attitude of caring for the environment that is planted early on starting from the elementary school level. The purpose of this study is to find out how the attitude of caring for students' environment in 184 Pekanbaru Elementary School. This research is quantitative descriptive research type. This research was conducted at 184 Pekanbaru Elementary School. Based on the results of research assessed from 6 indicators, namely cleaning toilets, cleaning trash cans, cleaning the school environment, beautifying classrooms and schools with plants, participating in maintaining parks in schools and participating in maintaining environmental cleanliness. Based on the results of the study showed that 184 Pekanbaru Public Elementary School students have a very caring attitude towards the environment with an acquisition value of 89.02 in the very caring category


2017 ◽  
Vol 52 ◽  
pp. 43-58 ◽  
Author(s):  
Kaarina S. Reini ◽  
Jan Saarela

Previous research has documented lower disability retirement and mortality rates of Swedish speakers as compared with Finnish speakers in Finland. This paper is the first to compare the two language groups with regard to the receipt of sickness allowance, which is an objective health measure that reflects a less severe poor health condition. Register-based data covering the years 1988-2011 are used. We estimate logistic regression models with generalized estimating equations to account for repeated observations at the individual level. We find that Swedish-speaking men have approximately 30 percent lower odds of receiving sickness allowance than Finnish-speaking men, whereas the difference in women is about 15 percent. In correspondence with previous research on all-cause mortality at working ages, we find no language-group difference in sickness allowance receipt in the socially most successful subgroup of the population.


2017 ◽  
Vol 35 (3-4) ◽  
pp. 662-681 ◽  
Author(s):  
Myriam Forster ◽  
Amy L. Gower ◽  
Barbara J. McMorris ◽  
Iris W. Borowsky

Retrospective studies using adult self-report data have demonstrated that adverse childhood experiences (ACEs) increase risk of violence perpetration and victimization. However, research examining the associations between adolescent reports of ACE and school violence involvement is sparse. The present study examines the relationship between adolescent reported ACE and multiple types of on-campus violence (bringing a weapon to campus, being threatened with a weapon, bullying, fighting, vandalism) for boys and girls as well as the risk of membership in victim, perpetrator, and victim–perpetrator groups. The analytic sample was comprised of ninth graders who participated in the 2013 Minnesota Student Survey ( n ~ 37,000). Multinomial logistic regression models calculated the risk of membership for victim only, perpetrator only, and victim–perpetrator subgroups, relative to no violence involvement, for students with ACE as compared with those with no ACE. Separate logistic regression models assessed the association between cumulative ACE and school-based violence, adjusting for age, ethnicity, family structure, poverty status, internalizing symptoms, and school district size. Nearly 30% of students were exposed to at least one ACE. Students with ACE represent 19% of no violence, 38% of victim only, 40% of perpetrator only, and 63% of victim–perpetrator groups. There was a strong, graded relationship between ACE and the probability of school-based victimization: physical bullying for boys but not girls, being threatened with a weapon, and theft or property destruction ( ps < .001) and perpetration: bullying and bringing a weapon to campus ( ps < .001), with boys especially vulnerable to the negative effects of cumulative ACE. We recommend that schools systematically screen for ACE, particularly among younger adolescents involved in victimization and perpetration, and develop the infrastructure to increase access to trauma-informed intervention services. Future research priorities and implications are discussed.


2009 ◽  
Vol 11 (2) ◽  
Author(s):  
Jussara Biagini ◽  
Fabiana Sabará Dias ◽  
Kamilla Veronezi Martins

O objetivo deste estudo é analisar as percepções de um grupo de alunos a respeito do projeto curricular de uma Instituição de Educação Profissional Técnica de Nível Médio. As análises se baseiam nas informações e nos dados extraídos do “Questionário Individual de Avaliação Institucional/Concomitância Externa” respondidos pelos alunos, nos anos 2005-2006. Destaca-se que os sujeitos envolvidos no processo investigativo cursaram somente a profissionalização técnica de nível médio na Instituição. Esses sujeitos são portadores de diploma de técnico de nível médio em uma Instituição pública de qualidade. No desenvolvimento do estudo do documento em apreço, se expressa a condição fundamental dos alunos pesquisados em dispor de recursos pessoais e escolares para desenvolver dois currículos diferentes em duas escolas distintas: uma envolve o técnico e a outra se relaciona ao ensino médio. A partir dos dados levantados verifica-se que o lugar ocupado por esses alunos no processo curricular da Instituição se expressa direta ou indiretamente sob a forma do êxito escolar. Observa-se graus de identificação entre capital escolar apreendido-transmitido pelo grupo de discentes pesquisado e categoria cultural dominante da escola, na condição de assegurar certa correspondência com o modo de produção industrial-urbano. O enfrentamento da tensão entre os princípios continuidade e terminalidade da trajetória escolar traz à tona a questão do destino social do aluno portador do diploma profissional separado do diploma acadêmico. The aim of this paper is to analyze the perception and ideas of a group of students regarding to the curriculum of a “High-school Level Institution of Technical Education” (“Instituição de Educação Profissional Técnica de Nível Médio”). The analyses are based on the information and data extracted from the “Individual Questionnaire to Institutional Assessment/External Concomitance” (“Questionário Individual de avaliação Institucional/Concomitância Externa”) answered by the students in 2005-2006. We emphasize that the subjects involved in the survey followed only the high-school level technical education courses at the institution. These subjects have received the diploma of technical level in a public institution of quality. Developing the research of this document, the fundamental condition of the surveyed students is expressed in terms of personal and scholastic resources to apply two different curricula in two distinct schools - one is involved to the technical level and the other is connected to high school. Based on the data obtained, it can be verified that the place occupied by these students in the school’s curricular process is expressed directly or indirectly under the form of school success. There are noticeable degrees of identification between school knowledge received and transmitted by the group of students surveyed and the dominant cultural category of the school, to ensure a certain correspondence with the urban-industrial type of production. The attitude of facing the tension between the principles of continuity and finalization of the school path brings to surface the question of the social destination of the student who carries a professional diploma separated from the academic one.


2020 ◽  
Vol 14 ◽  
Author(s):  
Maurilo De Sousa Franco ◽  
Maryanna Tallyta Silva Barreto ◽  
José Willian De Carvalho ◽  
Pallysson Paulo Da Silva ◽  
William Caracas Moreiras ◽  
...  

Objetivo: relatar a experiência de estudantes do Curso de Enfermagem na implementação de intervenções educacionais para a promoção da saúde sexual e reprodutiva do adolescente escolar. Método: trata-se de um estudo descritivo, tipo relato de experiência, desenvolvida a partir das seguintes etapas: 1) Capacitação discente; 2) Apresentação do Projeto de Pesquisa; 3) Diagnóstico situacional no contexto escolar; 4) Seleção das temáticas; 5) Planejamento de estratégias e abordagens e 6) Execução e avaliação. As informações foram discutidas em concordância com a literatura. Resultados: notou-se a carência no conhecimento dos adolescentes escolares acerca da temática da saúde sexual e reprodutiva, entretanto, a intervenção no ambiente escolar mostrou ser um ambiente promissor para o processo de educação em saúde realizado, sobretudo, pelo enfermeiro no âmbito da Estratégia Saúde da Família com outros profissionais da saúde e da educação. Conclusão: enfatiza-se a necessidade de atividades no âmbito escolar a fim de promover o conhecimento e adoção hábitos e práticas saudáveis que impactem e assegurem aos estudantes riscos mínimos de injúrias à saúde sexual e reprodutiva. Descritores: Educação em Saúde; Promoção da Saúde; Serviços de Saúde Escolar; Saúde Sexual e Reprodutiva; Saúde do Adolescente; Enfermagem.AbstractObjective: to report the experience of Nursing Course students, in the implementation of educational interventions for the promotion of the sexual and reproductive health of adolescent students. Method: it is a descriptive study, of related experience type, developed from the following steps: 1) Student training; 2) Presentation of the Research Project; 3) Situational diagnosis in the school context; 4) Selection of themes; 5) Planning strategies and approaches and 6) Execution and evaluation. The information was discussed in accordance with the literature. Results: there was a lack of knowledge among adolescent students about the theme of sexual and reproductive health, however, the intervention in the school environment proved to be a promising environment for the health education process carried out, above all, by nurses within the scope of the Strategy Family Health with other health and education professionals. Conclusion: the need for activities at the school level is emphasized to promote knowledge and adoption of healthy habits and practices that impact and ensure students the minimum risk of injury to sexual and reproductive health. Descriptors: Health Education; Health Promotion; School Health Services; Sexual and Reproductive Health; Adolescent Health; Nursing. ResumenObjetivo: reportar la experiencia de los estudiantes del Curso de Enfermería en la implementación de intervenciones educativas para la promoción de la salud sexual y reproductiva del adolescente escolar. Método: es un estudio descriptivo, tipo de informe de experiencia, desarrollado a partir de los siguientes pasos: 1) Capacitación de estudiantes; 2) Presentación del Proyecto de Investigación; 3) Diagnóstico situacional en el contexto escolar; 4) Selección de temas; 5) Planificación de estrategias y enfoques 6) Ejecución y evaluación. Las informaciones fueron discutidas de acuerdo con la literatura. Resultados: hubo una falta de conocimiento entre los adolescentes escolares sobre el tema de la salud sexual y reproductiva, sin embargo, la intervención en el entorno escolar demostró ser un entorno prometedor para el proceso de educación sanitaria llevado a cabo, sobre todo, por el enfermero dentro del alcance de la Estrategia Salud Familiar con otros profesionales de la salud y la educación. Conclusión: se enfatiza la necesidad de actividades a nivel escolar para promover el conocimiento y la adopción de hábitos y prácticas saludables que impactan y aseguran a los estudiantes el riesgo mínimo de lesiones a la salud sexual y reproductiva. Descriptores: Educación en Salud; Promoción de la Salud; Servicios de Salud Escolar; Salud Sexual y Reproductiva; Salud del Adolescente; Enfermería.


2021 ◽  
Vol 12 ◽  
Author(s):  
Rui Zhong ◽  
Qingling Chen ◽  
Xinyue Zhang ◽  
Weihong Lin

Purpose: This retrospective observational study aimed to investigate the self-reported prevalence of seizure clusters (SCs) in patients with epilepsy (PWE) and its relationship with clinical characteristics.Methods: We retrospectively analyzed data from consecutive PWE from our hospital in northeastern China. Data were collected from the databank of a tertiary epilepsy center. Logistic regression models were employed to investigate the relationships between the individual patient demographic/clinical variables and the occurrence of SC.Results: In total, 606 consecutive PWE were included in the final analysis, and 268 (44.2%) patients experienced at least one seizure cluster. In multivariate logistic regression models, age (OR: 1.014; 95% CI: 1.002–1.027; p = 0.02), seizure frequency (OR: 2.08; 95% CI: 1.555–2.783; p &lt; 0.001), multiple seizure types (OR: 5.111; 95% CI: 1.737–15.043; p = 0.003), number of current anti-seizure medications (ASM) (OR: 1.533; 95% CI: 1.15–2.042; p = 0.004), drug-resistant epilepsy (OR: 1.987; 95% CI: 1.159–3.407; p = 0.013), and a history of status epilepticus (OR: 1.903; 95% CI: 1.24–2.922; p = 0.003) were independent variables associated with a history of SC in PWE.Conclusion: Seizure clusters (SCs) are common occurrences at our study center. The occurrence of SC in individuals with epilepsy, to some extent, is determined by the epilepsy severity.


2020 ◽  
Vol 4 (3-4) ◽  
pp. 89-102
Author(s):  
Paolo Campana ◽  
Andrea Giovannetti

Abstract Purpose We explore how we can best predict violent attacks with injury using a limited set of information on (a) previous violence, (b) previous knife and weapon carrying, and (c) violence-related behaviour of known associates, without analysing any demographic characteristics. Data Our initial data set consists of 63,022 individuals involved in 375,599 events that police recorded in Merseyside (UK) from 1 January 2015 to 18 October 2018. Methods We split our data into two periods: T1 (initial 2 years) and T2 (the remaining period). We predict “violence with injury” at time T2 as defined by Merseyside Police using the following individual-level predictors at time T1: violence with injury; involvement in a knife incident and involvement in a weapon incident. Furthermore, we relied on social network analysis to reconstruct the network of associates at time T1 (co-offending network) for those individuals who have committed violence at T2, and built three additional network-based predictors (associates’ violence; associates’ knife incident; associates’ weapon incident). Finally, we tackled the issue of predicting violence (a) through a series of robust logistic regression models using a bootstrapping method and (b) through a specificity/sensitivity analysis. Findings We found that 7720 individuals committed violence with injury at T2. Of those, 2004 were also present at T1 (27.7%) and co-offended with a total of 7202 individuals. Regression models suggest that previous violence at time T1 is the strongest predictor of future violence (with an increase in odds never smaller than 123%), knife incidents and weapon incidents at the individual level have some predictive power (but only when no information on previous violence is considered), and the behaviour of one’s associates matters. Prior association with a violent individual and prior association with a knife-flagged individual were the two strongest network predictors, with a slightly stronger effect for knife flags. The best performing regressors are (a) individual past violence (36% of future violence cases correctly identified); (b) associates’ past violence (25%); and (c) associates’ knife involvement (14%). All regressors are characterised by a very high level of specificity in predicting who will not commit violence (80% or more). Conclusions Network-based indicators add to the explanation of future violence, especially prior association with a knife-flagged individual and association with a violent individual. Information about the knife involvement of associates appears to be more informative than a subject’s own prior knife involvement.


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