Coordinated Health in Texas Elementary Schools' Campus Improvement Plans: Analysis of Regional Differences and Trends between 2016 and 2020.

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Abstrakt

Tytuł:: Coordinated Health in Texas Elementary Schools' Campus Improvement Plans: Analysis of Regional Differences and Trends between 2016 and 2020.
Autorzy:: Classen S; Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston (UTHealth), Austin, TX 78701, USA.; Center for Medical Ethics & Health Policy, Baylor College of Medicine, Houston, TX 77030, USA.
Szeszulski J; Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston (UTHealth), Austin, TX 78701, USA.; Institute for Advancing Health Through Agriculture, Texas A&M AgriLife Research Center, Dallas, TX 75252, USA.
Ranjit N; Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston (UTHealth), Austin, TX 78701, USA.
Rivas-Ponce G; Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston (UTHealth), Austin, TX 78701, USA.
Hoelscher DM; Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston (UTHealth), Austin, TX 78701, USA.
Źródło:: International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Apr 20; Vol. 19 (9). Date of Electronic Publication: 2022 Apr 20.
Typ publikacji:: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: Basel : MDPI, c2004-
MeSH Terms:: Health Promotion*
Schools*
Cross-Sectional Studies ; Health Policy ; Nutrition Policy ; Texas
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Grant Information:: T32/CA057712 United States CA NCI NIH HHS
Contributed Indexing:: Keywords: bullying; children and adolescents; mental health; nutrition; physical activity; policy; school improvement plans; schools
Entry Date(s):: Date Created: 20220514 Date Completed: 20220518 Latest Revision: 20220716
Update Code:: 20240105
PubMed Central ID:: PMC9102063
DOI:: 10.3390/ijerph19094979
PMID:: 35564373
: Czasopismo naukowe

Schools signal health priorities through policies. Using a repeated cross-sectional study design, we compare the presence and strength of policies related to four topics-physical activity, nutrition, mental health, and bullying-described in elementary school Campus Improvement Plans (CIPs; also called school improvement plans) within Texas, across four Texas Public Health Regions (PHRs), and between 2016 and 2020. CIPs were collected using a multi-stage probability-based survey approach, scored using an adapted WellSAT tool, and analyzed to determine associations between PHR or year and health topic. Across 170 CIPs, bullying was the most frequently addressed topic, followed by mental health, physical activity, and nutrition. On average, schools addressed 2.7 ± 1.3 topics within their CIP; 38.2% of schools addressed all four, 26.5% addressed three, 12.4% addressed two, 15.3% addressed one, and 7.6% addressed none. CIPs in the same district had high levels of clustering (ICCs = 0.28-0.55). The mostly rural Panhandle PHR included the fewest topics in their CIPs and used the weakest policy language. Between 2016 and 2020, there was a decrease in the proportion of CIPs that addressed nutrition; the strength of language for mental health and bullying also decreased. Regional and time trends reveal opportunities for more robust school health policy interventions.

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