Shifting school health priorities pre-post cannabis legalization in Canada: Ontario secondary school rankings of student substance use as a health-related issue.

IF 2.1 4区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH
Alexandra Butler, Amanda Doggett, Julianne Vermeer, Megan Magier, Karen A Patte, Drew Maginn, Chris Markham, Scott T Leatherdale
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引用次数: 0

Abstract

This study examined how schools prioritize ten key health concerns among their student populations over time and whether schools' prioritization of alcohol and other drug use (AODU) corresponds to students' substance use behaviours and cannabis legalization as a major policy change. Data were collected from a sample of secondary schools in Ontario, Canada across four years (2015/16-2018/19 [N2015/16 = 65, N2016/17 = 68, N2017/18 = 61 and N2018/19 = 60]) as a part of the COMPASS study. School-level prevalence of cannabis and alcohol use between schools that did and did not prioritize student AODU as a health concern was examined. Ordinal mixed models examined whether student cannabis and alcohol use were associated with school prioritization of AODU. Chi-square tests examined changing health priorities among schools pre-post cannabis legalization. School priority ranking for AODU was mostly stable over time. While AODU was identified as an important health concern, most schools identified mental health as their first priority across the four years of the study. No significant changes to school AODU priorities were observed pre-post cannabis legalization nor was school prioritization of AODU associated with student cannabis and alcohol use behaviours. This study suggests that schools may benefit from guidance in identifying and addressing priority health concerns among their student population.

Abstract Image

加拿大大麻合法化前改变学校健康优先事项:安大略省中学将学生物质使用作为一个健康相关问题进行排名。
这项研究调查了学校如何在学生群体中优先考虑十大关键健康问题,以及学校对酒精和其他药物使用(AODU)的优先考虑是否与学生的物质使用行为和大麻合法化作为一项重大政策变化相对应。作为COMPASS研究的一部分,从加拿大安大略省的中学样本中收集了四年(2015/16-2018/19 [N2015/16 = 65, N2016/17 = 68, N2017/18 = 61和N2018/19 = 60])的数据。研究了将学生吸毒问题列为健康问题的学校和未将其列为健康问题的学校之间吸食大麻和酒精的流行程度。有序混合模型检验了学生大麻和酒精的使用是否与学校对AODU的优先级有关。卡方检验检验了大麻合法化前学校卫生重点的变化。随着时间的推移,AODU的学校优先排名基本稳定。虽然AODU被认为是一个重要的健康问题,但在四年的研究中,大多数学校都将心理健康视为第一要务。在大麻合法化之前和之后,没有观察到学校的毒品滥用优先次序发生重大变化,学校的毒品滥用优先次序与学生的大麻和酒精使用行为也没有关联。这项研究表明,学校可能受益于在学生群体中识别和解决优先健康问题的指导。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
34
期刊介绍: Publishing original, refereed papers, Health Education Research deals with all the vital issues involved in health education and promotion worldwide - providing a valuable link between the health education research and practice communities.
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