Journal of School Health最新文献

{"title":"Journal of School Health Transition and Research Priorities for 2026–2029","authors":"Nancy D. Brener","doi":"10.1111/josh.70182","DOIUrl":"10.1111/josh.70182","url":null,"abstract":"","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70182","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Student and Teacher Attitudes Toward a School-Based Firearm Injury Prevention Presentation in Washington State","authors":"Nevin C. Kalaf,&nbsp;Michelle L. Wang,&nbsp;Katrina Dank,&nbsp;Waleed Gharib,&nbsp;Ryan K. Thomas,&nbsp;Indi Trehan,&nbsp;Gregory Engel","doi":"10.1111/josh.70180","DOIUrl":"10.1111/josh.70180","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Firearm injuries are the leading cause of death among United States youth. Few evidence-based interventions exist that address this issue. High school health classrooms may be an effective way to inform youth about firearm-related risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>During 2024–2025, medical students and physicians delivered 55-min firearm injury prevention presentations in western Washington public high schools. Post-presentation surveys measured knowledge, attitudes, and perceptions, with grade-matched peers serving as a comparison group. Teachers of participating classes were surveyed for feedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 908 participating students, 755 received the presentation and 153 were used as a comparison group. The presentation group scored significantly higher on knowledge-based questions (6.86/8 vs. 5.98/8, <i>p</i> &lt; 0.01). Students rated firearm violence a major concern (median = 8/10), and both students and teachers supported its inclusion in health curriculum.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Findings demonstrate the feasibility of integrating school-based firearm injury prevention education into health curriculum. Such interventions may increase awareness, enhance youth knowledge, and foster safe behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>High school students and teachers acknowledge the significance of firearm injury and find this content acceptable for inclusion in high school health curriculum. Schools represent an effective and equitable yet underused platform for teaching youth about firearm risks.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Health Education for Youth With Intellectual and Developmental Disabilities: A School District Case Study","authors":"Lexie Zimbelman,&nbsp;Anahita Gupta,&nbsp;Mykal Savage,&nbsp;Dori Palmiere","doi":"10.1111/josh.70178","DOIUrl":"10.1111/josh.70178","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Comprehensive and accessible sexual health education (SHE) can improve knowledge and skills among youth with intellectual and developmental disabilities (I/DD). This case study highlights how a mid-sized school district adapted and delivered SHE in high school special education (SpEd) classrooms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Contributions to Practice</h3>\u0000 \u0000 <p>Using feedback from students, teachers, and I/DD experts, school district staff adapted and piloted a SHE unit for youth with I/DD. Lessons incorporated universal design for learning principles while addressing sexual health topics and teaching strategies for youth with I/DD. Training and technical assistance improved educator comfort and delivery of SHE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Districts creating and piloting a SHE unit should consider providing training and coaching for SpEd teachers, working with SpEd leadership to gain support and access, engaging parents to increase buy-in and reduce opt-outs, and eliciting ongoing feedback from students and teachers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>More practice-based research is needed to advance I/DD-inclusive SHE. Future studies examining how SHE curriculum for special education is developed, adapted, taught, and evaluated are needed while centering student voice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sense of School Belonging and School Reintegration for Students Hospitalized With Chronic or Complex Medical Diseases: Insights From a Grounded Theory Study","authors":"Lucrezia Tomberli,&nbsp;Laura Vagnoli,&nbsp;Letizia Pavone,&nbsp;Elena Amore,&nbsp;Enrica Ciucci","doi":"10.1111/josh.70176","DOIUrl":"10.1111/josh.70176","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A strong sense of school belonging (SoSB) supports students' emotional well-being, engagement, and adjustment. For students hospitalized because of chronic or complex conditions, maintaining SoSB is challenging yet essential for successful school reintegration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a Grounded Theory approach, this study combined interviews with 16 parents, 32 mainstream teachers, 31 hospital teachers, and one association, alongside drawings from 14 hospitalized students. Data were collected pre- and post-COVID-19. Drawings were analyzed through a meaning-making approach, and all materials underwent iterative coding and constant comparison.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Students reported strong emotional bonds with hospital teachers but felt forgotten by their mainstream schools. Peer contact was limited, and teachers felt unprepared to manage absences and reintegration. Structural gaps and weak communication between schools hindered continuity. Both formal (e.g., remote lessons) and informal (e.g., messages, drawings) exchanges, along with psychologists and associations, emerged as protective factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Findings highlight the need for integrated school–health policies, teacher training, and structured collaboration to ensure equitable relational continuity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Promoting SoSB during hospitalization is crucial for recovery, resilience, and educational equity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health Outcome Trends in a Nationally Representative Sample of Canadian Migrant Adolescents From 2014 to 2022","authors":"Daniel Ji,&nbsp;Mauricio Coronel-Villalobos,&nbsp;Monica Rana,&nbsp;Nour Hammami,&nbsp;Elizabeth Saewyc","doi":"10.1111/josh.70177","DOIUrl":"https://doi.org/10.1111/josh.70177","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Migrant youth are at disproportionate risk of mental health challenges. Overcoming barriers to accessing services requires large-scale data to inform policies and interventions. This study maps mental health outcome trends of migrant youth over 8 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Canadian Health Behavior in School-aged Children study data from 2014, 2018, and 2022 were analyzed for mental health outcome trends. Age-adjusted logistic regressions examined health across years stratified by migrant status, separately by sex. Using nonmigrants as the referent group and 2014 as the referent year, contrasts for disparities were examined across migrant status to test widening, narrowing, or stability in differences of outcome prevalences between migrant and nonmigrant youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Health worsened from 2014 to 2022 among migrants, especially migrant girls. Compared to 2014, life satisfaction, health, and self-confidence for migrant youth dropped in 2022. Health complaints and feeling sad/hopeless increased in 2022 among girls. Migrant youth reported fewer health complaints than nonmigrants in 2018 and 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Investment in free/affordable, culturally safe/relevant, confidential school-based mental health supports with avenues for community collaboration are recommended.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Mental health outcomes worsened from 2014 to 2022, especially among migrants and girls; however, migrant youth exhibit resilience to adversity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and Implementing a School-Based Digital Safety Education Program for Elementary School Children","authors":"Kyung-Ah Kang,&nbsp;Shin-Jeong Kim","doi":"10.1111/josh.70175","DOIUrl":"10.1111/josh.70175","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children's exposure to digital risks is increasing, highlighting the need for school-based digital safety education that promotes responsible and ethical use of technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Contributions to Practice</h3>\u0000 \u0000 <p>This article describes the development and application of a practical digital safety program for upper elementary students. The program includes structured teaching and learning plans, an educational video, and infographic-style slide materials (“card news”) to support engagement. Pilot testing with sixty fifth-grade students indicated that the materials were acceptable and well-received, with moderate to high satisfaction reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>The program offers a feasible model for integrating digital safety education into school curricula, supporting educators in promoting safe digital practices and ethical awareness. The approach may help reduce disparities in access to practical digital literacy resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest that the program is a practical and implementable approach for elementary schools. Future work should examine program effectiveness and long-term outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food Insecurity and Mental Health Among High School Students: Evidence From National and Virginia Youth Risk Behavior Surveillance Data","authors":"Nigel James,&nbsp;Asef Raiyan Hoque,&nbsp;Jada Pedersen,&nbsp;Huong Doan,&nbsp;Liam Hayes,&nbsp;Leah Suggs","doi":"10.1111/josh.70172","DOIUrl":"10.1111/josh.70172","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Youth mental health problems are rising nationally. Virginia ranks among the lowest states in youth mental health access and has concentrated pockets of food insecurity (FI), underscoring the urgency of policy responses. FI is a known risk factor, yet surveillance often relies on single-item measures. We introduce a multidimensional Food Insecurity Index (FII) to examine associations with adolescent mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed 2023 Youth Risk Behavior Surveillance System data from Virginia (<i>n</i> = 1866) and the United States (<i>n</i> = 10,724). The FII combined five indicators capturing acute scarcity and chronic dietary compromise. Survey-weighted logistic regression estimated adjusted odds ratios (AORs) for persistent sadness or hopelessness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Each 1-point increase in FII was associated with higher odds of persistent sadness or hopelessness in Virginia (AOR = 1.066, 95% CI: 1.005–1.130) and nationally (AOR = 1.087, 95% CI: 1.062–1.112). Female students had higher odds than males, and bullying was a strong correlate. A dose–response pattern was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Integrating FI screening with nutrition and behavioral health supports may help identify and address overlapping risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Multidimensional FI is consistently associated with poorer mental health among high school students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70172","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding Education in Kindergarten Through 12th Grade: A Content Analysis of United States Health Curriculum Standards","authors":"Lauren M. Dinour,&nbsp;Karen Mendez Camacho","doi":"10.1111/josh.70173","DOIUrl":"https://doi.org/10.1111/josh.70173","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Breastfeeding provides critical health benefits for both infants and mothers, yet misconceptions and social discomfort persist. Schools can play an essential role in shaping positive attitudes toward breastfeeding; however, little is known about how this topic is addressed in United States (US) curricula.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using qualitative content analysis, the authors systematically examined kindergarten–12th grade (K–12) health education standards from all 50 US states to identify mentions of breastfeeding and related terms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Only three states' standards include breastfeeding as a beneficial practice, with Arkansas being the only state to mandate age-appropriate breastfeeding education. More frequently, states referenced breasts or breast milk in negative contexts related to breast cancer or human immunodeficiency virus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>These findings reveal a national gap in state-required breastfeeding education in primary and secondary schools. Although this study did not assess classroom-, school-, and district-level practices, incorporating accurate and developmentally appropriate breastfeeding content into state-mandated learning standards may help ensure that all public-school students are exposed to this topic. Such integration has the potential to normalize breastfeeding and support broader public health objectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To move toward a more equitable and health-promoting education system, breastfeeding should be formally integrated into K–12 health standards through clear curricular guidance and teacher support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148194131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Validity of Hand Hygiene Behavior Questionnaire for Primary School Students","authors":"Rui Wang,&nbsp;Xuejiao Ding,&nbsp;Yue Yin,&nbsp;Jingli Zheng,&nbsp;Shan Wang","doi":"10.1111/josh.70171","DOIUrl":"https://doi.org/10.1111/josh.70171","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 <p>Reliable and valid assessment tools are critical for evaluating and improving primary school students' hand hygiene behaviors, yet corresponding adaptable assessment methods are currently limited. We aimed to develop and validate a Hand Hygiene Behavior Questionnaire for Primary School Students (HHBQ-PSS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 <p>Cluster sampling recruited 376 Grade 4–5 students from two central primary schools. The 15-item HHBQ-PSS encompasses three dimensions (capability, opportunity, motivation) of hand hygiene, using a 5-point Likert scale. HHBQ-PSS was evaluated through internal consistency reliability, split-half reliability, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 <p>The Cronbach's <i>α</i> coefficient of HHBQ-PSS was 0.844, and all Cronbach's <i>α</i> coefficients remained above 0.750 after corresponding dimensions were deleted. The Spearman–Brown coefficient was 0.784. EFA extracted four common factors (cumulative variance contribution rate = 58.67%). CFA confirmed adequate model fit (<i>χ</i>²/df = 2.832, CFI = 0.905, GFI = 0.927, AGFI = 0.893, and RMSEA = 0.070).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 <p>The reliable and valid HHBQ-PSS may inform the implementation of targeted health interventions and the improvement of hand hygiene levels among primary school students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 <p>HHBQ-PSS demonstrates good reliability and validity to assess hand hygiene behaviors in Chinese primary school students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148194132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of School Active Commuting and Associated Factors in Chilean Children: Analysis of the National Survey on Physical Activity and Sport Habits","authors":"Eduardo Guzmán-Muñoz,&nbsp;Yeny Concha-Cisternas,&nbsp;Jorge Leschot-Gatica,&nbsp;Jordán Hernandez-Martinez,&nbsp;Eugenio Merellano-Navarro,&nbsp;Pablo Valdés-Badilla","doi":"10.1111/josh.70174","DOIUrl":"https://doi.org/10.1111/josh.70174","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>School active commuting is a key behavior to promote physical activity in children, yet limited evidence exists in Chile. This study examined its prevalence and associated factors among Chilean schoolchildren.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted using data from the Chilean National Physical Activity and Sports Habits Survey, including a subsample of 1137 children aged 5–10 years derived from a nationally representative survey. School active commuting was defined as the dependent variable. Independent variables included sex, area of residence, socioeconomic status (SES), caregiver's education, self-rated health, leisure activities, and home-based physical or sedentary behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>About one in three children (35%) reported commuting actively to school. Boys showed higher participation than girls, and active commuting was more common among children from lower SES households and among those whose caregivers had lower educational attainment. Children who preferred physical activities during leisure time were also more likely to commute actively. No differences were observed by geographic area, self-rated health, or home-based activity levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Schools and local communities should work together to ensure safe, equitable, and accessible environments that support active commuting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Active commuting remains low in Chilean children, emphasizing the need for multisectoral policies to promote physical activity and reduce inequalities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 7","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148194133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}