Journal of School Health最新文献_第2页

School Meal Delivery Models and Students' Physical Growth and Fitness: Evidence From China. 学校供餐模式与学生身体成长和健康：来自中国的证据。

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70263

Ying Zhang, Ruotong Li, Yu Wang, Qiran Zhao

{"title":"School Meal Delivery Models and Students' Physical Growth and Fitness: Evidence From China.","authors":"Ying Zhang, Ruotong Li, Yu Wang, Qiran Zhao","doi":"10.1111/josh.70263","DOIUrl":"10.1111/josh.70263","url":null,"abstract":"Background: School feeding programs are widely used to support child nutrition and health, but evidence on differences across meal delivery models is limited. Leveraging a quasi-natural experiment within China's Nutrition Improvement Program, this study examined associations between snack-based and school lunch models and students' physical growth and fitness.Methods: Using longitudinal data from rural primary school students in Henan Province, China, from 2017 to 2022, a difference-in-differences approach evaluated associations between meal delivery models and physical growth and fitness.Results: Compared with the snack-based model, the school lunch model was associated with higher height-for-age, weight-for-age, and BMI-for-age z-scores and lower stunting prevalence. Students receiving school lunches also had higher physical fitness pass rates, indicating attainment of basic fitness standards, but lower excellence rates, reflecting higher-level physical performance. Associations varied across sex and grade groups.Implications for school health policy, practice, and equity: School meal policies should consider meal composition, students' developmental needs, school health objectives, and implementation capacity when selecting delivery models.Conclusions: School lunch and snack-based models showed different associations with physical growth and fitness, highlighting the importance of considering multiple dimensions of student health when evaluating school feeding programs.","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 10","pages":"e70263"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139048","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}

引用次数: 0

Sleep Is Integral to School Health and Adolescent Wellbeing: An Evidence-Based Call to Action. 睡眠是学校健康和青少年福祉的组成部分：基于证据的行动呼吁。

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70251

Jared M Saletin, Terra D Ziporyn, Amy R Wolfson, Stephanie J Crowley

{"title":"Sleep Is Integral to School Health and Adolescent Wellbeing: An Evidence-Based Call to Action.","authors":"Jared M Saletin, Terra D Ziporyn, Amy R Wolfson, Stephanie J Crowley","doi":"10.1111/josh.70251","DOIUrl":"10.1111/josh.70251","url":null,"abstract":"Background: Sleep is essential for healthy growth and function. Sleepiness is common in middle and high school classrooms; many adolescents struggle to receive sufficient, well-timed sleep.Contributions to theory: We provide a discussion of theory and policy ramifications of adolescent sleep science. We provide a unified overview of sleep's benefits for physical and mental health, safety, alertness, learning, and school performance. We outline the developmental biological-social-societal interplay influencing sleep in adolescents. We discuss the impact of changing school start times on sleep health and factors relating to school-related sleep equity. We discuss the success of changing school start times, sleep-health education, and how science-informed policies can combine later start times with educational and behavioral supports.Implications for school health policy, practice, and equity: Ignoring sleep compromises students' and schools' success. Improving the opportunity for sleep, primarily through altering school start times, yields healthier and more productive students. Whether action manifests in the classroom, school, district, or state, the health of students-and schools-improves when policies offer adolescents opportunities to obtain the sleep they need.Conclusions: Underscoring sleep's critical role in school performance, the evidence calls on educators and policymakers to address chronic sleep deprivation and its consequences for adolescents.","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 10","pages":"e70251"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167717","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}

引用次数: 0

Decreasing Asthma-Related Health and Educational Inequity Through School-Based Health Services. 通过以学校为基础的卫生服务减少哮喘相关的健康和教育不平等。

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70256

Katherine A Connor, Nadhifah

{"title":"Decreasing Asthma-Related Health and Educational Inequity Through School-Based Health Services.","authors":"Katherine A Connor, Nadhifah","doi":"10.1111/josh.70256","DOIUrl":"10.1111/josh.70256","url":null,"abstract":"Background: Asthma is one of the most common chronic diseases of childhood and is a driver of significant health and educational inequity. Despite research demonstrating that school-based asthma interventions can improve health and educational outcomes and advance equity, calls to shift the field to a dissemination and implementation focus have gone largely unanswered.Contributions to theory: Building upon the foundation of Charles Basch's 2011 \"Healthier Students are Better Learners\" framework, we summarize relevant findings from the recent literature on school-based asthma interventions. Two key evidence-based practices: nurse-led care coordination and school-based asthma care delivery, are identified. Application of the Exploration, Preparation, Implementation, Sustainment (EPIS) implementation science framework highlights inadequate school health infrastructure as the major barrier to systematic, comprehensive implementation of these approaches.Implications for school health policy, practice, and equity: Policy solutions should prioritize the goal of at least one nurse in every school. Systematic yet flexible approaches support comprehensive school-based programs tailored to the local context. Attention to compliant information sharing systems and engagement of youth and families is critical.Conclusion: Effective, equity-promoting school-based asthma interventions exist. Adequate school health infrastructure is needed for systematic implementation and large-scale impact. Implementation-science frameworks like EPIS can guide these efforts.","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 10","pages":"e70256"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170418","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}

引用次数: 0

Promoting Access to Positive Sexual Health in Schools to Support Equitable Academic Outcomes. 促进在学校获得积极的性健康，以支持公平的学业成绩。

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70262

Beth D Marshall, Terrinieka W Powell, Annie D Smith

{"title":"Promoting Access to Positive Sexual Health in Schools to Support Equitable Academic Outcomes.","authors":"Beth D Marshall, Terrinieka W Powell, Annie D Smith","doi":"10.1111/josh.70262","DOIUrl":"https://doi.org/10.1111/josh.70262","url":null,"abstract":"Background: Sexual health is critical to academic success and adolescent well-being. This paper expands Basch's 2011 analysis of sexual health disparities to a comprehensive definition of positive adolescent health, including teen births, sexually transmitted infections (STI), dating violence, and sexual identity discrimination.Contributions to theory: Over the last two decades, as teen birth rates fall and sexually transmitted infection (STI) rates rise, patterns of disparities stay relatively constant. Driven by systemic factors like institutionalized racism and poverty, Fundamental Cause Theory posits that these social factors restrict access to resources. These disparities, which disproportionately affect youth of color, low-income students, and LGBTQ+ youth, impact academic outcomes through documented causal pathways of chronic absenteeism, trauma-related cognitive disruption, and school disengagement.Implications for school health policy, practice, and equity: Schools should adopt multicomponent, evidence-based strategies including inclusive Comprehensive Sexual Health Education, access to sexual health services through School-based Health Centers and community linkages, and safe environments and protective policies. Engaging stakeholders is essential for program sustainability and cultural responsiveness.Conclusions: Sexual health disparities are educationally relevant health disparities. Addressing these is fundamental to schools' mission of closing achievement gaps. Prioritizing sexual health and safety ensures all students reach their full potential.","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 10","pages":"e70262"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185701","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}

引用次数: 0

Response to "Beyond General Health Literacy: Preparing Students for Emerging Health Technologies". 对“超越一般卫生素养：为学生准备新兴卫生技术”的回应。

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70264

Noah Lee Carey, Jonathan F Finks

引用次数: 0

Breaking Down the Silos: Integrating Health and Education to Support Student Success. 打破孤岛：整合健康和教育以支持学生的成功。

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70258

Charles E Basch

引用次数: 0

Could School Function Be an Adolescent Health Vital Sign? Associations Between Gradebook Data and Substance Use Among Middle School Students. 学校功能是青少年健康的重要标志吗？中学生成绩数据与物质使用的关系

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70261

Rosemarie DiPentino, Benjamin P L Meza, Nicholas Jackson, Kulwant K Dosanjh, Rebecca N Dudovitz, Mitchell D Wong

{"title":"Could School Function Be an Adolescent Health Vital Sign? Associations Between Gradebook Data and Substance Use Among Middle School Students.","authors":"Rosemarie DiPentino, Benjamin P L Meza, Nicholas Jackson, Kulwant K Dosanjh, Rebecca N Dudovitz, Mitchell D Wong","doi":"10.1111/josh.70261","DOIUrl":"10.1111/josh.70261","url":null,"abstract":"Background: Identifying early substance use and at-risk adolescents is a challenge for public health. The objective was to identify variables in digital school records that might distinguish between youth at high and low risk of adolescent substance use.Methods: We performed a secondary analysis of sixth-grade students followed annually through eighth grade in Los Angeles, California. The composite outcome was self-reported lifetime use of alcohol, cannabis, or other substances by eighth grade. Independent variables tested were parent-reported GPA, transcript-recorded GPA, and gradebook data including summative (quizzes and tests), formative (homework), and engagement (classroom behavior and participation) data. We evaluated models for discriminative ability.Results: Of the 234 students included in our sample, 51.7% were female, 82.1% were Latino, and 47 reported the composite outcome. Gradebook formative and engagement scores were most consistently associated with substance use. A model including gradebook engagement score and female sex demonstrated moderate ability to discriminate (c-statistic = 0.79).Implications for school health policy, practice, and equity: Findings support the potential for digital gradebook data to serve as an inexpensive, readily available, and moderately accurate risk indicator of adolescent substance use.Conclusions: Schools, families, and health systems may leverage increasingly digitized school data to identify and support youth even where traditional modes of screening are limited.","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 10","pages":"e70261"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13654624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170727","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}

引用次数: 0

Health Supports Learning: Academic Outcomes Improved by the School-Based Asthma Therapy Program. 健康支持学习：以学校为基础的哮喘治疗项目提高了学业成绩。

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70253

Kimberly Arcoleo, Holly McGregor, Phoebe Marx, Elizabeth Allen, Mary Kay Irwin, Ian Dela Cruz, Jill S Halterman

{"title":"Health Supports Learning: Academic Outcomes Improved by the School-Based Asthma Therapy Program.","authors":"Kimberly Arcoleo, Holly McGregor, Phoebe Marx, Elizabeth Allen, Mary Kay Irwin, Ian Dela Cruz, Jill S Halterman","doi":"10.1111/josh.70253","DOIUrl":"10.1111/josh.70253","url":null,"abstract":"Background: School nurses are vital to childhood asthma management. Although school-based asthma therapy (SBAT) improves clinical outcomes, its academic impact remains unclear. SBAT reduces barriers to guideline-based care through directly observed preventive medication therapy for children with persistent, poorly controlled asthma.Methods: Retrospective academic record review (2013-2019) for 552 SBAT-enrolled children in a large urban district. Outcomes included missed instructional time, behavioral incidents, and grades compared across 4 quarters pre- and post-enrollment, stratified by school level, sex, race/ethnicity, and SES.Results: Unexcused hours decreased significantly post-SBAT: 17% elementary; 53% middle/high school, with no sex or race/ethnicity differences. Excused hours decreased 27% among middle/high school students. Level 2 incidents decreased 32% in elementary and 34% in middle/high school students. Females had more excused hours and Level 1/2 behavioral incidents than males, while Black elementary students had fewer Level 1/2 incidents than Whites. Grades did not change significantly.Implications for school health, policy, practice, and equity: SBAT has potential as an equity-promoting school healthcare practice to mitigate disparities in asthma morbidity, absenteeism, and school engagement among students in disadvantaged communities.Conclusions: SBAT highlights potential educational benefits, supporting integration of guideline-based asthma management into routine school health services.","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 10","pages":"e70253"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117318","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}

引用次数: 0

Unlocking School Nurses' Capacity for Suicide Risk Screening: Implications for Multitiered System of Supports. 解锁学校护士自杀风险筛查的能力：对多层次支持系统的影响。

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70257

Mitzi C Pestaner, Jessica C Reich, Brandy M Mechling, Hannah M Altergott, Deborah E Tyndall

{"title":"Unlocking School Nurses' Capacity for Suicide Risk Screening: Implications for Multitiered System of Supports.","authors":"Mitzi C Pestaner, Jessica C Reich, Brandy M Mechling, Hannah M Altergott, Deborah E Tyndall","doi":"10.1111/josh.70257","DOIUrl":"https://doi.org/10.1111/josh.70257","url":null,"abstract":"Background: School nurses play an important role in identifying students at risk for suicide, yet their screening methods remain understudied. The purpose of this study was to examine the methods of suicide risk screening used by school nurses, evaluate how district-level integration of school nurses into suicide prevention policies is associated with screening methods, and assess associations between screening methods, self-efficacy, and referral-making.Methods: Data were derived from a national cross-sectional, correlational study examining school nurses' roles in youth suicide prevention (N = 578).Results: School nurses whose responsibilities were explicitly defined in district suicide prevention policies were more likely to use standardized screening questions. In a separate analysis, use of standardized screening questions was indirectly associated with a greater number of referrals to community-based services through higher screening self-efficacy.Implications for school health policy, practice, and equity: District-level integration of school nurses into suicide prevention policies may strengthen school nurses' capacity to identify and refer students at risk.Conclusions: Within a multitiered system of supports (MTSS) framework, integrating school nurses into suicide prevention efforts may strengthen coordinated, equitable approaches to identifying and responding to students at risk for suicide.","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 10","pages":"e70257"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117678","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}

引用次数: 0

University-K12 Collaboration Building Healthier Schools in Rural West Virginia: Applying the Whole School, Whole Community, Whole Child Framework. 大学- k12合作在西弗吉尼亚州农村建立更健康的学校：应用整个学校，整个社区，整个儿童框架。

IF 1.8 4区医学

Journal of School Health Pub Date : 2026-10-01 DOI: 10.1111/josh.70259

Leanne Watson, Sean Bulger, Dana Voelker, Eloise Elliott

{"title":"University-K12 Collaboration Building Healthier Schools in Rural West Virginia: Applying the Whole School, Whole Community, Whole Child Framework.","authors":"Leanne Watson, Sean Bulger, Dana Voelker, Eloise Elliott","doi":"10.1111/josh.70259","DOIUrl":"10.1111/josh.70259","url":null,"abstract":"Background: Children spend most of their waking hours in school, which makes this setting ideal for comprehensive school health programming. The Whole School, Whole Community, Whole Child (WSCC) model has become a popular framework for school wellness, but the lack of research and model complexity pose implementation challenges.Contributions to practice: The CDC's School Health Index (SHI) was designed in alignment with the WSCC framework as a tool for enhancing school-level policies and practices. This paper highlights practical knowledge gained from a university partnership with a rural school district to assess, plan, and implement policies and practices toward improved school health.Implications for school health policy, practice, and equity: Building upon strategies identified as best practice, our experiences offer valuable guidance for working with schools to engage in school health policy and practice implementation, aimed at promoting healthier school environments.Conclusion: The practices discussed in this paper may advance the foundation for comprehensive school health programming on a broader scale by offering a flexible process that others may adopt and evolve.","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"96 10","pages":"e70259"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117648","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}

引用次数: 0