Journal of School Health最新文献

{"title":"Healthcare Provider Perspectives on Pediatric Concussion: The Importance of Formalized Systems of Communication Across Settings","authors":"Doug Gomez,&nbsp;Jody Slocumb,&nbsp;Melissa McCart,&nbsp;Gerard A. Gioia,&nbsp;Deanne Unruh,&nbsp;Julie Haarbauer-Krupa,&nbsp;Ann Glang","doi":"10.1111/josh.70010","DOIUrl":"10.1111/josh.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Healthcare providers play a critical role in the return to school (RTS) process after a child sustains a mild traumatic brain injury (mTBI). The purpose of this study was to examine healthcare providers' perspectives on effective communication with school personnel and gaps within those practices, using a qualitative approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twelve community-based healthcare providers in suburban Oregon and Ohio completed semi-structured interviews between February 2021 and July 2021 via Zoom. Data were analyzed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Primary themes centered on how breakdowns in communication between healthcare and education systems occur easily without formalized systems, and how formalized systems of care are beneficial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Children with mTBI benefit when there is (1) a consistent communication system between school-based staff, caregivers, and healthcare providers and (2) a clear point person in the school system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Schools should create intentional and formalized communication pathways with healthcare providers as an effective approach to meeting the needs of students and their families.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 6","pages":"433-440"},"PeriodicalIF":1.8,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003675","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":"Schoolyard Level Inventory for Describing the Environment: Linking High-Resolution Spatiotemporal Data to the Physical Environment to Understand Children's Physical Activity Behaviors","authors":"Amber L. Pearson,&nbsp;Karin A. Pfeiffer,&nbsp;Ashton Shortridge,&nbsp;Kimberly A. Clevenger","doi":"10.1111/josh.70008","DOIUrl":"10.1111/josh.70008","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Schoolyards and/or playgrounds are important settings for fostering children's social, cognitive, and physical development. Optimal schoolyard design is likely an important health-promoting and equigenic strategy, but prior research does not fully consider multiple dimensions of these spaces, such as vegetation, slopes, ground cover, and equipment.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We describe the Schoolyard Level Inventory for Describing the Environment (SLIDE) a novel method to compile spatial data from multiple sources, including in-person audits (e.g., cleanliness), images (e.g., greenness), and geographic information systems (e.g., distance to road), that can be linked with children's device data.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials &amp; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We illustrate use of SLIDE in 91 first and second graders from three elementary schools who wore an accelerometer and global positioning system (GPS) device during school recess. Multilevel linear regression was used to test associations between 22 environmental features and children's physical activity intensity and time spent (duration of play).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The auditing process took two researchers ~30 min per 1000 m2 of schoolyard. Some features were consistent across schools (flatness, grass areas, views of the school), while other features varied (views of the road, covered areas, seated areas, slides, and colorful equipment). We found significant, independent, negative associations between physical activity intensity with redness and cleanliness, and positive associations with colorful equipment and distance to road. We detected significant, negative associations between time spent with greenness and fields, and a positive association with equipment condition.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;While many of our findings align with prior research, we note that SLIDE also provides new insights including a better understanding of the complex inter-relationships between schoolyard features and outcomes. On a larger sample of more diverse schoolyards, this would allow researchers to identify which specific features should be the focus of future schoolyard designs or renovations.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;SLIDE can be used to inform schoolyard design, assess greening or redesign interv","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 6","pages":"410-422"},"PeriodicalIF":1.8,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047910","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":"Photovoice as Pedagogy in a Pacific Setting: Exploring Complexity in Cook Islands Food Environments With Adolescent Learners","authors":"Suzanne Trask,&nbsp;Celeste Barrett-Watson,&nbsp;Drollet Joseph,&nbsp;Darshika Singh,&nbsp;Mata Manea-Tohoa Collins,&nbsp;Jacquie Bay","doi":"10.1111/josh.70006","DOIUrl":"10.1111/josh.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Photovoice has potential as a pedagogical tool to support student exploration of health-related issues. However, its application in school-based health education is under-represented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This article details learning outcomes and teacher perspectives from the codesign, evaluation, and scale-up of a photovoice learning module in Cook Islands schools (<i>n</i> = 7, Years 5–10). Objectives were to support awareness and understanding of food environments. The research sits within the Pacific Science for Health Literacy Project, a 12-year partnership between the Cook Islands Ministry of Education, Te Marae Ora Cook Islands Ministry of Health, and the University of Auckland, targeting improved community health. Data were drawn from interviews with teachers and education leaders (<i>n</i> = 19), workshop and meeting notes, teacher observations, and student photovoice presentations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings revealed Photovoice was an effective tool supporting students to explore food environments, extending their understanding of complex factors influencing health. Photovoice proved beneficial for diverse learners and learner styles, supporting their success in conducting health-science investigations. Photovoice stimulated school-to-home conversations about food environments affecting health. Teachers reported that students acted on learning by making healthy choices. However, they highlighted challenges associated with achieving sustained behavior change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Professional development and resources are required for teachers to effectively employ Photovoice approaches. Future research should explore the application of Photovoice as a strategy to enhance student decision making toward long-term healthy behavior change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights the transformative impacts of Photovoice as a pedagogical tool.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 6","pages":"400-409"},"PeriodicalIF":1.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812349","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":"Accountability for the Provision of Sport for Adolescents With Disabilities","authors":"Jennifer Zdroik,&nbsp;Phillip Veliz","doi":"10.1111/josh.70007","DOIUrl":"10.1111/josh.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Access to adaptive sports for children and adolescents with disabilities is essential to improving the mental and physical health of this population in the U.S. However, very limited resources to participate in adaptive sports are provided to children and adolescents with disabilities, with very few tracking systems to determine if U.S. schools are offering activities to cater to this specific population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this commentary, we use data from the National Federation of High Schools (NFHS) to assess the extent to which several types of adaptive sports are offered in high schools across each U.S. state between 2003 and 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis assessed 13 different types of adapted sports that the NFHS has collected annually between 2002 and 2023. The data showed that 25 states indicated offering at least one adapted sport within a school during this 22-year period (at least one school in a state offered adapted sports)—25 states did not indicate any schools offering at least one adapted sport.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>More research needs to be done in the area of understanding the provision of sport for individuals with disabilities from multiple perspectives, along with a stronger effort to track how these opportunities are being equitably provided across schools in the U.S.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 6","pages":"462-465"},"PeriodicalIF":1.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812347","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":"Understanding Free or Reduced-Price School Meal Stigma: A Qualitative Analysis of Parent Perspectives","authors":"Leah Elizabeth Chapman,&nbsp;Wendi Gosliner,&nbsp;Marlene B. Schwartz,&nbsp;Monica Daniela Zuercher,&nbsp;Lorrene D. Ritchie,&nbsp;Dania Orta-Aleman,&nbsp;Christina E. Hecht,&nbsp;Kenneth Hecht,&nbsp;Michele Polacsek,&nbsp;Anisha I. Patel,&nbsp;Punam Ohri-Vachaspati,&nbsp;Margaret Read,&nbsp;Deborah A. Olarte,&nbsp;Juliana F. W. Cohen","doi":"10.1111/josh.70004","DOIUrl":"10.1111/josh.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Receiving free or reduced-price meals (FRPM) at school benefits resource-constrained families financially and nutritionally. However, many families in the United States do not apply for FRPM, and many eligible students do not eat school meals, possibly due to stigma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study is a secondary qualitative analysis derived from a mixed-methods study. Interviews were conducted with 66 parents in California and Maine during the 2021–2022 school year when school meals were free for all students nationwide through a universal free school meals (UFSM) policy. Approximately half (56%) of parents had children who previously qualified for FRPM based on household income and completed a school meal application or were directly certified for free school meals in prior school years. Interviews examined parents' self-reported FRPM application stigma, perceived child school meal stigma, and opinions on UFSM. Thematic analysis was used to systematically code and analyze all qualitative data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Major themes included parent stigma associated with school meal applications, parents' perception of child stigma when participating in school meals, and UFSM's ability to reduce stigma for parents and children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Statewide and federal UFSM policies may reduce stigma for both parents and children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While not all parents reported feeling stigmatized when completing FRPM applications, most parents perceived that children experience school meal stigma. Parents believed that UFSM policies reduced stigma for families and children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 6","pages":"389-399"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765606","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":"Correction to “Use of Portable Air Cleaners in Washington State Schools: A Qualitative Analysis Based on the Technology Acceptance Model”","authors":"","doi":"10.1111/josh.70005","DOIUrl":"10.1111/josh.70005","url":null,"abstract":"<p>N. Carmona, E. Seto, L. Hayward, et al., “Use of Portable Air Cleaners in Washington State Schools: A Qualitative Analysis Based on the Technology Acceptance Model,” <i>Journal of School Health</i> 94, no. 10 (2024): 939–949, https://doi.org/10.1111/josh.13482.</p><p>In the version of this article initially published, the following statement was missed:</p><p>This publication was developed under Assistance Agreement No. RD-84023401 awarded by the U.S. Environmental Protection Agency to University of Washington. It has not been formally reviewed by the EPA. The views expressed in this document are solely those of the authors and do not necessarily reflect those of the Agency. The EPA does not endorse any products or commercial services mentioned in this publication.</p><p>We apologize for this error.</p>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 6","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744138","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":"Stakeholder Perceptions of the School Vaccination Program in Special Schools for Adolescents With Intellectual and Developmental Disability","authors":"Dana Zaina,&nbsp;Zahra Aemehdoust,&nbsp;Christiane Klinner,&nbsp;Alexandra Young,&nbsp;Iva Strnadová,&nbsp;Horas Wong,&nbsp;Christy E. Newman,&nbsp;Cristyn Davies,&nbsp;S. Rachel Skinner,&nbsp;Margie Danchin,&nbsp;Rebecca Guy,&nbsp;Allison Carter","doi":"10.1111/josh.70003","DOIUrl":"10.1111/josh.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adolescents with intellectual and developmental disability (IDD) are reported to have lower uptake of routine vaccines than their peers. Little research has explored stakeholders' perceptions and support of school-based vaccinations for this population in NSW, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Focus groups and interviews were conducted with four stakeholder groups involved in the vaccination program in special education schools in New South Wales, Australia: students with IDD, parents, education staff, and health professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Stakeholders mostly supported vaccinating adolescents with IDD in school settings. Students valued the familiar environment and emotional support from teachers. Parents appreciated the convenience and accessibility of the program. Education staff regarded vaccinations as vital for student health and mostly supported school-based delivery but faced practical and ethical challenges, such as insufficient resourcing, confusion around holding students for safety and emotional support, and concerns about losing students' trust in the school as a safe environment if vaccination was experienced as traumatic. Health staff identified a need for better prevaccination communication with families and schools to improve vaccine uptake and student preparation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings highlight a need for increased support for special schools that act as key program facilitators between those who deliver and those who receive this vital health service.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 6","pages":"379-388"},"PeriodicalIF":1.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694274","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":"Correction to “Resource Realities: Exploring the Foundations of Successful Implementation in School-Based Drug Prevention”","authors":"","doi":"10.1111/josh.70002","DOIUrl":"10.1111/josh.70002","url":null,"abstract":"<p>A.B. Eisman, J. Martin, R.E. Hasson, and A. M. Kilbourne. 2024. “Resource Realities: Exploring the Foundations of Successful Implementation in School-Based Drug Prevention.” <i>Journal of School Health</i> 94, 1185–1195. https://doi.org/10.1111/josh.13539</p><p>In the version of this article initially published, the name of the first author was spelled incorrectly. The correct name is <b>Andria B. Eisman</b>, and the spelling error has been updated in the original.</p><p>In the Reference list, Reference 16 is corrected below:</p><p>16. MDHHS and MDE, “Michigan Model For Health: Skills for Health and Life,” 2024, https://www.michiganmodelforhealth.org/</p><p>Under “Section 3 | Contextual Determinants (Inner and Outer Settings),” beginning of the second paragraph, the text “Researchers suggest that the outer context, including regional service agencies (RESAs) and state agencies” should be “Researchers suggest that the outer context, including regional <b>educational</b> service agencies (RESAs) and state agencies.”</p><p>We apologize for this error.</p>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 4-5","pages":"373"},"PeriodicalIF":1.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651725","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":"Assessing the Prevalence of Suicidality and Protective Factors Among Sexually and Gender Diverse Youth—Washington, 2021","authors":"Randy M. Stalter,&nbsp;Maayan Simckes,&nbsp;Anar Shah,&nbsp;Hannah Gorman,&nbsp;Juliana S. Grant,&nbsp;Jessica A. Marcinkevage,&nbsp;Sara Jaye Sanford,&nbsp;Genya N. Shimkin,&nbsp;Kirstin McFarland,&nbsp;Cathy R. Wasserman","doi":"10.1111/josh.70001","DOIUrl":"10.1111/josh.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Suicide is the second leading cause of death among youth aged 10–24 years in Washington State. Population-based data on suicidality among sexually and gender diverse (SGD) youth and modifiable protective factors from Washington are limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using data from the 2021 Washington Healthy Youth Survey, a statewide, population-based, cross-sectional survey among 8th–12th graders, we compared suicidality (suicide ideation, planning, and attempt) among SGD youth with heterosexual, cisgender youth. Prevalence ratios (PRs) adjusted for grade and urban–rural status were used to assess family, school, and community protective factors of suicidality among SGD youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 121,401 included students, 34,635 (28.5%) identified as SGD. Among SGD youth, 41.2% reported suicidal ideation, 32.8% reported suicide planning, and 17.8% reported a suicide attempt during the past year, 3.3–3.8 times higher than heterosexual, cisgender respondents. Having opportunities for school involvement (PR: 0.54; 95% CI: 0.53–0.55) and feeling safe at school (PR: 0.59; 95% CI: 0.58–0.60) were associated with the lowest relative prevalence of suicidal ideation among SGD youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Interventions that engage adults to establish safe and supportive environments might help to prevent suicidality among SGD youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Many Washington 8th, 10th, and 12th graders identified as SGD, and these youth experienced a substantial, disproportionate prevalence of suicidality Multiple family, school, and community protective factors were associated with lower suicidality among SGD youth and could be helpful points of intervention for statewide youth suicidality programs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 4-5","pages":"349-360"},"PeriodicalIF":1.8,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558516","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":"A Randomized Controlled Trial of a Combined Physical Activity and Attitude Education Intervention on Weight Stigma and Health Outcomes","authors":"Hongyuan Huang,&nbsp;Xiao Xiao","doi":"10.1111/josh.70000","DOIUrl":"10.1111/josh.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Weight stigma is prevalent among adolescents and can negatively impact physical and mental health. This study examined the effects of a combined physical activity and attitude education intervention on weight stigma and related outcomes among high school students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A randomized controlled trial was conducted with 524 high school students. The intervention group received a 3-month program combining physical activity education and anti-stigma attitude training. Outcomes measured included the use of weight loss medication, physical activity levels, weight loss, and depressive symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intervention group showed significant decreases in weight loss medication use and depressive symptoms, and increases in physical activity levels compared to the control group. No significant differences were observed in weight loss between groups. Gender differences were noted, with girls showing greater improvements in physical activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Findings support integrating weight stigma reduction strategies into school health programs. Schools should adopt attitude modification approaches, promote inclusive physical activities, and foster social support to address weight stigma and associated depression symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Combining physical activity and attitude education can effectively reduce weight stigma and improve health behaviors among high school students. Future research should explore long-term effects and tailored approaches for different student populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 4-5","pages":"341-348"},"PeriodicalIF":1.8,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400485","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}