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[Smoking tobacco among young people in grammar-school, secondary-school and high-school and knowledge of relating wholesome threats].

Smoking tobacco in Poland is still a very common occurrence. Nowadays it is a method of handling stressful situations and is generally accepted in different social backgrounds. The Epidemiological data on occurence of smoking tobacco and its effects on people's health are taken from the Oncology Centre - Institute in Warsaw. Growing awareness of harmfulness of smoking tobacco, especially among young people and better educated a adult Polish people, is inter alia a contribution of the anti nicotine campaign leading by Health Promotion Foundation of prof. Zatoński. It should be remembered, that nicotine diseases are one of the main problems of public health in our country. The most important element of preventive activities is health education among young people in schools. That is why it is important to carry out surveys to estimate the scale of nicotine addiction and the level of awareness of its disastrous effects among young people in different types of schools. Considering the economic situation of Radom and possibilities of carrying out comparative surveys in Warsaw in later stage, 3 schools were selected at random (lower-secondary school, an upper-secondary school and a college). A selected cohort consisted of 300 people. Results of analysis shows, that level of knowledge on harmfulness of smoking tobacco among young people in all types of schools is very high (80-90% correct answers). But most of these young people smoke and this is, unfortunately, very alarming. Young people begin smoking at lower-secondary school, in spite of lots of information about anti-nicotine subject. It is influenced by TV, other young people at their age, their backgrounds and their idals. Anti-nicotine campaigns promoting healthy, not smoking life-style should be supported and launched, by media and young people's backgrounds.

Adolescent↗

The Peterborough Schools Nutrition Project: a multiple intervention programme to improve school-based eating in secondary schools.

OBJECTIVE: To evaluate over two years the effectiveness of multiple interventions targeted at lunches in secondary schools with the aim of increasing the consumption of healthier foods by children during the school day. DESIGN: Controlled comparison study of two intervention schools targeted with multiple interventions to increase both the availability and the number of pupils consuming healthier foods, and one control school with no interventions but with the same observations over a two-year period. SETTING: Three secondary schools in Peterborough, England. SUBJECTS: Secondary school children in the three schools taking school lunches between 1996 and 1998. RESULTS: School Food Groups (SFGs) were set up in both intervention schools. All catering interventions were actioned via the SFGs. Of the food availability targets, only the target to increase the availability of high-fibre bread in both intervention schools was met. The availability of food items at the control school remained stable. The proportion of pupils consuming fruit and vegetables/salad was very low in all schools at baseline. There were positive changes for consumption of fruit and non-fried potato in one intervention school, and for high-fibre bread and non-cream cakes at the other in the short term, but only that for high-fibre bread was close to being sustained at the end of the two years. The dietary consumption target for vegetables/salad was achieved by the final monitoring period in one school. CONCLUSION: Overall there were no significant changes in school-based eating at the end of the study. Some positive changes were made, with some of the dietary targets being achieved at an early stage but not sustained. Ultimately this study has shown how difficult it is to achieve sustained dietary changes in the eating habits of secondary school children, even with considerable input.

Adolescent↗

Smoke-free schools? Results of a secondary school smoking policies survey 2002.

AIM: To describe the cigarette-smoking policies of a sample of New Zealand secondary schools. METHODS: Schools randomly selected from six geographical regions for participation in the Health Sponsorship Council's 2002 Youth Lifestyle Study (YLS) were invited to also participate in the School Smoking Policies Survey (SSPS). RESULTS: Eighty one of 82 schools responded (response rate 98.8%); 64 schools (79.0%) provided copies of smoking policies. Of the schools that provided policies, only 31 (50.8%) were totally smoke free, ie, banned smoking 24 hours a day, seven days a week. Five schools (8.2%) were both smoke free and fully compliant with existing legislation. Seventy eight schools (96.3%) provided education about smoking and imposed sanctions on students caught smoking. Most respondents (74.1%) considered school staff would support proposed changes to the Smoke-free Environments Act that would make all school buildings and grounds totally smoke free. CONCLUSIONS: Most secondary schools are not smoke free, but most staff are likely to support smoke-free status. Existing inconsistency among educational messages, school practice and staff actions may undermine tobacco-smoking-prevention efforts. Proposed strengthening of smoke-free legislation is both timely and necessary to ensure that all New Zealand students are provided with totally smoke-free school environments, consistent with health education messages.

Data Collection↗

Peer victimisation at school and the health of secondary school students.

BACKGROUND: Although previous studies have indicated that children who are frequently bullied by peers at school have below average health, both the generalisability of such findings across age groups and how they can be best explained have remained unclear. AIMS: (i) To examine whether reported peer victimisation is related to current levels of physical and mental health among early and late secondary school students and (ii) to determine whether degree of reported victimisation in early years of secondary schooling can predict the health status of students when they are in senior class. SAMPLE: Students were selected from those attending the first two years of schooling at a South Australian high school in 1994 (N = 276) and the last two years in 1997 (N = 126). These included a subsample (N = 78) who were assessed at school at both times. METHOD: Students completed questions which included measures of degree of peer victimisation and mental and physical health. RESULTS: For the total sample assessed in 1994, but not that of 1997, reported victimisation was significantly correlated with relatively poor physical and mental health. For the re-tested subsample, high levels of peer victimisation in the pre-testing predicted poor physical health for both sexes and poor mental health in girls. CONCLUSION: Relatively poor health was characteristic of students reporting frequent victimisation by peers in early secondary schooling and also of senior students who reported being bullied frequently three years earlier, suggesting a causal connection.

Adolescent↗

School food policy at primary and secondary schools in Belgium-Flanders: does it influence young people's food habits?

OBJECTIVE: To describe the availability of food items at primary and secondary schools in Belgium-Flanders and to examine the influence of school food policy (availability of food items, school food rules, nutrition education programmes) and aggregated school socioeconomical status (AGG SES) on the consumption of fruit, soft drinks, crisps and sweets, using multilevel modelling. DESIGN, SETTING AND SUBJECTS: In spring 2002, 360 schools were invited to participate in the Health Behaviour in School-aged Children survey. In January 2003, the same schools were asked to complete a short school policy questionnaire. Pupils of 197 schools participated in the pupil survey (n=16560); 247 school principals completed the school questionnaire; for 157 schools data were available for both (n=12 360). RESULTS: Mineral water, fruit juice, chocolate milk, and soup were available in most schools. Whole fat milk was available in most primary schools; soft drinks, diet soft drinks and biscuits were available in most secondary schools. Fruit was available in 14% of primary and 26% of secondary schools. Assessment of the variation in the outcome variables revealed no significant between-school variation in primary schools, but considerable variation between secondary schools in the consumption of soft drinks, sweets and crisps (but not fruit). School characteristics explaining some of this school variance independent of pupil level characteristics were: for soft drinks: availability at the school, rules regarding the consumption of sweets and AGG SES; for sweets: AGG SES; and for crisps: rules regarding the consumption of savoury snacks and AGG SES. CONCLUSION: The results indicate that school food policy can have an impact on adolescents' food habits.

Adolescent↗

A provincial study of opportunities for school-based physical activity in secondary schools.

PURPOSE: Adolescents spend considerable time at school and thus it is important to understand their opportunities for school-based physical activity. This study surveyed Ontario secondary schools to identify the range of structured opportunities and their engagement by students. METHODS: A questionnaire was mailed to key informants in 600 randomly selected secondary schools in Ontario, for which 474 respondents (79%) returned completed questionnaires. RESULTS: Curriculum-based physical education (PE) classes in grade nine were reported to be offered in all schools and these classes in grades 10, 11 and 12 were offered in almost all schools. Student enrollment in PE decreased from grades 9 to 12 (97.9%, 49.6%, 43.3% and 35.9%, respectively). Respondents reported that funding, timetable, facilities and resources made it somewhat difficult to implement the health and physical education curriculum in their schools. About two-thirds (65.5%) of the schools had an intramural program and 15.0% of students participated in it, whereas 97.2% of the schools had an inter-school sports program and 25.0% of students participated in it. Supervision issues made it difficult to provide intramural programs and funding made it difficult to provide inter-school sports programs. CONCLUSIONS: Although provision of physical activity opportunities in Ontario appears satisfactory, actual engagement by students is low. The results suggest that strategies to increase student participation in PE, intramural programs, and inter-school sports programs need further consideration.

Adolescent↗

Adolescent suicide prevention: acceptability of school-based programs among secondary school principals.

High school principals' acceptability ratings of three school-based programs for the prevention of adolescent suicide were examined. From a random sample of members from the 1994-1995 membership directory of the National Association of Secondary School Principals (NASSP), a total of 185 (40%) respondents completed the Suicide Prevention Program Rating Profile (SPPRP), a measure designed to evaluate the acceptability of suicide prevention programs, after reading a description of a particular prevention program. Programs evaluated for their acceptability included (1) curriculum-based programs presented to students, (2) in-service presentations to school staff, and (3) student self-report screening measures. The results indicated that the curriculum-based and staff in-service programs were significantly more acceptable to principals than was the schoolwide student screening program. No significant differences between the acceptability of curriculum-based and inservice programs were found. Limitations of the study and implications for practice and research are discussed.

Administrative Personnel↗

The effectiveness of vision screening by school nurses in secondary school.

Vision screening of 13 and 15 year old children by school nurses in Oxfordshire has declined in recent years due to the pressure of other commitments. A study was carried out to evaluate the likely consequences of failing to provide vision screening for secondary schoolchildren, in order to make a decision about the future of the service. Parents were also asked to complete a questionnaire about their children's past eye histories. Eight schools that had had no vision screening for at least three years participated in the study. Overall, 3.8% of children between 13 and 15 years old had a visual acuity of worse than 6/12 in one or both eyes, that is they failed vision screening; there was no evidence that this percentage increased significantly across this age range. Less than 1% of children were prescribed and wore spectacles as a consequence of failing vision screening and no new cases of eye pathology were detected. Questionnaire responses suggested that about 50% of children who did not wear spectacles had had an eye examination in the previous two years. The results indicate that vision screening is not the best way to meet the eye/vision needs of secondary schoolchildren. Strategies for targeting the school nursing resource more appropriately are being considered.

Adolescent↗

A school-based AIDS education programme for secondary school students in Nigeria: a review of effectiveness.

Nigerian secondary school students are becoming sexually active at an increasing earlier age. Sexually active students are at risk of contacting STDs, including HIV infection. As a result, health education initiatives to increase level of knowledge, influence attitudes and encourage safe sexual practices are being implemented in schools, but the effectiveness of these programmes have not been evaluated. In this study, the knowledge, attitude and sexual risk behaviors of 223 students who received a comprehensive health education intervention were compared with 217 controls. At post-test, intervention students exhibited greater knowledge about HIV/AIDS transmission and prevention (P < 0.05). Intervention students were less likely to feel AIDS is a white man's disease and were more likely to be tolerant of people living with the disease (P < 0.05). After the intervention, the mean number of reported sexual partners among the experimental students significantly decreased from 1.51 to 1.06, while it increased from 1.3 to 1.39 among the controls. Among the intervention students there was also an increase in consistent use of the condom and the use of the condom at last sexual intercourse. We conclude that students can benefit from specific education programmes that transmit important information necessary to prevent risky behavior, and improve knowledge and attitudes on HIV/AIDS.

Acquired Immunodeficiency Syndrome↗

A study on awareness of AIDS among school students and teachers of higher secondary schools in north Calcutta.

Higher Secondary School students and their teachers were studied to assess the knowledge about AIDS and attitude towards AIDS patients. Only 13.5% senior school students and 16.2% teachers had clear knowledge regarding AIDS--its general aspects, transmission and prevention. Girls had higher and clear knowledge than boys. 45.8% of girls, 38.8% of boys students and 20.3% of teachers had positive attitudes towards nursing an AIDS case. It is suggested that schools have to device ways to open up more effective communication with students in relation to education on sex and AIDS. Training on AIDS should be emphasized on school teachers who on their turn can teach the students in a correct way about AIDS.

Acquired Immunodeficiency Syndrome↗

School food policies and practices: a state-wide survey of secondary school principals.

OBJECTIVE: To describe food-related policies and practices in secondary schools in Minnesota. DESIGN: Mailed anonymous survey including questions about the secondary school food environment and food-related practices and policies. SUBJECTS/SETTING: Members of a statewide professional organization for secondary school principals (n = 610; response rate: 463/610 = 75%). Of the 463 surveys returned, 336 met the eligibility criteria (current position was either principal or assistant principal and school included at least one of the grades of 9 through 12). STATISTICAL ANALYSIS: Descriptive statistics examined the prevalence of specific policies and practices. Chi2 analysis examined associations between policies and practices and school variables. RESULTS: Among principals, 65% believed it was important to have a nutrition policy for the high school; however, only 32% reported a policy at their school. Principals reported positive attitudes about providing a healthful school food environment, but 98% of the schools had soft drink vending machines and 77% had contracts with soft drink companies. Food sold at school fundraisers was most often candy, fruit, and cookies. APPLICATIONS: Dietetics professionals who work in secondary school settings should collaborate with other key school staff members and parents to develop and implement a comprehensive school nutrition policy. Such a policy could foster a school food environment that is supportive of healthful food choices among youth.

Administrative Personnel↗