Gådin Katja Gillander, Weiner Gaby, Ahlgren Christina
Department of Health Sciences, Mid Sweden University, SE-870 51 Sundsvall, Sweden.
Int J Circumpolar Health. 2009 Dec;68(5):498-507.
The aim was to analyse if young students could be substantive participants in a health-promoting school project. The specific aims were to analyse the changes the students proposed in their school environment, how these changes were prioritized by a school health committee and to discuss the students' proposals and the changes from a health and gender perspective.
An intervention project was carried out in an elementary school with students (about 150) in Grades 1 through 6. The intervention included small-group discussions about health promoting factors, following a health education model referred to as "It's your decision." At the last of 6 discussions, the students made suggestions for health-promoting changes in their school environment. A health committee was established with students and staff for the purpose of initiating changes based on the proposals.
A content analysis was used to analyse the proposals and the protocols developed by the health committee.
The analysis showed 6 categories of the students' proposals: social climate, influence on schoolwork, structure and orderliness, security, physical environment and food for well-being. Their priorities corresponded to the students' categories, but had an additional category regarding health education.
Principles that guide promoting good health in schools can be put into action among students as young as those in Grades 1 through 6. Future challenges include how to convey experiences and knowledge to other schools and how to evaluate if inequalities in health because of gender, class and ethnicity can be reduced through the focus on empowerment and participation.
本研究旨在分析青年学生能否成为促进健康学校项目的实质性参与者。具体目标包括分析学生们提出的关于学校环境的改变、学校健康委员会如何对这些改变进行优先级排序，以及从健康和性别角度讨论学生的提议及这些改变。
在一所小学开展了一项干预项目，该校有1至6年级的学生（约150名）。干预措施包括按照一种名为“这是你的决定”的健康教育模式，就促进健康的因素进行小组讨论。在6次讨论的最后，学生们就学校环境中促进健康的改变提出了建议。为此成立了一个由学生和教职工组成的健康委员会，以便根据这些提议启动相关改变。
采用内容分析法对提议以及健康委员会制定的方案进行分析。
分析显示学生的提议有6类：社会氛围、对学业的影响、结构与秩序、安全、物理环境以及促进健康的食物。他们的优先级与学生的分类相对应，但在健康教育方面还有一个额外的类别。
指导学校促进健康的原则可以在1至6年级的学生中付诸实践。未来的挑战包括如何将这些经验和知识传达给其他学校，以及如何评估通过关注赋权和参与是否能够减少因性别、阶级和种族导致的健康不平等。
