Department of Mathematics, Colby College, 5838 Mayflower Hill, Waterville, ME 04901, USA.
J Sch Health. 2010 Apr;80(4):176-85. doi: 10.1111/j.1746-1561.2009.00484.x.
Health-related, school-based interventions may serve to prevent disease and improve academic performance. The Healthy Maine Partnerships (HMP) initiative funded local school health coordinators (SHCs) as a part of Maine's Coordinated School Health Program (CSHP) beginning in January 2001. SHCs established school health leadership teams and implemented annual work plans to address health risk behaviors. This study evaluates the impact of the Healthy Maine Partnerships SHC (HMPSHC) intervention on school policies and student risk behaviors after its first 5 years.
Data sources include the Maine School Health Profiles Survey and the Maine Youth Drug and Alcohol Use Survey/Youth Tobacco Survey. Cross-sectional analyses were performed on 2006 data to assess physical activity, nutrition, and tobacco-related policy associations with the HMPSHC intervention. Finally, policy and student behavior analyses were conducted to assess associations.
Intervention schools were more likely to be associated with physical activity intramural offerings, improved nutritional offerings, and tobacco cessation programs. In intervention schools, supportive school policies were associated with decreased soda consumption, decreased inactivity, and decreased tobacco use. Required school health education curricula were more predictive of decreased risk behavior in intervention schools than in nonintervention schools.
In schools with SHCs, there exists a stronger association with improved school programs. Improved policies and programs were associated with decreases in risk behavior among students in intervention schools. The HMPSHC intervention may be a viable CSHP model to replicate and evaluate in other settings.
与健康相关的学校干预措施可以预防疾病并提高学业成绩。健康缅因伙伴关系（HMP）倡议从 2001 年 1 月开始为缅因州的协调学校健康计划（CSHP）提供当地学校健康协调员（SHC）作为一部分。SHC 成立了学校健康领导团队，并实施了年度工作计划，以解决健康风险行为。本研究评估了 Healthy Maine Partnerships SHC（HMPSHC）干预措施在其第一个 5 年后对学校政策和学生风险行为的影响。
数据来源包括缅因州学校健康状况调查和缅因州青年毒品和酒精使用调查/青年烟草调查。对 2006 年的数据进行了横断面分析，以评估与 HMPSHC 干预相关的体育活动、营养和烟草相关政策。最后，进行了政策和学生行为分析，以评估关联。
干预学校更有可能与校内体育活动、改善营养供应和戒烟计划相关联。在干预学校中，支持性的学校政策与减少苏打水消费、减少不活动和减少烟草使用有关。在干预学校中，必修的学校健康教育课程比非干预学校更能预测减少风险行为。
在有 SHC 的学校中，与改善学校项目的关联更强。改善的政策和项目与干预学校学生的风险行为减少有关。HMPSHC 干预措施可能是其他环境中复制和评估的可行 CSHP 模式。
