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佐治亚州全州范围内的地方健康政策评估：对政策合规性、政策力度及相关因素的考察。

Statewide evaluation of local wellness policies in Georgia: an examination of policy compliance, policy strength, and associated factors.

机构信息

Institute of Public Health, Georgia State University, Atlanta, GA30302, USA.

出版信息

J Nutr Educ Behav. 2012 Nov-Dec;44(6):513-20. doi: 10.1016/j.jneb.2010.12.001. Epub 2011 Jul 26.

DOI:10.1016/j.jneb.2010.12.001
PMID:21795119
Abstract

OBJECTIVE

To analyze relationships between demographic characteristics of Georgia school systems and: (1) compliance with the Child Nutrition and WIC Reauthorization Act (CNRA); and (2) strength of wellness policy goals in nutrition, physical activity, and other school-based activities.

DESIGN

Each local school district submitted their school-board-approved wellness policy to researchers. Each policy was reviewed and coded for compliance with CNRA and evaluated on the strength of its goals.

SETTING

Public school districts.

PARTICIPANTS

One hundred seventy-six of 180 Georgia public school systems participated.

MAIN OUTCOME MEASURES

Independent variables were demographic characteristics of Georgia school systems. Dependent variables were ratings from the policy evaluation instrument, grouped into composite indices to compare the strength (ie, ratings) of wellness policy goals.

ANALYSIS

Pearson correlation, cross-tabulation.

RESULTS

Significant positive associations were found between academic performance and: strength of overall wellness policy goals (P < .05), goals in nutrition education (P < .01), and other school-based activities (P < .01). Economic status of the student population was found to be positively associated with strength of nutrition education goals (P < .05).

CONCLUSIONS AND IMPLICATIONS

Districts with stronger academic performance had more comprehensive overall wellness policy goals and stronger goals in nutrition education and other school-based activities.

摘要

目的

分析乔治亚州学校系统的人口统计学特征与以下两者之间的关系：（1）遵守《儿童营养与 WIC 再授权法案》（CNRA）的情况；（2）在营养、体育活动和其他学校活动方面的健康政策目标的力度。

设计

每个地方学区都向研究人员提交了他们的学校董事会批准的健康政策。每个政策都经过审查和编码，以确定其是否符合 CNRA，并根据其目标的力度进行评估。

地点

公立学区。

参与者

180 个乔治亚州公立学区中有 176 个参与了研究。

主要观察指标

乔治亚州学校系统的人口统计学特征为自变量。因变量是来自政策评估工具的评分，这些评分被分为综合指数，以比较健康政策目标的力度（即评分）。

分析方法

Pearson 相关分析，交叉表分析。

结果

发现学术表现与以下方面存在显著正相关：整体健康政策目标的力度（P <.05）、营养教育目标（P <.01）和其他学校活动目标（P <.01）。学生群体的经济状况与营养教育目标的力度呈正相关（P <.05）。

结论和意义

学术表现较强的学区具有更全面的整体健康政策目标，以及更强的营养教育和其他学校活动目标。

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