Gådin Katja Gillander, Weiner Gaby, Ahlgren Christina
a Department of Health Sciences, Mid Sweden University , Sundsvall , Sweden.
b Centre for Educational Sociology, University of Edinburgh , Edinburgh , Scotland.
Int J Circumpolar Health. 2009 Oct;68(5):498-507. doi: 10.3402/ijch.v68i5.17379.
The aim was to analyse if young students could be substantive participants in a healthpromoting 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是否能够成为促进健康学校项目的实质参与者。具体目标包括分析学生们提出的校园环境改善建议、学校健康委员会如何对这些建议进行优先级排序，以及从健康和性别视角讨论学生的建议及相关变化。
在一所小学针对一至六年级约150名学生开展了一项干预项目。干预措施包括按照“这由你决定”这一健康教育模式，组织小组讨论健康促进因素。在6次讨论的最后，学生们就校园环境中促进健康的变化提出建议。为此成立了一个由学生和教职工组成的健康委员会，根据这些建议启动相关改变。
采用内容分析法对健康委员会制定的建议和方案进行分析。
分析显示学生的建议分为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。其优先级与学生的分类相对应，但还增加了一个关于健康教育的类别。
指导学校促进健康的原则可以在一至六年级的学生中付诸实践。未来的挑战包括如何将经验和知识传授给其他学校，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。
