Case Western Reserve University School of Medicine, Cleveland, Ohio.
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, California.
J Adolesc Health. 2018 Feb;62(2):136-142. doi: 10.1016/j.jadohealth.2017.08.011. Epub 2017 Nov 2.
Parenting style is strongly associated with adolescent health. However, little is known about how school disciplinary style relates to health. We categorized adolescents' perceptions of their schools as authoritative, authoritarian, permissive, or neglectful, and test whether perceived school disciplinary style is associated with health.
We analyze data from the RISE Up study (Reducing Health Inequities Through Social and Educational Change Follow-up), comprised of baseline (eighth grade) and 2-year follow-up surveys (10th grade) from 1,159 low-income minority adolescents in Los Angeles attending 157 schools. At 10th grade, students' ratings of school support and structure were used to categorize perceived school disciplinary style as authoritative (highest tertile for support and structure), authoritarian (low support, high structure), permissive (high support, low structure), neglectful (low on both dimensions), and average (middle tertile on either dimension). Mixed effects logistic regressions controlling for sociodemographic factors, parenting style, grades, and baseline health tested whether school disciplinary style was associated with substance use, violence, bullying, and depression symptoms.
Risky behaviors varied by school disciplinary style. After adjusting for covariates, compared with an average school disciplinary style, a neglectful school was associated with higher odds of substance use (adjusted odds ratio [AOR] 2.3, p < .001) and bullying (AOR 1.5, p = .02), a permissive school was associated with higher odds of depression symptoms (AOR 2.1, p = .04), and an authoritative school was associated with lower odds of substance use (AOR .6, p = .049), violence (AOR .6, p = .03), and bullying (AOR .5, p = .001).
Structured and supportive school environments may impact the health of vulnerable adolescents.
父母教养方式与青少年健康密切相关。然而,对于学校纪律方式与健康的关系知之甚少。我们将青少年对学校的看法分为权威型、专制型、放任型和忽视型,并检验感知到的学校纪律方式是否与健康相关。
我们分析了 RISE Up 研究的数据,该研究包括洛杉矶 157 所学校的 1159 名低收入少数民族青少年在八年级(基线)和两年后(十年级)的调查结果。在十年级,学生对学校支持和结构的评价被用来将感知到的学校纪律方式分为权威型(支持和结构最高三分位)、专制型(支持低,结构高)、放任型(支持高,结构低)、忽视型(两个维度都低)和平均型(任意一个维度的中间三分位)。混合效应逻辑回归控制了社会人口因素、父母教养方式、年级和基线健康,检验了学校纪律方式与物质使用、暴力、欺凌和抑郁症状之间的关系。
不同的学校纪律方式与危险行为有关。调整了协变量后,与平均的学校纪律方式相比,忽视型学校与物质使用(调整后的优势比[OR] 2.3,p < 0.001)和欺凌(OR 1.5,p = 0.02)的几率更高,放任型学校与抑郁症状(OR 2.1,p = 0.04)的几率更高,而权威型学校与物质使用(OR 0.6,p = 0.049)、暴力(OR 0.6,p = 0.03)和欺凌(OR 0.5,p = 0.001)的几率较低。
有组织和支持性的学校环境可能会影响弱势青少年的健康。