Division of Nursing and Research Institute of Nursing Science, Hallym University, 1 Hallimdaehak-gil, Chuncheon-si, Gangwon-do, 24252, South Korea.
Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
J Sch Health. 2019 Mar;89(3):181-190. doi: 10.1111/josh.12727. Epub 2019 Jan 13.
Despite the environment being recognized as playing an important role in health, little is known about the influence of school and community factors on student health. This study aimed to identify the ecological factors influencing obesity among middle school students, including intrapersonal, interpersonal, school, and community factors.
The study sample consisted of 2069 students from 50 middle schools, with individual-level data. School and community-level data were collected using a school nurse survey and official materials from the National and Civic Statistics. These data were merged and used for a series of multilevel logistic regression analyses.
There were significant variations in the students' overweight/obesity status, by ecological factors. Individual dietary habits, peer social support for physical activity, health education in the regular curriculum, the number of personal computer rooms per 100,000 individuals, and the area of public sports facilities per 100,000 individuals were significantly associated with student obesity.
To be more effective, overweight/obesity prevention efforts for middle school students should focus not only on individual factors, but also on school and community factors.
尽管环境被认为对健康起着重要作用，但人们对学校和社区因素对学生健康的影响知之甚少。本研究旨在确定影响中学生肥胖的生态因素，包括个体内部、人际间、学校和社区因素。
研究样本包括来自 50 所中学的 2069 名学生，具有个体层面的数据。使用学校护士调查和国家和公民统计的官方材料收集学校和社区层面的数据。这些数据被合并，并用于一系列多层次逻辑回归分析。
在生态因素方面，学生超重/肥胖状况存在显著差异。个体饮食习惯、同伴对体育活动的社会支持、常规课程中的健康教育、每 10 万人拥有的个人电脑室数量以及每 10 万人拥有的公共体育设施面积与学生肥胖显著相关。
为了更有效，针对中学生的超重/肥胖预防工作不仅应关注个体因素，还应关注学校和社区因素。
