Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4th Floor, Lek Yuen Health Centre, 9 Lek Yuen Street, Shatin, New Territories, Hong Kong.
BMC Public Health. 2019 Aug 13;19(1):1088. doi: 10.1186/s12889-019-7425-6.
Improvement of health literacy, health behavioural change, creating a supportive physical and social environment to be more conducive to health should be the focus of child and adolescent public health. The concept of Health Promoting School initiated by World Health Organization aims to move beyond individual behavioural change and to consider organisational structure change such as improvement of the school's physical and social environment. The aim of this study is identification of the key indicators for successful implementation of Health Promoting School by analysing the findings of the school health profile based on the structured framework of Hong Kong Healthy School Award Scheme and the health status of students investigated by the Hong Kong Student Health Survey.
This is a retrospective correlation study. Analysis of variance (ANOVA) was utilised to analyse for significant improvement of school health profile measured at baseline (n = 104) and among those schools implemented the Hong Kong Healthy School Award Scheme (n = 54). Those indicators showing statistical significance were chosen to be part of the core indicators reflecting effective Health Promoting School. Each of those selected core indicators was then correlated with the related student health outcomes measured by the Hong Kong Student Health Survey Questionnaire to further identify the core indicators.
A total of 20 core indicators among all the six Key Areas of Health Promoting School (6 indicators under action competencies, 2 under community link, 2 under physical environment, 2 under social environment, 4 under healthy school policies, 1 under services of school health protection) have been identified with the method mentioned above.
This study has identified the indicators with most significant impact on a wide range of health related outcomes. Those are key indicators for motivating positive change of the schools and students. They can be considered as school performance indicators to help schools embarking their Health Promoting School journey as another key education objective.
提高健康素养、促进健康行为改变、营造更有利于健康的支持性物质和社会环境，应成为儿童和青少年公共卫生工作的重点。世界卫生组织倡导的“促进健康学校”理念旨在超越个体行为改变，考虑组织结构变化，如改善学校的物质和社会环境。本研究旨在通过分析基于香港健康学校奖励计划结构化框架的学校健康概况调查结果以及香港学生健康调查所调查的学生健康状况，确定促进健康学校成功实施的关键指标。
这是一项回顾性相关性研究。采用方差分析（ANOVA）分析了基线（n=104）和实施香港健康学校奖励计划的学校（n=54）的学校健康概况测量的显著改善。选择具有统计学意义的指标作为反映有效促进健康学校的核心指标的一部分。然后，将这些选定的核心指标中的每一个与香港学生健康调查问卷测量的相关学生健康结果相关联，以进一步确定核心指标。
在促进健康学校的六个关键领域（行动能力下的 6 个指标、社区联系下的 2 个指标、物质环境下的 2 个指标、社会环境下的 2 个指标、健康学校政策下的 4 个指标、学校卫生保护服务下的 1 个指标）中，共确定了 20 个核心指标。
本研究确定了对广泛健康相关结果具有最显著影响的指标。这些指标是激励学校和学生积极变革的关键指标。它们可以被视为学校绩效指标，以帮助学校将促进健康学校的旅程作为另一个关键教育目标。
