Ballard Parissa J, Cohen Alison K, Duarte Catherine D P
Family & Community Medicine, Wake Forest School of Medicine, Piedmont Plaza 1, 1920 W. 1st St, Winston-Salem, NC 27104, USA.
Public and Nonprofit Administration, School of Management, University of San Francisco, San Francisco, CA, USA.
Prev Med Rep. 2019 Aug 23;16:100968. doi: 10.1016/j.pmedr.2019.100968. eCollection 2019 Dec.
Meaningfully engaging and supporting youth in their communities can promote their sense of efficacy and potentially their health and wellbeing. The objective of this study was to test whether a school-based youth civic empowerment program, (), was associated with self-reported mental and physical health among participants, and whether these associations differed by two potential modifiers: civic self-efficacy and a sense of meaningful contributions to one's community. Participants were middle and high school students ( = 364) who participated in GC in the fall semester of 2014 and completed surveys at the beginning and end of the semester. Analyses revealed a small but statistically significant increase in self-reported physical health after GC and no statistically significant change in self-reported mental health. There was evidence of effect measure modification by civic self-efficacy such that the difference in physical health as civic self-efficacy increased was smaller post-intervention compared to pre-intervention. This could suggest that GC participation is particularly beneficial for those with lower civic self-efficacy. While our findings suggest that public health interventions may benefit from centering empowerment opportunities for youth, future research is warranted to better understand the particular role of civic self-efficacy in that process.
让青少年在其社区中切实参与并得到支持,能够提升他们的效能感,并有可能促进他们的健康和幸福。本研究的目的是检验一项以学校为基础的青少年公民赋权项目(“成长与公民参与”[Growing and Civic Engagement,GC])是否与参与者自我报告的身心健康相关,以及这些关联在两个潜在调节因素(公民自我效能感和对社区有意义贡献感)上是否存在差异。参与者为中学生和高中生(n = 364),他们在2014年秋季学期参加了“成长与公民参与”项目,并在学期开始和结束时完成了调查。分析显示,参与“成长与公民参与”项目后,自我报告的身体健康有小幅但具有统计学意义的改善,而自我报告的心理健康没有统计学意义上的变化。有证据表明存在公民自我效能感的效应量修正,即随着公民自我效能感的提高,干预后身体健康的差异比干预前更小。这可能表明,参与“成长与公民参与”项目对公民自我效能感较低的人特别有益。虽然我们的研究结果表明,公共卫生干预可能会受益于以青少年赋权机会为核心,但仍需要未来的研究来更好地理解公民自我效能感在这一过程中的具体作用。