Booth E, Halliday V, Cooper R J
Section of Public Health, School of Health and Related Research (ScHARR), The University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
J Public Health (Oxf). 2021 Jun 7;43(2):e213-e223. doi: 10.1093/pubmed/fdz151.
Secondary schools are an important setting for preventing obesity in adolescence. Headteachers and chairs of governors are identified in national guidance as crucial stakeholders for school-based preventative action. Despite this, their views remain unexplored and unrepresented.
A sequential mixed method study was conducted. Semi-structured interviews were undertaken with a purposive sample of 22 secondary school headteachers and chairs of governors in England. Data were thematically analysed and informed the development of a descriptive cross-sectional survey, completed by 127 participants from the same population.
Unhealthy dietary and sedentary behaviours were viewed as a more significant problem than adolescent obesity. Obesity was perceived as complex and multi-causal, and a range of stakeholders were deemed to have responsibility for its prevention, most notably parents. Support was identified for the role of secondary schools, although this was not an explicit priority and extensive internal and external barriers exist, which hinder preventative action.
Whilst secondary school settings in England remain an important setting for the prevention of adolescent obesity, it is crucial for policy makers and public health professionals to recognize the factors affecting school leaders' ability and willingness to contribute to this agenda.
中学是预防青少年肥胖的重要场所。校长和校董会主席在国家指导意见中被确定为基于学校的预防行动的关键利益相关者。尽管如此，他们的观点仍未得到探讨和体现。
开展了一项序贯混合方法研究。对英格兰22名中学校长和校董会主席进行了有目的抽样的半结构化访谈。对数据进行了主题分析，并据此制定了一项描述性横断面调查，由来自同一人群的127名参与者完成。
不健康的饮食和久坐行为被视为比青少年肥胖更严重的问题。肥胖被认为是复杂的且由多种原因导致的，一系列利益相关者被认为对其预防负有责任，最显著的是家长。虽然中学的作用得到了支持，但这并非明确的优先事项，而且存在大量内部和外部障碍，阻碍了预防行动。
虽然英格兰的中学环境仍然是预防青少年肥胖的重要场所，但政策制定者和公共卫生专业人员必须认识到影响学校领导为这一议程做出贡献的能力和意愿的因素。
