Department of Health System Management, Faculty of Health Science, Ariel University, Ariel 407000, Israel.
Program in Gerontology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheeva 8499000, Israel.
Int J Environ Res Public Health. 2021 Jan 29;18(3):1183. doi: 10.3390/ijerph18031183.
Schools with health-promoting school (HPS) frameworks are actively committed to enhancing healthy lifestyles. This study explored the contribution of school participation in HPS on students' health behaviors, namely, physical activity (PA), sedentary behavior, and dieting. Data from the 2018/2019 Health Behavior in School-aged Children study on Israeli adolescents aged 11-17 years were used. Schools were selected from a sample of HPSs and non-HPSs. Between-group differences and predictions of health behavior were analyzed. No between-group differences were observed in mean number of days/week with at least 60 min of PA (HPS: 3.84 ± 2.19 days/week, 95% confidence interval of the mean = 3.02-3.34; non-HPS: 3.93 ± 2.17 days/week, 95% confidence interval of the mean = 3.13-3.38). Most children engaged in screen time behavior for >2 h/day (HPS: 60.83%; non-HPS: 63.91%). The odds of being on a diet were higher among more active children (odds ratio [OR] = 1.20), higher socio-economic status (OR = 1.23), and female (OR = 2.29). HPS did not predict any health behavior. These findings suggest that HPSs did not contribute to health behaviors more than non-HPSs. Therefore, health-promoting activities in HPSs need to be improved in order to justify their recognition as members of the HPS network and to fulfill their mission.
具有促进健康学校（HPS）框架的学校积极致力于增强健康的生活方式。本研究探讨了学校参与 HPS 对学生健康行为的贡献，即身体活动（PA）、久坐行为和节食。本研究使用了来自以色列 11-17 岁青少年 2018/2019 年健康行为在学童研究的数据。从 HPS 和非 HPS 的样本中选择了学校。分析了组间差异和健康行为的预测。在每周至少进行 60 分钟 PA 的天数（HPS：3.84 ± 2.19 天/周，95%置信区间 = 3.02-3.34；非 HPS：3.93 ± 2.17 天/周，95%置信区间 = 3.13-3.38）方面，两组之间没有差异。大多数儿童每天进行超过 2 小时的屏幕时间行为（HPS：60.83%；非 HPS：63.91%）。越活跃的儿童（比值比 [OR] = 1.20）、更高的社会经济地位（OR = 1.23）和女性（OR = 2.29），节食的可能性更高。HPS 并不能预测任何健康行为。这些发现表明，HPS 并没有比非 HPS 更有助于健康行为。因此，需要改进 HPS 中的健康促进活动，以证明其作为 HPS 网络成员的认可，并实现其使命。
