Departament of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, M. K. Čiurlionio g. 21, Vilnius 03101, Lithuania.
Health Promot Int. 2021 Dec 23;36(6):1644-1655. doi: 10.1093/heapro/daab014.
The concept of the Health Promoting School (HPS) encourages a holistic approach to promoting health in schools, instead of a more traditional education on health. The aim of this paper was to determine the association between studying in a HPS and smoking and alcohol consumption among adolescents. A cross-sectional study of 3574 adolescents from 44 HPS and 66 non-HPSs was conducted. The association between studying in a HPS and smoking and alcohol consumption among adolescents was analysed using logistic regression models. Pearson's χ2 test was used to determine the differences between HPS and non-HPS students' sociodemographic characteristics, and the difference in distribution of students who smoked and consumed alcohol at various rates across different groups. Studying in a HPS setting was not significantly associated with adolescent smoking or attempts to smoke. Compared to HPS students, non-HPS students had a significantly higher chance of attempting to consume alcohol and consumed alcohol once a month or more frequently. In comparing the distribution of HPS and non-HPS students according to the frequency of smoking and alcohol consumption across various groups of respondents, it was determined that some factors were associated with frequency of smoking and alcohol consumption among adolescents. The results of the study showed that studying in a HPS was associated with a reduction in both smoking and alcohol consumption, and therefore it is advisable to further develop the HPS network. However, both the individual and educational characteristics of adolescents must be taken into account when planning prevention measures.
健康促进学校（HPS）的概念鼓励在学校中采用整体方法促进健康，而不是更传统的健康教育。本文旨在确定在 HPS 学习与青少年吸烟和饮酒之间的关联。对来自 44 所 HPS 和 66 所非 HPS 的 3574 名青少年进行了横断面研究。使用逻辑回归模型分析了在 HPS 学习与青少年吸烟和饮酒之间的关联。使用 Pearson χ2 检验确定了 HPS 和非 HPS 学生的社会人口统计学特征之间的差异，以及在不同群体中不同吸烟和饮酒率的学生分布之间的差异。在 HPS 环境中学习与青少年吸烟或尝试吸烟没有显著关联。与 HPS 学生相比，非 HPS 学生尝试饮酒的机会明显更高，并且每月或更频繁地饮酒。在根据不同组别的受访者的吸烟和饮酒频率比较 HPS 和非 HPS 学生的分布时，确定了一些因素与青少年的吸烟和饮酒频率有关。研究结果表明，在 HPS 学习与吸烟和饮酒的减少有关，因此建议进一步发展 HPS 网络。但是，在规划预防措施时，必须考虑到青少年的个体和教育特征。
