综合性学校健康方法对学生身体活动的影响：多层次分析考察学校层面因素与学生身体活动行为的关系。

A Comprehensive School Health Approach to Student Physical Activity: A Multilevel Analysis Examining the Association between School-Level Factors and Student Physical Activity Behaviors.

机构信息

School of Public Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada, N2L 3G1.

Faculty of Kinesiology, Sport, and Recreation, University of Alberta, 8840 114 Street, Edmonton, Alberta, Canada, T6G 2H9.

出版信息

J Sch Health. 2022 Aug;92(8):774-785. doi: 10.1111/josh.13178. Epub 2022 Mar 21.

DOI:10.1111/josh.13178

PMID:35315080

Abstract

BACKGROUND

The comprehensive school health (CSH) framework has four components: social and physical environment; partnerships and services; teaching and learning; and policy. This study examines associations between CSH and student physical activity (PA).

METHODS

Using 2015/2016 COMPASS study survey data of 37,397 students (grades 9-12) from 80 secondary schools in Ontario and Alberta, Canada, associations between school-level factors within CSH and student PA outcomes (weekly moderate-to-vigorous PA [MVPA] minutes and achieving the national PA recommendations of ≥60 min of MVPA daily, vigorous PA ≥3 days/week, strengthening activities ≥3 days/week) were analyzed using multilevel regression models stratified by gender and grade.

RESULTS

Factors within all four CSH components were associated with student PA. Four student subgroups were more likely to achieve the recommendations if their school had youth organization partnerships (Range of AORs:1.15-1.33, p <.05) and female students were less likely if their school had low prioritization of PA (AOR = 0.77, 95% CI: [0.65-0.92]). Grade 9 students had higher MVPA when provided non-competitive PA opportunities (β = 100.4, 95%CI: [30.0-170.9]). All student subgroups had better PA outcomes when schools provided access to equipment during non-instructional time.

CONCLUSION

There is opportunity to improve student PA through CSH-guided interventions, but different strategies may be more effective for each gender/grade.

摘要

背景

综合学校健康（CSH）框架有四个组成部分：社会和物理环境；伙伴关系和服务；教学和学习；政策。本研究考察了 CSH 与学生体育活动（PA）之间的关联。

方法

使用加拿大安大略省和艾伯塔省 80 所中学的 37397 名 9-12 年级学生的 2015/2016 年 COMPASS 研究调查数据，采用多层次回归模型对 CSH 内的学校因素与学生 PA 结果（每周中度至剧烈 PA[MVPA]分钟数和达到国家 PA 推荐的每天≥60 分钟 MVPA、剧烈 PA≥3 天/周、增强活动≥3 天/周）进行分析，按性别和年级分层。

结果

CSH 四个组成部分的因素都与学生 PA 有关。如果学生所在学校有青年组织伙伴关系，四个学生亚组更有可能达到建议（比值比范围：1.15-1.33，p<.05），而如果学校对 PA 的重视程度较低，女学生则不太可能（比值比=0.77，95%置信区间：[0.65-0.92]）。如果学校提供非竞争性的 PA 机会，9 年级学生的 MVPA 更高（β=100.4，95%CI：[30.0-170.9]）。当学校在非教学时间提供设备时，所有学生亚组的 PA 结果都更好。