School Health Promotion Policies and Adolescent Risk Behaviors in Israel: A Multilevel Analysis

Autor/inn/en	Tesler, Riki; Harel-Fisch, Yossi; Baron-Epel, Orna
Titel	School Health Promotion Policies and Adolescent Risk Behaviors in Israel: A Multilevel Analysis
Quelle	In: Journal of School Health, 86 (2016) 6, S.435-443 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12394
Schlagwörter	Health Promotion; Adolescents; Risk; Foreign Countries; Smoking; Drinking; Hierarchical Linear Modeling; Public Schools; Health Behavior; Surveys; Principals; Interviews; Parent Participation; Intervention; Student Characteristics; Student Attitudes; Well Being; Jews; Negative Attitudes; Israel + Suchen Sie Ihr Suchwort? Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Risiko; Ausland; Rauchen; Trinken; Public school; Öffentliche Schule; Health behaviour; Gesundheitsverhalten; Survey; Umfrage; Befragung; Principal; Schulleiter; Interviewing; Interviewtechnik; Elternmitwirkung; Schülerverhalten; Well-being; Wellness; Wohlbefinden; Jew; Jude; Jüdin; Juden; Negative Fixierung
Abstract	Background: Health promotion policies targeting risk-taking behaviors are being implemented across schools in Israel. This study identified the most effective components of these policies influencing cigarette smoking and alcohol consumption among adolescents. Methods: Logistic hierarchical linear model (HLM) analysis of data for 5279 students in 95 Jewish public schools from the Health Behavior in School-Aged Children (HBSC) 2010-2011 survey in Israel enabled simultaneous estimation of the relationship between student- and school-level variables (health promotion policy) to alcohol consumption and smoking behavior. Principals of participating schools also were interviewed to ascertain their degree of adoption and implementation of a health promotion policy. Results: Most of the variance in adolescent risk behaviors is explained by student-level variables: negative perceptions of school, lack of parental support for school issues, and more time spent with friends. Among the school-level policy measures, parental participation in health promotion intervention programs was repeatedly associated with lower rates of risk behaviors, over and above student characteristics. Conclusions: School health promotion policies should focus on parents' involvement in intervention programs and should seek to improve students' perceptions of school and their sense of well-being to promote resilience. Further research is needed to identify additional factors that may increase the effectiveness of school health promotion policies. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01