Implementation of Local Wellness Policies in Schools: Role of School Systems, School Health Councils, and Health Disparities

Autor/inn/en	Hager, Erin R.; Rubio, Diana S.; Eidel, G. Stewart; Penniston, Erin S.; Lopes, Megan; Saksvig, Brit I.; Fox, Renee E.; Black, Maureen M.
Titel	Implementation of Local Wellness Policies in Schools: Role of School Systems, School Health Councils, and Health Disparities
Quelle	In: Journal of School Health, 86 (2016) 10, S.742-750 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12430
Schlagwörter	Wellness; African Americans; Hispanic Americans; Online Surveys; School Policy; School Health Services; Minority Group Students; Regression (Statistics); Racial Composition; Low Income Groups; Enrollment + Suchen Sie Ihr Suchwort? Well being; Well-being; Wohlbefinden; Afroamerikaner; Hispanic; Hispanoamerikaner; Schulpolitik; Schuleingangsuntersuchung; Regression; Regressionsanalyse; Einschulung
Abstract	Background: Written local wellness policies (LWPs) are mandated in school systems to enhance opportunities for healthy eating/activity. LWP effectiveness relies on school-level implementation. We examined factors associated with school-level LWP implementation. Hypothesized associations included system support for school-level implementation and having a school-level wellness team/school health council (SHC), with stronger associations among schools without disparity enrollment (majority African-American/Hispanic or low-income students). Methods: Online surveys were administered: 24 systems (support), 1349 schools (LWP implementation, perceived system support, SHC). The state provided school demographics. Analyses included multilevel multinomial logistic regression. Results: Response rates were 100% (systems)/55.2% (schools). Among schools, 44.0% had SHCs, 22.6% majority (=75%) African-American/Hispanic students, and 25.5% majority (=75%) low-income (receiving free/reduced-price meals). LWP implementation (17-items) categorized as none = 36.3%, low (1-5 items) = 36.3%, high (6+ items) = 27.4%. In adjusted models, greater likelihood of LWP implementation was observed among schools with perceived system support (high versus none relative risk ratio, RRR = 1.63, CI: 1.49, 1.78; low versus none RRR = 1.26, CI: 1.18, 1.36) and SHCs (high versus none RRR = 6.8, CI: 4.07, 11.37; low versus none RRR = 2.24, CI: 1.48, 3.39). Disparity enrollment did not moderate associations (p > 0.05). Conclusions: Schools with perceived system support and SHCs had greater likelihood of LWP implementation, with no moderating effect of disparity enrollment. SHCs/support may overcome LWP implementation obstacles related to disparities. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01