Effects of School-based Health Promotion Intervention on Health Behaviors Among School Adolescents in North Lima and Callao, Peru

Overview

Journal J Lifestyle Med

Date 2018 Nov 27

PMID 30474002

Citations 6

Authors

Bimala Sharma

Ha Yun Kim

Eun Woo Nam

Affiliations

Soon will be listed here.

Abstract

Background: Multicomponent interventions that include both school and family or community involvements have the potential to cause significant changes in the levels of health in adolescents. To this end, KOICA and Yonsei Global Health Center implemented a school-based health promotion program from 2015 to 2016 in Northern Lima and Callao, Peru. The present study aimed to evaluate the effects of a school-based health promotion intervention on the health behaviors of school adolescents in Peru.

Methods: Health behaviors were measured using a standard self-administered questionnaire before and after the introduction of a school-based health promotion intervention in 2014 and 2016. The intervention was executed in secondary schools, specifically two schools from Lima and two from Callao, from April 2015 to November 2016. Two schools (one from each area) were selected as control schools. The interventions included health education, screening, and psychological counseling of vulnerable individuals as well as education for teachers and workshops with parents.

Results: Descriptive statistics, chi-square test results, and logistic regression values were computed. Sample sizes were 332 and 255 in 2014 and 933 and 599 in 2016 in the intervention and control schools, respectively. Logistic regression analysis revealed significant improvement in the consumption of vegetables and in depression in the intervention schools. Suicide attempts, television-watching, video game use, Internet use, consumption of chips and sugary drinks, and being in fights did not decrease in the intervention group but did increase in the control group. Thus, the intervention might have prevented the worsening of these behaviors in the intervention schools.

Conclusion: The intervention had a positive effect on vegetable consumption and feeling depressed as well as on preventing the increase in sedentary behaviors, fighting, and suicide attempts.

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References

Van Cauwenberghe E, Maes L, Spittaels H, van Lenthe F, Brug J, Oppert J . Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and 'grey' literature. Br J Nutr. 2010; 103(6):781-97. DOI: 10.1017/S0007114509993370. View

Ask A, Hernes S, Aarek I, Johannessen G, Haugen M . Changes in dietary pattern in 15 year old adolescents following a 4 month dietary intervention with school breakfast--a pilot study. Nutr J. 2006; 5:33. PMC: 1713247. DOI: 10.1186/1475-2891-5-33. View

De Bourdeaudhuij I, Van Cauwenberghe E, Spittaels H, Oppert J, Rostami C, Brug J . School-based interventions promoting both physical activity and healthy eating in Europe: a systematic review within the HOPE project. Obes Rev. 2010; 12(3):205-16. DOI: 10.1111/j.1467-789X.2009.00711.x. View

Strong W, Malina R, Blimkie C, Daniels S, Dishman R, Gutin B . Evidence based physical activity for school-age youth. J Pediatr. 2005; 146(6):732-7. DOI: 10.1016/j.jpeds.2005.01.055. View

Strom H, Adolfsen F, Fossum S, Kaiser S, Martinussen M . Effectiveness of school-based preventive interventions on adolescent alcohol use: a meta-analysis of randomized controlled trials. Subst Abuse Treat Prev Policy. 2014; 9:48. PMC: 4274678. DOI: 10.1186/1747-597X-9-48. View

Lima-Serrano M, Lima-Rodriguez J . Impact of school-based health promotion interventions aimed at different behavioral domains: a systematic review. Gac Sanit. 2014; 28(5):411-7. DOI: 10.1016/j.gaceta.2014.05.003. View

Albarracin D, Gillette J, Earl A, Glasman L, Durantini M, Ho M . A test of major assumptions about behavior change: a comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychol Bull. 2005; 131(6):856-97. PMC: 2713787. DOI: 10.1037/0033-2909.131.6.856. View

Kobel S, Wirt T, Schreiber A, Kesztyus D, Kettner S, Erkelenz N . Intervention effects of a school-based health promotion programme on obesity related behavioural outcomes. J Obes. 2014; 2014:476230. PMC: 4190828. DOI: 10.1155/2014/476230. View

Sharma B, Chavez R, Jeong A, Nam E . Television Viewing and Its Association with Sedentary Behaviors, Self-Rated Heath and Academic Performance among Secondary School Students in Peru. Int J Environ Res Public Health. 2017; 14(4). PMC: 5409584. DOI: 10.3390/ijerph14040383. View

10.

Mukoma W, Flisher A . Evaluations of health promoting schools: a review of nine studies. Health Promot Int. 2004; 19(3):357-68. DOI: 10.1093/heapro/dah309. View

11.

Chaput J, Klingenberg L, Astrup A, Sjodin A . Modern sedentary activities promote overconsumption of food in our current obesogenic environment. Obes Rev. 2010; 12(5):e12-20. DOI: 10.1111/j.1467-789X.2010.00772.x. View

12.

van Sluijs E, McMinn A, Griffin S . Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials. BMJ. 2007; 335(7622):703. PMC: 2001088. DOI: 10.1136/bmj.39320.843947.BE. View

13.

Friedrich R, Polet J, Schuch I, Wagner M . Effect of intervention programs in schools to reduce screen time: a meta-analysis. J Pediatr (Rio J). 2014; 90(3):232-41. DOI: 10.1016/j.jped.2014.01.003. View

14.

Singh A, Chin A Paw M, Brug J, van Mechelen W . Dutch obesity intervention in teenagers: effectiveness of a school-based program on body composition and behavior. Arch Pediatr Adolesc Med. 2009; 163(4):309-17. DOI: 10.1001/archpediatrics.2009.2. View

15.

Haerens L, De Bourdeaudhuij I, Maes L, Cardon G, Deforche B . School-based randomized controlled trial of a physical activity intervention among adolescents. J Adolesc Health. 2007; 40(3):258-65. DOI: 10.1016/j.jadohealth.2006.09.028. View

16.

Langford R, Bonell C, Jones H, Pouliou T, Murphy S, Waters E . The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement. Cochrane Database Syst Rev. 2014; (4):CD008958. PMC: 11214127. DOI: 10.1002/14651858.CD008958.pub2. View

17.

James J, Kerr D . Prevention of childhood obesity by reducing soft drinks. Int J Obes (Lond). 2005; 29 Suppl 2:S54-7. DOI: 10.1038/sj.ijo.0803062. View

18.

Kropski J, Keckley P, Jensen G . School-based obesity prevention programs: an evidence-based review. Obesity (Silver Spring). 2008; 16(5):1009-18. DOI: 10.1038/oby.2008.29. View

19.

Sharma B, Nam E, Kim H, Kim J . Factors Associated with Suicidal Ideation and Suicide Attempt among School-Going Urban Adolescents in Peru. Int J Environ Res Public Health. 2015; 12(11):14842-56. PMC: 4661683. DOI: 10.3390/ijerph121114842. View

20.

Silveira J, Taddei J, Guerra P, Nobre M . Effectiveness of school-based nutrition education interventions to prevent and reduce excessive weight gain in children and adolescents: a systematic review. J Pediatr (Rio J). 2011; 87(5):382-92. DOI: 10.2223/JPED.2123. View