Abstract:
BACKGROUND:School systems are increasingly typified by diversity of provision, parental choice and publication of performance data. Schools shape their students' lifestyles and health, but the effects of 'marketisation' are under-researched. The authors use qualitative data to develop a logic model regarding such effects. METHODS:Case studies in seven English secondary schools, interviews with 103 students and 39 staff. RESULTS:'Parental choice' was associated with dispersal of students' friendship groups on transition to secondary school, reduced social support and emotional harms. 'Choice' meant some schools were regarded as 'dumping grounds' for socially disadvantaged students, creating potentially violent environments where students engaged in risk behaviours such as substance use to facilitate protective bonds with peers. Schools focused strongly on academic attainment, reflecting external pressures from the school inspectorate and performance league tables. Some schools sought to improve their league table position by targeting resources on 'key marginal' students on the threshold of passing five exams, the key metric. Less-academic students commonly became disengaged, engaging in various health risk behaviours as alternative status markers. The exam-focused environment aroused anxiety among high and low attainers, some using substances as self-medication. Schools also de-prioritised health education and sport in this performance-driven context. CONCLUSION:Our logic model aims to guide further research on how marketisation might affect young people health behaviours.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Bonell C,Fletcher A,Sorhaindo A,Wells H,McKee Mdoi
10.1136/jech.2011.137539subject
Has Abstractpub_date
2012-07-01 00:00:00pages
e24issue
7eissn
0143-005Xissn
1470-2738pii
jech.2011.137539journal_volume
66pub_type
杂志文章abstract:BACKGROUND:HIV incidence estimates are crucial in understanding and predicting the HIV/AIDS epidemic and identifying sub-populations and regions most at risk for the epidemic. However, incidence estimation is a challenge due to the nature of the disease and type of data available. This paper aims to present a simple an...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.091959
更新日期:2011-02-01 00:00:00
abstract::It has been claimed that the aggregation of information from several areas of life into a small set of global measures has certain advantages for describing disability. Global measures of disability were constructed from a modified version of an existing health survey instrument and the sickness impact profile (SIP) a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.4.296
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abstract:OBJECTIVE:To assess the short term health effects of improving housing. DESIGN:Randomised to waiting list. SETTING:119 council owned houses in south Devon, UK. PARTICIPANTS:About 480 residents of these houses. INTERVENTION:Upgrading houses (including central heating, ventilation, rewiring, insulation, and re-roofin...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.2006.048462
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Longitudinal data were used to explore relations between teenage pregnancy, sexual behaviour, and family type. The study examined whether students from lone parent and/or teenage mother initiated families more commonly report sex, lack of contraception at first sex, and/or conceptions by age 15/16, and wheth...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.042838
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVE:There is concern about the health of populations living close to nuclear waste reprocessing plants. A comparative study was conducted on reproductive life events in the general population living near the nuclear waste reprocessing plant in Beaumont-Hague, France and a reference area in Brittany. DESIGN, SETT...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.061069
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:A world divided by health inequalities poses ethical challenges for global health. International and national responses to health disparities must be rooted in ethical values about health and its distribution; this is because ethical claims have the power to motivate, delineate principles, duties and respons...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.041947
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Although long working hours have been shown to be associated with the onset of cardiometabolic diseases, the clinical risk factor profile associated with long working hours remains unclear. We compared the clinical risk profile between people who worked long hours and those who reported being never exposed t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210943
更新日期:2019-02-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to test a large set of childhood leukaemia and lymphoma registrations for the presence of short radius spacial clusters. DESIGN:The study was a geographical cluster analysis. SETTING:England, Wales and Scotland. PATIENTS:All registrations for leukaemia and lymphoma between 1966 and 1983 i...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.6.573
更新日期:1992-12-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the impact of changes in psychosocial work environment on subsequent sickness absence. DESIGN:Analysis of questionnaire and sickness absence data collected in three time periods: 1990-1991, before the recession; 1993, worst slump during the recession; and 1993-1997, a period after change...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.54.7.484
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:The Rose Angina Questionnaire (RAQ) was constructed in the 1960s for assessing the population burden of angina. Studies have found that screening positivity by RAQ conferred an elevated risk of coronary heart disease (CHD). It is, however, not clear to what extent Rose angina represents early CHD in relative...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-203642
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Depression is an important contributor to the global burden of disease. Besides several known individual-level factors that contribute to depression, there is a growing recognition that neighbourhood environment can also profoundly affect mental health. This study assessed associations between three neighbou...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209453
更新日期:2018-03-01 00:00:00
abstract::Public health advocacy is the strategic use of news media to advance a public policy initiative, often in the face of opposition. ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.018051
更新日期:2004-05-01 00:00:00
abstract:INTRODUCTION:Integrating research and action represents a goal and key principles of community-based participatory research (CBPR), but there has been little effort to synthesise the literature to evaluate whether such integration is occurring. OBJECTIVES:(1) To examine the extent to which CBPR integrates action to ef...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
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更新日期:2008-08-01 00:00:00
abstract:OBJECTIVES:To investigate associations between measures of neighbourhood social and material environment and self rated health. DESIGN:New contextual measures added to cross sectional study of a sample of people from the Health Survey for England and the Scottish Health Survey to provide multilevel data. PARTICIPANTS...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.016147
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Although physical activity is associated with health-related quality of life (HRQL), the nature of the dose-response relationship remains unclear. OBJECTIVES:To examine the concurrent and prospective dose-response relationships between total physical activity (TPA) and (only) walking with HRQL in two age co...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2011-200850
更新日期:2012-08-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to examine disease concurrence, using diabetes mellitus as an ullustrative example. DESIGN:The study involved a general practice morbidity survey, conducted over 12 months in 1981-82. All patients who consulted their general practitioners with a diagnosis of diabetes mellitus (type 1 or typ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.45.1.73
更新日期:1991-03-01 00:00:00
abstract:STUDY OBJECTIVE:To review the incidence of leukaemia and non-Hodgkin's lymphoma in children and young adults in the area less than 25 km from the Dounreay nuclear installation and the remainder of the Kirkwall postcode area in the full time period for which data are now available (1968-91), and to determine whether the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.48.3.232
更新日期:1994-06-01 00:00:00
abstract::A study of 150 hotel prostitutes in Lagos was undertaken to determine their socioeconomic identity and, through an assessment of their health knowledge, attitude, and practice, their probable impact on public health. The subjects were selected from 15 hotels, representing 20% of the estimated hotel universe in Lagos a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.4.312
更新日期:1980-12-01 00:00:00
abstract::In a study of selenium status in 391 apparently healthy subjects resident in the south of England statistical examination of the data showed a significant effect with regard to age, smoking, alcohol, and oral contraceptives. The most important of these factors seems to be a combination of alcohol and smoking habits in...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.3.213
更新日期:1983-09-01 00:00:00
abstract:STUDY OBJECTIVE:To assess the representativeness of survey participants by systematically comparing volunteers in a national health and sexuality survey with the Australian population in terms of self reported health status (including the SF-36) and a wide range of demographic characteristics. DESIGN:A cross sectional...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.10.748
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:This study investigated the impact of the Healthy Housing Programme in reducing acute hospitalisations in South Auckland, New Zealand. The programme involved house modifications to reduce overcrowding, insulation and ventilation improvements, and health and social service assessments, referrals and linkages....
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.2009.107441
更新日期:2011-07-01 00:00:00
abstract::Records in the obstetric wards and nurseries of 18 hospitals were reviewed and studied epidemiologically, covering about 210,000 deliveries and 1000 cases of neural tube defects (NTD). All live and still births occurred in the period 1970-84. Following the NTD classification used by Koch (1984), our case series consis...
journal_title:Journal of epidemiology and community health
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abstract:BACKGROUND:Most existing studies on maternal employment and childhood overweight/obesity are from the USA. They are predominantly cross-sectional and show a consistent linear association between the two. Less is known about the joint impact of fathers' and mothers' work hours on childhood overweight and obesity. OBJEC...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2020-214401
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:To investigate whether people with more positive attitudes to ageing are biologically younger as defined by leucocyte telomere length, accelerated DNA methylation GrimAge (AgeAccelGrim) and brain-predicted age difference, and whether these biomarkers explain relationships between attitudes to ageing and morta...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech-2019-213462
更新日期:2020-04-01 00:00:00
abstract::Systematic screening of death certificates referable to residents of two health districts covered by a psychiatric case register allows the study of excess mortality in unselected psychiatric patients from a defined area of known population. Deaths among the case register patients exceeded those expected by 80%; the r...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.3.286
更新日期:1988-09-01 00:00:00
abstract:BACKGROUND:Inverse associations between perceived control and cardiovascular disease (CVD) have been reported in studies from Western Europe and the USA. To assess this relationship across different populations, we investigated the association between perceived control and all-cause and CVD mortality in three populatio...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-208992
更新日期:2017-08-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to estimate health and economic consequences of interventions aimed at reducing the daily intake of salt (sodium chloride) by 6 g per person in the Norwegian population. Health promotion (information campaigns), development of new industry food recipes, declaration of salt content in food an...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.54.9.697
更新日期:2000-09-01 00:00:00
abstract:BACKGROUND:In the context of fiscal austerity in many European welfare states, policy innovation often takes the form of 'social investment', a contested set of policies aimed at strengthening labour markets. Social investment policies include employment subsidies, skills training and job-finding services, early childh...
journal_title:Journal of epidemiology and community health
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更新日期:2019-03-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.061739
更新日期:2007-05-01 00:00:00