Promoting social inclusion in schools: a group-randomized trial of effects on student health risk behavior and well-being.

Abstract:

OBJECTIVES:We sought to test the efficacy of an intervention that was designed to promote social inclusion and commitment to education, in reducing among students health risk behaviors and improving emotional well-being. METHODS:The design was a cluster-randomized trial in 25 secondary schools in Victoria, Australia. The subjects were 8th-grade students (aged 13 to 14 y) in 1997 (n=2545) and subsequent 8th-grade students in 1999 (n=2586) and 2001 (n=2463). The main outcomes were recent substance use, antisocial behavior, initiation of sexual intercourse, and depressive symptoms. RESULTS:At 4-year follow-up, the prevalence of marked health risk behaviors was approximately 20% in schools in the comparison group and 15% in schools in the intervention group, an overall reduction of 25%. In ordinal logistic regression models a protective effect of intervention was found for a composite measure of health risk behaviors in unadjusted models (odds ratio [OR]= 0.69; 95% confidence interval [CI]= 0.50, 0.95) and adjusted models (OR= 0.71; CI =0.52, 0.97) for potential confounders. There was no evidence of a reduction in depressive symptoms. CONCLUSION:The study provides support for prevention strategies in schools that move beyond health education to promoting positive social environments.

journal_name

Am J Public Health

authors

Patton GC,Bond L,Carlin JB,Thomas L,Butler H,Glover S,Catalano R,Bowes G

doi

10.2105/AJPH.2004.047399

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

1582-7

issue

9

eissn

0090-0036

issn

1541-0048

pii

AJPH.2004.047399

journal_volume

96

pub_type

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