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Health Education Research - current issue

Advancing the science and practice of school-based health promotion
Allegrante, J. P. Fri, 14 Nov 2008 00:00:00 -0000

Can schools promote the health of children with asthma?
McWhirter, J., McCann, D., Coleman, H., Calvert, M., Warner, J. Fri, 14 Nov 2008 00:00:00 -0000
This report describes the evaluation of a whole-school intervention to improve morbidity and psychosocial well-being in pupils with asthma. In all, 193 children with asthma (7–9 years) from 23 primary/junior schools in the south of England participated. Schools (n = 12) randomly assigned to the intervention group (IV) received a staff asthma training session, advice on asthma policy and practice and an emergency β2-agonist inhaler with spacer. Pupils participated in an asthma lesson. Staff and pupils in non-intervention (NI) schools (n = 11) received no asthma-oriented input. While wheeze reports improved for all children with asthma, only the IV group showed lower requirement for medication (P = 0.01), clinically significant improvement (P < 0.05) in activity related quality of life (QOL) and increased self-esteem (SE: social P = 0.01; athletic P = 0.05; behaviour P = 0.001) in girls. SE decreased for NI girls but there was no change for non-asthmatic peers in NI or IV schools which had similar baseline levels of SE and QOL. There was a marginal improvement in the establishment of asthma policies/practices and no change in school absence or staff knowledge. The significantly increased peer group understanding of asthma seen in the intervention schools may have mediated increased well-being in the IV group. Primary schools are a potentially important context for improving asthma morbidity and psychosocial well-being of children with asthma.
Social and emotional training in Swedish schools for the promotion of mental health: an effectiveness study of 5 years of intervention
Kimber, B., Sandell, R., Bremberg, S. Fri, 14 Nov 2008 00:00:00 -0000
The school is an obvious arena for interventions designed to promote mental health among children. A set of educational techniques named social and emotional learning, which focuses on students' self-control, social competence, empathy, motivation and self-awareness, has shown promising results in the United States. This is a study of the application of a similar method in Sweden (referred to as social and emotional training) for school years 2000/2001 through to 2004/2005. It is an effectiveness rather than an efficacy study, largely administered by school personnel, which relates duration of the training (1–5 years) to a set of outcomes previously found to be associated with mental health. Positive and significant effects were found on five of seven variables: internalizing problems, externalizing problems, mastery (reflecting self-efficacy or hopelessness), self-image and self-esteem and contentment in school. Effect sizes were medium. Somewhat surprisingly, no relationship was found between the intervention and the promotion of social skills. Nor was there any detectable long-term impact on bullying. Controlling for student gender did not moderate any of the effects.

Public Health News From Medical News Today

President-Elect Obama Likely To Pick CBO Director Orszag As Director Of U.S. Office Of Management And Budget
Thu, 20 Nov 2008 12:00:00 -0800
President-elect Barack Obama reportedly plans to name Congressional Budget Office Director Peter Orszag as director of the White House Office of Management and Budget, the AP/Miami Herald reports (Taylor, AP/Miami Herald, 11/19).
Sen. Kennedy Taps Senators To Lead Various Working Groups Aimed At Improving U.S. Health Care
Thu, 20 Nov 2008 10:00:00 -0800
Senate Health, Education, Labor and Pensions Committee Chair Edward Kennedy (D-Mass.) on Tuesday named committee members to lead three working groups that will target specific aspects of the health care system in writing overhaul legislation, including Sen. Hillary Rodham Clinton (D-N.Y.) as head of the group on insurance coverage, the Washington Post's "
Misconceptions Continue To Contribute To Discrimination Against HIV-Positive People In China, UNAIDS Official Says
Thu, 20 Nov 2008 10:00:00 -0800
People living with HIV/AIDS in China continue to experience discrimination based on public misconceptions of the disease, Bernhard Schwartlander, UNAIDS China country coordinator, said on Tuesday, Xinhuanet reports.

Public Health News Headlines from Johns Hopkins

Grandparents a Safe Source of Childcare
paffairs@jhsph.edu (Office of Communications) Mon, 03 Nov 2008 12:00:00 -0500
For working parents, having grandparents as caregivers can cut the risk of childhood injury roughly in half, according to a new study by researchers from the Johns Hopkins Bloomberg School of Public Health. Compared to organized daycare or care by the mother or other relatives, having a grandmother watch a child was associated with a decreased risk of injury for the child. The study is among the first to examine the relationship between grandparents? care and childhood injury rates.
"Guided Care" Receives Award for Program Innovation
paffairs@jhsph.edu (Office of Communications) Thu, 30 Oct 2008 13:30:00 -0500
Guided Care, a new model of comprehensive health care for people with multiple chronic conditions, has received the 2008 Archstone Foundation Award for Excellence in Program Innovation. The award is given annually by the Archstone Foundation and the Gerontological Health Section of the American Public Health Association (APHA). Guided Care was developed by members of the faculties of the Johns Hopkins University?s schools of Public Health, Medicine and Nursing.
U.S. Suicide Rate Increases
paffairs@jhsph.edu (Office of Communications) Tue, 21 Oct 2008 17:00:00 -0500
The rate of suicide in the United States is increased for the first time in a decade, according to a new report from the Johns Hopkins Bloomberg School of Public Health?s Center for Injury Research and Policy. The increase in the overall suicide rate between 1999 and 2005 was due primarily to an increase in suicides among whites aged 40-64, with white middle-aged women experiencing the largest annual increase. Whereas the overall suicide rate rose 0.7 percent during this time period, the rate among middle-aged white men rose 2.7 percent annually and 3.9 percent among middle-aged women. By contrast, suicide in blacks decreased significantly over the study?s time period, and remained stable among Asian and Native Americans. The results are published online at the website of the American Journal of Preventive Medicine and will be published in the December print edition of the journal.

 
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