Health Promotion International, Vol 12, 43-60, Copyright © 1997 by Oxford University Press
M Lynagh, M Schofield and R Sanson-Fisher
Schools have a great influence on the health status of young people and
health education programs have existed in schools for many years. A lack of
evidence for positive long-term impact of these programs has led to the
development of a new approach to school based health promotion-Health
Promoting Schools. This is a comprehensive whole-school approach which
incorporates the principles of the Ottawa Charter and has attracted a great
degree of interest and commitment at international, national and state
levels. However, it is not clear whether or how this approach is being
adopted and implemented at the school level and what the current state of
research in the field is. This paper reviews the current state of research
and the nature of past and present school health promotion programs
targeting three health risk behaviours-smoking, alcohol consumption and
skin protection. A series of computer database searches were conducted for
January 1983 to March 1995, identifying 600 relevant citations. These were,
firstly, classified into types of publications using the framework of the
Staged Approach, the majority of publications focusing on descriptive
research of smoking and alcohol use. Secondly, those articles classified as
intervention trials were examined for incorporation of the principles of
the Health Promoting Schools concept. Most programs utilised only a
curriculum/social skills approach. No programs were identified which had
attempted to complement and evaluate the Health Promoting Schools approach
in its entirety for any of the three health risk behaviours. Given the
increasing interest and investment in the approach, this review highlights
a need for well-designed intervention trials which implement and evaluate
the Health Promoting Schools approach.Keywords:
alcohol; school health promotion; smoking; solar protection
ARTICLES
School health promotion programs over the past decade: a review of the smoking, alcohol and solar protection literature
Faculty of Medicine and Health Sciences, The University of Newcastle, NSW 2308, Australia; Hunter Centre for Health Advancement, NSW 2287, Australia
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