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Evaluating the Health Promoting Schools in Iran: Across-Sectional Study Publisher



Sartipizadeh M1 ; Yazdifeyzabadi V2 ; Alipouri Sakha M3, 4 ; Zarrin A5 ; Bazyar M6 ; Zahirian Moghadam T3 ; Zandian H3, 7
Authors
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Authors Affiliations
  1. 1. Department of Family and Schools Health, Deputy of Health, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  3. 3. Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
  4. 4. Department of Health Education and Promotion, Deputy of Health, University of Medical Sciences, Tehran, Iran
  5. 5. School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada
  6. 6. Department of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
  7. 7. Department of Community Medicine and Family, Ardabil University of Medical Sciences, Ardabil, Iran

Source: Health Education Published:2021


Abstract

Purpose: Health-promoting schools have been associated with improvements in the health status of students globally. This study is a secondary analysis study assessing Iranian HPSs. Design/methodology/approach: This was a cross-sectional study on routinely collected data using an external audit 63-item checklist, which was utilized to evaluate 440 HPSs between 2014 and 2017. The mean score for each of the checklists' components was calculated. Nonparametric tests were conducted to investigate the association between the presence of a school caregiver, students' educational level and the school's score. Findings: While the number of five- and four-star schools increased significantly, one- to three-star schools declined. Providing clinical and counseling services had negative growth. Despite the steady growth of the staff's health, this category still had the lowest score among; on the contrary, physical activity had the highest score in 2017. The presence of a full-time school caregiver and middle schools were both significantly correlated with achieving higher scores (p < 0.005). Originality/value: It seems that in addition to developing school facilities to promote physical activities, measures should be taken to promote access to counseling services, considering health issues of students and staff and finally increasing the number of full-time school caregiver © 2020, Emerald Publishing Limited.