Document Detail


The contextual effect of school satisfaction on health-risk behaviors in Japanese high school students.
MedLine Citation:
PMID:  21039553     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: The importance of school contextual effects on health and well-being among young people is currently recognized. This study examines the contextual effects of school satisfaction as well as the effects of individual-level school satisfaction on health-risk behaviors in Japanese high school students.
METHODS: Self-administered questionnaires were distributed to 3248 students in grades 10 through 12 at 29 public high schools throughout Okinawa, Japan. Using multilevel logistic regression models, the effects of individual- and contextual-level school satisfactions on health-risk behaviors were analyzed. The contextual-level school satisfaction was defined as satisfaction at the school level and was measured using aggregated individual scores. Behaviors studied included current smoking, current drinking, and sexual activity.
RESULTS: Approximately 15%, 6%, and 5% of the total individual differences in smoking, drinking, and sexual behaviors, respectively, occurred at the school level. Students with lower school satisfaction were more likely to engage in health-risk behaviors compared with those with higher school satisfaction. After adjustment for individual-level school satisfaction and other covariates, the odds of smoking and drinking increased with decreasing contextual-level school satisfaction. However, the association of contextual school satisfaction with sexual activity did not reach statistical significance.
CONCLUSIONS: This study showed that individual- and contextual-level school satisfactions affected smoking and drinking behaviors in Japanese high school students. However, no significant association between contextual-level school satisfaction and sexual activity was observed.
Authors:
Minoru Takakura; Norie Wake; Minoru Kobayashi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of school health     Volume:  80     ISSN:  1746-1561     ISO Abbreviation:  J Sch Health     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376370     Medline TA:  J Sch Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  544-51     Citation Subset:  IM; N    
Copyright Information:
© 2010, American School Health Association.
Affiliation:
Faculty of Medicine, School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan. minoru@med.u-ryukyu.ac.jp
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