Health promotion in school environment in Brazil

作者：Horta Rogerio Lessa^*; Andersen Cristine Scattolin; Pinto Raquel Oliveira; Horta Bernardo Lessa; Oliveira Campos Maryane; Ratzsch de Andreazzi Marco Antonio; Malta Deborah Carvalho

来源：Revista de Saude Publica, 2017, 51(0): 27.

DOI：10.1590/S1518-8787.2017051006709

• Adolescent
• School Health
• Health Promotion
• Socioeconomic Factors
• Health Inequalities
• Social Inequity

OBJECTIVE: Evaluate the school environments to which ninth-year students are exposed in Brazil and in the five regions of the country according to health promotion guidelines.
METHODS: Cross-sectional study from 2012, with a representative sample of Brazil and its macroregions. We interviewed ninth-year schoolchildren and managers of public and private schools. We proposed a score of health promotion in the school environment (EPSAE) and estimated the distribution of school members according to this score. Crude and adjusted odds ratios (OR) were used, by ordinal regression, to determine the schoolchildren and schools with higher scores, according to the independent variables.
RESULTS: A student is more likely to attend a school with a higher EPSAE in the South (OR = 2.80; 95% CI 2.67-2.93) if the school is private (OR = 4.52; 95% CI 4.25-4.81) and located in a state capital, as well as if the student is 15 years of age or older, has a paid job, or has parents with higher education.
CONCLUSIONS: The inequalities among the country's regions and schools are significant, demonstrating the need for resources and actions that promote greater equity.

• 出版日期2017