School Contexts as Social Determinants of Child Health: Current Practices and Implications for Future Public Health Practice

Huang, Keng Yen; Cheng, Sheue-yann; Theise, Rachelle

doi:10.1177/00333549131286s304

Cited by 86 publications

(43 citation statements)

References 44 publications

(64 reference statements)

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“…Children spend a considerable amount of time at school . Fifty percent of a child's waking time is spent in school, which is a unique social entity that can configure children's health attitudes and behaviours and eventually shape their health outcomes . Studies point out that the health outcomes of children with high genetic susceptibility to specific health conditions could be improved if surrounded by a healthy protective environment .…”

Section: Discussionmentioning

confidence: 99%

Late bedtime and dental caries incidence in Kuwaiti children: A longitudinal multilevel analysis

Alqaderi

Tavares

Al-Mulla

et al. 2020

Comm Dent Oral Epid

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Objective: Inadequate sleep contributes to several adverse systemic health outcomes due to hormonal and metabolic disorders. The purpose of this study was to determine the effect of bedtime on the development of dental caries and the relationship with salivary ghrelin and leptin in a prospective cohort study of Kuwaiti children.Methods: Data were collected from 5456 10-year-old children in 2012 and repeated in 2014. We selected children from 138 middle schools representing the six governorates of Kuwait. We derived data from oral examinations, self-reported sleep interviews, body and weight measurements, and chemical analysis of whole saliva samples.Leptin and ghrelin were determined by salivary assay in a subset of 744. Two separate analyses were performed. a) Using the entire longitudinal data set (n = 5456), multilevel random intercept analysis was conducted to assess the relationship between reported bedtime and dental caries. b) Using data from a subset of the original sample (n = 744), multiple linear regression analysis was conducted to determine the relationship between dental caries and salivary ghrelin and leptin. The outcome variable was the development of dental caries in children. The independent explanatory variables and confounders were bedtime, sleep duration, salivary ghrelin and leptin; confounders assessed were gingivitis, sex, age and governorate (school location). Results:With every additional hour past 8 pm for bedtime, there was a 20% increase in dental caries incidence over two years (B = 0.2, P = .01), adjusting for age, gender, gingivitis and governorate. There was a significant difference in the magnitude of dental caries between the six governorates of Kuwait. Lower levels of salivary leptin and higher levels of salivary ghrelin were associated with increased dental caries, and sleep duration was an effect modifier that negatively affected the relationship between leptin and dental caries (B = −0.09, P < .05) and positively affects the relationship between ghrelin and dental caries (B = 0.07, P < .05). Additionally, there was a significant clustering effect within schools in this cohort. Conclusion:In a cohort study of Kuwaiti children, late bedtime was associated with increased dental caries incidence. Additionally, dental caries experience increased with higher levels of salivary ghrelin and lower levels of salivary leptin, and sleep duration mediates the relationship between these two biomarkers and dental caries. |

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Section: Discussionmentioning

confidence: 99%

Late bedtime and dental caries incidence in Kuwaiti children: A longitudinal multilevel analysis

Alqaderi

Tavares

Al-Mulla

et al. 2020

Comm Dent Oral Epid

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“…To maximize reach to children, one strategy is to provide EBIs in schools (Huang, Cheng, & Theise, 2013). This approach has been found to be effective in addressing health problems (e.g., HIV/AIDS) in SSA countries (Kinsman et al, 2001; Sherman & Muehlhoff, 2007).…”

Section: Introductionmentioning

confidence: 99%

Transportability of an Evidence-Based Early Childhood Intervention in a Low-Income African Country: Results of a Cluster Randomized Controlled Study

et al. 2017

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Children in Sub-Saharan Africa (SSA) are burdened by significant unmet mental health needs. Despite the successes of numerous school-based interventions for promoting child mental health, most evidence-based interventions (EBIs) are not available in SSA. This study investigated the implementation quality and effectiveness of one component of an EBI from a developed country (United States) to a SSA country (Uganda). The EBI component, Professional Development, was provided by trained Ugandan mental health workers to Ugandan primary school teachers. It included large group experiential training and small group coaching to introduce and support a range of evidence-based practices (EBPs) to create nurturing and predictable classroom experiences. The study was guided by the Consolidated Framework for Implementation Research, the Teacher Training Implementation Model and the RE-AIM evaluation framework. Effectiveness outcomes were studied using a cluster randomized design, in which 10 schools were randomized to intervention and wait-list control conditions. A total of 79 early childhood teachers participated. Teacher knowledge and use of evidence-based practices (EBPs) were assessed at baseline and immediately post-intervention (4–5 months later). A sample of 154 parents was randomly selected to report on child behavior at baseline and post-intervention. Linear mixed effect modeling was applied to examine effectiveness outcomes. Findings support the feasibility of training Ugandan mental health professionals to provide Professional Development for Ugandan teachers. Professional Development was delivered with high levels of fidelity and resulted in improved teacher EBP knowledge and use of EBPs in the classroom, and child social competence.

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“…The authors present a range of research, practice, and policy recommendations for addressing SDH in a school context. 18 …”

Section: Research Research Translation and Sdhmentioning

confidence: 99%

From Theory to Action: Applying Social Determinants of Health to Public Health Practice

Dean¹,

Williams²,

Fenton³

2013

Public Health Rep

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School Contexts as Social Determinants of Child Health: Current Practices and Implications for Future Public Health Practice

Cited by 86 publications

References 44 publications

Late bedtime and dental caries incidence in Kuwaiti children: A longitudinal multilevel analysis

Late bedtime and dental caries incidence in Kuwaiti children: A longitudinal multilevel analysis

Transportability of an Evidence-Based Early Childhood Intervention in a Low-Income African Country: Results of a Cluster Randomized Controlled Study

From Theory to Action: Applying Social Determinants of Health to Public Health Practice

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