School demands and subjective health complaints among Swedish schoolchildren: A multilevel study
School demands and subjective health complaints among Swedish schoolchildren: A multilevel study
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DOI：
10.1177/1403494810364683
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发表时间：
2010-06-01
影响因子：
3.4
通讯作者：
Sellstrom, Eva
中科院分区：
文献类型：
--
作者：
Eriksson, Ulrika;Sellstrom, Eva
目的：由于孩子们在学校度过了大量的时间，教室里的气氛可以构成一种资源，但也是学生健康发展的风险因素。本研究的目的是确定在多大程度上在课堂上的需求与主观健康投诉在瑞典学童。研究方法：从2001/2002年和2005/2006年瑞典跨国学龄儿童健康行为（HBSC）调查的数据进行了分析，采用多层次逻辑回归技术。结果：研究表明，学校班级之间的学生的主观健康投诉有很大的差异。在高要求的学校班级中，主观健康投诉的几率比低要求的学校班级高出约50%。此外，结果表明，这些影响是由性别介导的，因此女孩更容易受到学校班级高水平要求的影响。结论：研究结果是重要的，因为他们指出，教师在创造一个有利的学校氛围中发挥的关键作用。因此，旨在支持教师设定现实要求和期望的干预措施是改善学校氛围的一种方式。这种干预措施还应明确指出，需要考虑到学校班级效应受性别影响的事实，即女孩更容易受到学校班级高水平要求的影响。
Objectives: As children spend a great deal of their time in school, the climate in the classroom can constitute a resource, but also a risk factor in the development of the pupils' health. The aim of the present study was to determine the extent to which demands in the classroom are associated with subjective health complaints in Swedish schoolchildren. Methods: Data from the 2001/2002 and 2005/2006 Swedish cross-national Health Behaviour in School-aged Children (HBSC) survey were analysed using a multilevel logistic regression technique. Results: The study demonstrated a substantial variation between school classes in pupils' subjective health complaints. In school classes with high demands, the odds of having subjective health complaints was about 50% higher than in school classes with low demands. Further, the results indicated that these effects were mediated by sex so as to girls being more affected by high levels of demands in the school class. Conclusions: The findings are important since they point at the crucial role that teachers play in creating a favourable school climate. Therefore interventions aiming at supporting teachers to set realistic demands and expectations are one way to improve the school climate. Such interventions should also make clear the need to take into consideration the fact that the school class effect was mediated by sex, i.e. girls being more vulnerable to high level of school class demands.