Current status of regional school health work in Tianjin during 2019-2023
10.16835/j.cnki.1000-9817.2024163
- VernacularTitle:天津市2019—2023年学校卫生工作开展状况
- Author:
JIANG Jianuo, LIU Zhonghui, ZHANG Xianwei, SONG Xinli, ZHANG Yihang, DONG Ziqi, YUAN Wen, DONG Yanhui, CHEN Lu, SONG Yi, MA Jun
1
Author Information
1. School of Public Health/Institute of Child and Adolescent Health, Peking University, Beijing (100191) , China
- Publication Type:Journal Article
- Keywords:
Public health;
Delivery of health care;
Organization and administration;
Student health services
- From:
Chinese Journal of School Health
2024;45(5):620-625
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status and progress of regional school health work to provide policy reference for school health improvement.
Methods:Survey data on school health work in Tianjin from 2019, 2021 and 2023 was used. School health staff allocation and expenditure of the health administrative department, CDC and education department, as well as the annual implementation of health education, prevention and control of common diseases and infectious diseases, sports activities and food nutrition in primary and secondary schools were analyzed. Statistical analysis was conducted using KruskalWallis test, Chisquare test, and Fishers exact test.
Results:The number of school health staff in the health commissions and education departments from 2019, 2021 and 2023 was relatively stable. Parttime staffs were often employed by health commissions while fulltime staffs were mainly employed by education departments. The number of school health staff at CDCs increased gradually (H=12.65, P<0.01). School health expenditure of administrative departments and schools in 2021 and 2023 increased significantly compared with that in 2019 (H=22.28, 23.75, P<0.05). More than 95% of schools set up clinics or health care rooms, and about 97% of schools had school health technicians or health teachers. More than 90% of schools had health education courses over 4 hours per semester. The rate of mental health education increased by year (86.87%, 89.91%, 96.30%, Z=2.40，P<0.05). Lack of courses regarded safety emergency and risk avoidance, growth and development, and adolescent health education. The provision rate of psychological counseling services (89.00%, 97.25%, 100.00%) and psychological problem prevention and control (56.12%, 71.56%, 81.48%) also increased by year (Z=3.83, 3.96, P<0.01). The implementation rates of prevention and control of poor vision, dental caries, overweight and obesity were all higher than 80%, and the prevention and control rate of abnormal spinal curvature showed an increasing trend (38.78%, 77.06%, 72.22%, Z=4.87, P<0.01). More than 90% of schools met the standard for physical education class hours, and the proportion of schools conducting at least 30 minutes of recess physical activities every day increased year by year (65.00%, 80.73%, 85.98%, Z=3.59, P<0.01). All schools did not have shops.
Conclusions:School health work in Tianjin is effective and constantly developing. It is necessary to continue to increase the investment of human resources and expenditure in school health, explore the approaches of cooccurrence and prevention of common diseases, and improve the school sports and nutrition environment.
