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What Impact Does a Coordinated School Health Program Have on Health Behaviors in Rhode Island High School Students?
Society has become increasingly concerned with minimizing health-risk behaviors in young people grades K-12. These risky behaviors contribute to the leading causes of morbidity and mortality, which are often established during childhood and adolescence, extend into adttlthood, and are interrelated and preventable. School health programs can play a unique and important role in the lives of youth by helping improve their health- related knowledge, attitudes and skills through comprehensive coordinated school health education. A high-quality school health program is a coordinated and comprehensive set of courses, services, practices, and policies that meet the health and safety needs of students and school staff in kindergarten through grade 12.
The purpose of this project was to evaluate the impact of Coordinated School Health Program on health behaviors of Rhode Island high school students. This was accomplished by analyzing retrospective health surveillance data (in the areas of tobacco, alcohol use, unhealthy eating, and inadequate physical activity) from the 2009 Youth Risk Behavior Survey (YRBS) and 2008 InformationWorks!, and comparing it to Healthy People 2010 target measure percentiles. The percentage comparisons from each data source and topic area suggested if students at grade levels 9-12 had demonstrated • movement along the continuum to the prospective achievement of HP 2010 target measures.
Results from the RI 2009 YRBS and InformationWorks! survey indicated that many high school students did not demonstrate substantial movement toward target achievement (continue to engage in behaviors that place them at risk for the leading causes of morbidity and mortality). In analyzing the 2009 Youth Risk Behavior Survey and 2008 InformationWorks!, tobacco use met HP 2010 target measures for all ages, and alcohol use met measure for youth under 13 years of age. Clearly, the range of unmet HP 2010 target measures (in alcohol use, unhealthy eating, and inadequate physical activity) may explain why coordinated health programs as envisioned by the model have not become a sustainable reality in many local communities. Research indicates that more effective school health programs and other policy and programmatic interventions are needed to reduce risk and improve health outcomes among youth.
Advanced Practice Nurses (APN) could: lead community driven efforts for multifaceted data compilation that are generated from diverse sources o f data, and useful in determining community health needs, and securing funding for resources (school materials, grass root programs, health clinics, etc...); help implement evidenced based health promotion activities that are geared toward achieving successful outcomes; provide continuing education units for professional development that is specific to health education, and primary prevention (recruit licensed/certified professionals to develop curriculum and teach health education to students); develop health education policies that identify national standardized health curriculum that is age appropriate, culturally relevant, and based on current health risk trends; and APN\u27s should be recognized as experts in health education, scholars in evidenced based best practice, and utilize their expertise in all phases of curriculum development, teaching, and program evaluation
Norfolk: Parking Garage for Waterside Festival Marketplace
The Waterside Festival Marketplace was constructed as part of Norfolk’s postwar revitalization project.T his photograph (circa 1985) shows a parking garage neighboring the marketplace to accommodate shoppers.https://digitalcommons.ric.edu/smolski_images/1559/thumbnail.jp
Triple-Deckers on Eaton St.
First appearing in the 1890s, these three unit apartments began to emerge as a popular dwellings for the growing population. This three-story building consists of three identical living units, with one on each floor. While most were designed for lower-income families, some emerged for middle-income families around Elmwood and the East Side. This housing style dominated inner city neighborhoods of Providence around this time.https://digitalcommons.ric.edu/smolski_images/1179/thumbnail.jp
Nofolk: Scope Arena (Norfolk Scope)
Featuring the world’s largest concrete dome, the Norfolk Scope (derived from kaleidoscope for it’s re-configurability) is a center for sports, entertainment and conventions in downtown Norfolk. It was designed by Italian architect Pier Luigi Nervi who based it on his design for the Palazzetto dello Sport, built Rome for the 1960 Summer Olympics. As part of Norfolk’s postwar, the revitalization, funding for the dome came from the federal government after architects solicited Sen. A Willis Robertson. Of the 23 million came from federal funds.https://digitalcommons.ric.edu/smolski_images/1560/thumbnail.jp
George Washington Monument
A distant view of the Washington Monument from the National Mall, a public national park. The Washington Monument, the most prominent fixture in the D.C. skyline, was completed in 1886.https://digitalcommons.ric.edu/smolski_images/1371/thumbnail.jp
Gloucester- Prospect St. Housing
Gloucester is located on Cape Ann in Massachusetts. Once known at “le beau port” by settlers, Gloucester became one of the ship building capitals of New England in the 18th century. Two major fires -- one in 1830 and one in 1864 -- destroyed many of the buildings along the harbor. Fortunately, many buildings in the historic West End survived, as they were brick and granite structures.
Immigrants from Portugal, particularly the Azores, were drawn to Gloucester in the late 19th century because of its successful fishing industry. Immigrants from Italy, Sweden, Finland, and Ireland were also drawn to Gloucester for the fishing and granite industries, contributing to the city’s rich and vibrant culture.https://digitalcommons.ric.edu/smolski_images/1224/thumbnail.jp
Columbia: Seven Eleven, Retail
Columbia is a planned community that opened in 1967, and it is made of ten self-contained villages. This photograph shows a retail outlet, at least one shop is visible in this photograph, a Seven Eleven convenience store.https://digitalcommons.ric.edu/smolski_images/1529/thumbnail.jp
Radburn: Walkways and Public Parks
Radburn, a planned community inspired by England’s Garden Cities, emphasized common areas, like this walkway and park, and allocated a minimal amount of land to individual homes. While walkways may have had some environmental impact by encouraging residents to walk for local travel, the narrow motor ways in the community have had difficulty accommodating modern families who often own more than one vehicle. This photograph shows a motor way crossing over a walkway.https://digitalcommons.ric.edu/smolski_images/1512/thumbnail.jp
Block Island City Drug Store
The Block Island City Drug Store is located in the Old Harbor District of the island. The majority of the buildings and hotels in this district are painted white with cottage style details, reflecting the seaside resort style prominent in the district, developed in the late nineteenth century.https://digitalcommons.ric.edu/smolski_images/1311/thumbnail.jp
Blackstone Park on Seekonk River- Providence
Blackstone Park, located between Angel St. and the grounds of Butler hospital, lies on land donated to the city by Moses Brown Jenkins in the 1860s. It is some of the hilliest land in Providence, and thus unsuitable for residential development. The park itself is little developed, nevertheless, Blackstone Park draws a steady stream of visitors who enjoy isolation and solitude.https://digitalcommons.ric.edu/smolski_images/1289/thumbnail.jp