Background: Comprehensive sexual health education (SHE) reduces risky sexual behavior and increases protective behavior in adolescents. It is important to understand how professionals responsible for implementing SHE policy interpret state and local policy and what influences their commitment to formal SHE policy implementation. Methods: This…

Background: Despite the federal initiatives on equitable provision of school nutrition programs, geographic disparity in childhood obesity persists. It may be partly because built-in school nutrition environments rely on each school's efficient use of existing operational funds or its ability to obtain expanded financial support. This study…

Background: The Healthy, Hunger-Free Kids Act of 2010 (HHKA) required schools to make changes to meals provided to children. Rural school districts have limited resources, with increased obesity rates and local food insecurity. In this study we sought to understand the perceptions of rural food service directors and the barriers to implementing…

This study examined factors associated with tobacco-free policies and tobacco cessation in schools serving children in grades 6 to 12 in a tobacco-growing state using a cross-sectional telephone survey of school administrators from public and private middle and high schools (N = 691), representing 117 of the 120 Kentucky counties. Trained health…

Background: The School Health Policies and Programs Study (SHPPS) 2006 is the largest, most comprehensive assessment of school health programs in the United States ever conducted. Methods: The Centers for Disease Control and Prevention conducts SHPPS every 6 years. In 2006, computer-assisted telephone interviews or self-administered mail…

Background: US schools employ an estimated 6.7 million workers and are thus an ideal setting for employee wellness programs. This article describes the characteristics of school employee wellness programs in the United States, including state-, district-, and school-level policies and programs. Methods: The Centers for Disease Control and…

Background: Family and community involvement in schools is linked strongly to improvements in the academic achievement of students, better school attendance, and improved school programs and quality. Method: The Centers for Disease Control and Prevention conducts the School Health Policies and Programs Study every 6 years. In 2006,…

National guidelines define asthma control as the prevention of asthma symptoms rather than the treatment of asthma exacerbations. We hypothesized that we would find a discrepancy between what parents consider adequate control compared to what health care professionals mean by "control." Data from a telephone survey conducted for the…

Telephone survey of urban school-based health programs nationwide examined current programs, obstacles, and approaches for addressing students' needs. City size affected the amount of services provided overall; a clear relationship existed between number of providers employed and number/amount of screening services available. (SM)

Reports a national telephone survey that measured public support for seven proposals to restrict youth access to tobacco products. Nearly all respondents believed child and adolescent smoking was a serious problem. Most supported all proposed measures to restrict children's access to tobacco and to increase the cigarette excise tax. (Author/SM)

Telephone interviews with agencies in the 50 states and the District of Columbia revealed that 9 states mandated nutrition education and 21 required nutrition information within certain courses. In-service teacher training received state level attention in most states. Most curricular materials focused on grades K-6. (SM)