ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2022
Local Education Agency Impact on School Environments to Reduce Health Risk Behaviors and Experiences Among High School Students.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Urban-Rural and Demographic Differences in Substance Use Among High School Students - Youth Risk Behavior Survey, United States, 2025.MMWR supplements · 2026Article
- The impact of the Dark Triad personalities and parental interaction patterns in predicting the tendency toward risky behaviors among adolescent girls in Ardabil, Iran in 2024.BMC psychology · 2025Article
- Article
- Disparities in behaviors and experiences among transgender and cisgender high school students - 18 U.S. states, 2021.Annals of epidemiology · 2024Article
- Mental Health of Primary and Secondary School Teachers in the Remote Mountain Areas.Medicina (Kaunas, Lithuania) · 2023Article
- Associations of a Multilevel School Health Program and Health Outcomes Among Lesbian, Gay, and Bisexual Youth.AIDS education and prevention : official publication of the International Society for AIDS Education · 2022Article
- Dosage in Implementation of an Effective School-Based Health Program Impacts Youth Health Risk Behaviors and Experiences.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Intervening at the Right Level to Improve Student Health: An Analysis of Levels of Influence on Sexual Behavior of High School Students.AIDS education and prevention : official publication of the International Society for AIDS Education · 2022Article
- The CDC's Division of Adolescent and School Health Approach to Sexual Health Education in Schools: 3 Decades in Review.The Journal of school health · 2022Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 2 countries.
Funding
Abstract
purposeThe purpose of the study is to assess associations between exposure to a multilevel, socio-ecological health program administered by local education agencies and changes in health behaviors among high school students.
methodsThis analysis used a multilevel difference-in-differences approach to compare student health experiences and outcomes between schools selected by local education agencies nationwide to implement the program (exposed schools) and schools that were not (unexposed schools). We measured repeated cross-sectional outcomes using the 2015 and 2017 Youth Risk Behaviors Surveys. The final analytic sample comprised 638 schools in total (N = 64,838 students), with 237 exposed schools (n = 30,336 students) and 401 unexposed schools (n = 34,502 students).
resultsStudents in exposed schools demonstrated significant reduction in odds compared with those in unexposed schools in ever having sex (adjusted odds ratio [aOR] = .88, 95% confidence interval [CI]: .81-.96), having four or more lifetime sexual partners (aOR = .84, 95% CI: .72-.97), being currently sexually active (aOR = .78, 95% CI: .78-.96), and using effective hormonal birth control (aOR = .7, 95% CI: .56-.88). Exposure to the program was associated with significant reduction in odds of not going to school because of safety concerns (aOR = .87, 95% CI: .78-.97), having experienced forced sex (aOR = .76, 95% CI: .68-.86), ever used marijuana (aOR = .89, 95% CI: .81-.98), and currently using marijuana (aOR = .77, 95% CI: .64-.93).
conclusionsExposure to the program was associated with significant decreases in sexual risk behaviors, experience of violence, and substance use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.