ArticleBMC public health2023
Enhancing the effectiveness of infectious disease health education for children and adolescents in China: a national multicenter school-based trial.
Article in BMC public health, 2023. 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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9 citing papers in PubMed, 20 citations in OpenAlex.
- Methodology for measuring behavior change dictates the perceived effectiveness of school-based WASH interventions.Frontiers in public health · 2026Trial
- Empowering youth: a school-based digital awareness campaign for sustainable Nipah virus prevention in Bangladesh.IJID regions · 2026Article
- Trachoma prevention practice and associated factors among mothers having children aged 1-9 years in Debre Markos Town, Northwestern Ethiopia, 2024.Scientific reports · 2026Article
- Long-term epidemiological patterns of pediatric infectious diseases in an urban district of Shanghai, 2015-2023.Frontiers in pediatrics · 2026Article
- Multimodal interprofessional education vs. digital learning: enhancing Mpox preparedness in Saudi nursing students.Frontiers in medicine · 2026Article
- Developing a new prevention model for pediatric respiratory infection.Scientific reports · 2025Article
- Analysis and comparison of chickenpox outbreaks in two schools at different educational stages: a mixed retrospective observational study.BMC infectious diseases · 2025Observational
- A Cross-Sectional Study Assessing Antibiotic Resistance Awareness Among University Students in Samborondón, Greater Guayaquil, Ecuador.Antibiotics (Basel, Switzerland) · 2025Article
- Improving knowledge, attitude and practice on norovirus infection diarrhea among staff of kindergartens and schools: a before-after study.BMC public health · 2024Article
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Authors and funding
12 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInfectious diseases pose a significant risk to the health and well-being of children and adolescents, and can even be life-threatening. Thus, our study aimed to explore the effectiveness of health education based on the social-ecological model in improving the knowledge of infectious diseases among this vulnerable population.
methodsThis study was a school-based intervention conducted in seven Chinese provinces in 2013, involving a total of 26,591 children and adolescents in the intervention group and 24,327 in the control group. The intervention group received a comprehensive health intervention based on the social-ecological model (SEM) over six months, which included a supportive environment, health education on infectious diseases, guidance on self-monitoring infectious disease-related behaviors, and other measures. Data on infectious disease-related knowledge and other characteristics were collected through questionnaires. The main outcome measure will be the difference in the effectiveness of health education regarding infectious diseases in children and adolescents between baseline and post-intervention. A mixed-effects regression model was used to calculate the odds ratio (OR) and 95% confidence interval (95% CI) to assess the impact of infectious disease-related interventions on the participants.
resultsWe utilized a socioecological model as the foundation for a six-month health education program on infectious diseases targeting children and adolescents in the intervention group. At the individual and community levels, the correct rate of health behavior related to infectious diseases in the intervention group was higher than that in the control group (P < 0.05), the ORs (95% CI) were 0.94 (0.90-0.99) and 0.94 (0.89-0.99), respectively. But the intervention effect was not significant at the interpersonal level. The intervention effect at the organizational level was obvious, with an increase in opportunities for children and adolescents to acquire knowledge of infectious diseases from courses and lectures, teachers, and doctors, (all P < 0.05), with the ORs (95% CI) of 0.92 (0.87-0.97) and 0.86 (0.83-0.94), respectively. However, there was no significant difference between the intervention group and the control group in school infectious disease health education policy.
conclusionEnhancing health education regarding infectious diseases is crucial in promoting comprehensive prevention and control measures among children and adolescents. Nevertheless, it remains imperative to reinforce health education on infectious diseases at the interpersonal and policy levels. This holds significant reference value for mitigating childhood infectious diseases in the post-COVID-19 era.
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