厦门市以肥胖为切入点发展健康促进学校项目中期效果评价

MID-TERM EFFECTIVENESS OF THE PROJECT OF DEVELOPING HEALTH PROMOTION SCHOOLS TAKING OBESITY CONTROL AS ENTRY POINT IN XIAMEN CITY

[目的]通过实施以肥胖控制为切入点发展健康促进学校项目,探讨适合我市的预防和控制儿童肥胖的有效措施。[方法]在项目学校严格按照健康促进学校的六大方面要求进行创建活动并有重点地开展肥胖干预,于干预前后按年度对学生、家长、教职工进行问卷调查和肥胖率调查。[结果]项目校学生正确知识、态度、行为持有率显著提高,实施干预活动2年后,肥胖率从28.6%下降到12.4%,与对照校相比差异显著(P﹤0.05)。[结论]学校的创建活动和肥胖干预工作对学生产生了良好的教育和引导作用,同时有效地控制了学生的肥胖率,中国/WHO以肥胖为切入点发展健康促进学校项目非常值得作为一项可持续发展的工作继续推行。

[Objectie] To find out an effective method to prevent and control children obesity for China by estabhshing health promoting school （HPS）.[Methods] Based on the six rules of HPS,student obesity intervention was implemented inthe project schools and the data of questionnaire survey and obesity rate of pupils before and after intervention in the project schools were analysed.[Results] Compared with the contrast schools,the pupils levels of knowledge, attitude and behavior increased statistical differences compared with the control sity rate of pupils declined from 28.6% to 12.4% in project schools. There were statistical differences compared with the control group （P〈0.05）.[Conclusion] The activities of establishing HPS and obesity intervention have good effect on education and guidance for pupils; meanwhile the obesity rate of pupils in the project schools has been controlled well.It is an effective method to prevent and control pupil obesity. The supports from government,society,schools,community ,families and individuals are necessary. The mode Of：developing HPS and taking obesity control as an entry point are worth considering as a long-term work to be carried out.