Reliability and validity of the hidden hunger assessment scale in China-revised for high school students

Objective:Hidden hunger remains a severe public health problem that affects millions of people worldwide.In China,challenges related to dietary imbalance and hidden hunger persist.Micronutrient inadequacy deserves more attention among adolescents,given its vital role in their growth and development;however,this problem appears to have been largely ignored.High school students,in particular,are often at a high risk of hidden hunger but have limited assessment tools available.Therefore,this study aims to revise the hidden hunger assessment scale for high school students(HHAS-HSS)in China and assess its reliability and validity.Methods:Based on a literature review,expert consultation,pre-experiment,and formal survey,a hidden hunger assessment scale was revised for high school students.The formal survey involved 9336 high school students in 11 of the 16 cities in Anhui Province,China,and 9038 valid questionnaires were collected and included in the analysis.The item analysis,internal consistency reliability,test-retest reliability,content validity,exploratory factor analysis,and confirmatory factor analysis of the HHAS-HSS were examined.Results:The HHAS-HSS included a total of 4 dimensions and 12 items:"vegetables and food diversity"(three items),"fruits and dairy products"(three items),"micronutrient-dense foods"(four items),and"health condition and eating habits"(two items).The results showed a Cronbach's alpha of 0.758,a split-half reliability of 0.829,and a test-retest reliability of o.793,indicating good internal consistency.Using the Bartlett's test and Kaiser-Meyer-Olkin test(KMO)to test the exploratory factor analysis presented a four-factor model of the HHAS-HSS,the KMO0 value was 0.820(P<0.001),which indicated the possibility for factor confirmatory factor analysis.Using the maximum variance rotation method,four factors were obtained,and the cumulative variance explained rate was 57.974%.Confirmatory factor analysis also supported the division of the scale into four dimensions,and the fitting indices were x^(2)=1417.656,x^(2)/df=29.534,goodness-of-fit index=0.974,adjusted goodnessof-fit index=0.958,parsimonious goodness-of-fit index=0.600,normed fit index=0.938,incremental fit index=0.940,Tucker-Lewis index=0.917,comparative fit index=0.939,and root mean square error of approximation=0.056.Except for x^(2)/df,all the indices reached the fitting standard,and the above results showed that the construct validity of the scale reached an acceptable level.Conclusions:The HHAS-HSS has good validity and reliability for Chinese high school students.It is a convenient self-report measure of hidden hunger risk.

Family Environment Factors to Impact on the Effect of the Smoking Prevention Educational Program for Elementary and Junior High School Students

Smoking is a major health problem in many countries. It has been reported on the effects of education on youth with a reduced smoking rate and developed awareness of avoiding smoking verified as a result of educational intervention. The aim of this study was to verify the relationship between sex, school age, and family smoking and the effectiveness of smoking prevention education program (SPEP) as factors that impact the effectiveness of SPEP in elementary school and junior high school students. The participants in this survey were 6676 students, who attended elementary and junior high schools in Tokushima Prefecture between 2011 and 2015, and attended the SPEP. As factors that influence the effectiveness of the SPEP, we examined school types, sex, smokers in the family. Participants were asked the following questions before and after the SPEP to measure awareness of and attitudes toward smoking: “intention not to smoke cigarettes as adults”, “intention to refuse cigarettes when offered”, “attitude of staying away from smokers”, and “desire that their family will not smoke”. The number of survey collected was 6676, with effective responses from 5974 (90%). Among the 5974, there were 2963 (50%) males and 3011 (50%) females, 5106 elementary school students (86%), and 868 junior high school students (15%). In the case of smoker mother, it was difficult to improve these children’s “intention not to smoke as adults”, “intention to refuse cigarettes when offered”, and smoker father, it was difficult to improve these children’s “attitude of staying away from smokers”, and “desire that their family will not smoke”. Especially, in the case of smoker parents, it was particularly difficult for the SPEP to be effective in improving awareness of and attitudes toward smoking among elementary and junior high school students.

Eating Habits of High School Students in the District of Bamako in the Context of Nutritional Transition

Introduction: Eating habits are consolidated in early childhood and continue throughout life. Adolescence is a stage of rapid growth linked to puberty affected by the nutritional transition. This study aimed to evaluate the eating habits of high school students in the district of Bamako. Methodology: The cross-sectional, descriptive study was conducted from June 15 to July 4, 2023. The sample size was calculated with the StatCalc program of the Epi 7.2 software. Data was collected using a questionnaire on KoboCollect. Analyses were performed using SPSS 26 software. Results: A total of 2400 high school students were surveyed. The average age of high school students was 16.9 years ± 1.4. The median age was 17, with extremes of 14 and 19. Of the high school students, 53.3% were boys. The sex ratio (M/F) was 1.14. About 89.4% of high school students had a Smartphone. Among high school students, 51.1% did not engage in physical activity outside of high school. Rice was the cereal most consumed by high school students (99.2%). Consumption of fish and seafood was very low (25.5%). Soft drinks were consumed on average 4.2 days/week. In addition, 60.8% of high school students consumed energy drinks. Certain eating behaviors were found in this study, such as nibbling (38.5%), eating in front of screens (79.0%), and skipping meals (46.1%). Conclusion: The most consumed cereal by high school students was rice. The consumption of ultra-processed products and sedentary leisure are habits to be monitored in the context of the prevention of food-related non-communicable diseases among high school students in the district of Bamako.

Effects of sports on school adaptability, resilience and cell phone addiction tendency of high school students

BACKGROUND Sport help promote healthy physical and mental development of high school students.To date,there have been few studies on the effect of sport on school adaptability,resilience and cell phone addiction tendency of high school students.AIM To explore the effects of sports on school adaptability,resilience and cell phone addiction of high school students.METHODS A stratified random sampling method was used to select 600 students from two high schools in Lhasa,and Physical Activity Rating Scale,School Adjustment Scale for High School Students,Chinese Adolescents Resilience Scale,and Mobile Phone Addiction Index were used for field questionnaire survey.RESULTS Sport was positively correlated with school adaptability and resilience(P<0.01),school adaptability was positively correlated with resilience(P<0.01)and cell phone addiction was negatively correlated with sports,school adaptability and resilience(P<0.01).The direct effect of sport on cell phone addiction was significant(P<0.001),accounting for 20.51%of the total effect.The mediating effect of school adaptability on sport and cell phone addiction was significant(P<0.001),accounting for 17.38%and 35.36%of the total effect value,respectively.School adjustment and resilience had a significant chain-mediated effect on sport and cell phone addiction(P<0.001),accounting for 26.75%of the total effect.CONCLUSION Sport affected the cell phone addiction tendency of senior high school students through the mediating effect of school adaptability and resilience,and through the chain mediation effect of both.

Reproductive Health Knowledge Level of High School and University Students in Shanghai

Objective To understand the sexual and reproductive health knowledge level of high school and university students in Shanghai. Methods A total of 628 high school students and 709 college students were surveyed with anonymous self-administrated questionnaire in Shanghai. Results The median knowledge scores of students from colleges and high schools were 58 and 39, respectively. Those who had surfed the Internet, had browsed websites on reproductive health, or had communicated sex-related issues with fathers/classmates/friends had more reproductive health knowledge. In addition, the percentage of college students who had surfed the Internet, had browsed websites on reproductive health or had communicated sex-related issues with classmates/friends was higher than that of high school students. Conclusion The knowledge scores of respondents were rather low. Compared with the high school students, the college students had more reproductive health knowledge and sought the knowledge more actively.

The Correlation between Explicit Grammatical Knowledge,Implicit Grammatical Knowledge and Reading Comprehension Ability of Senior High School Students

The role of grammar in language teaching has always been the question that researchers debate.In recent years,grammar knowledge has been distinguished in the foreign language acquisition research,namely the implicit knowledge and the explicit knowledge(Dai Manchun 2005;Gu Qiyi 2005).As to the reaserch of implicit and explicit grammar knowledge as well as their measurement,it is easy to find that many scholars have studied the role of two different kinds of grammar knowledge in second language development.But the research on the role of implicit and explicit grammar knowledge in second language reading comprehension is too few,not to mention the research on the role of implicit and explicit grammar knowledge in English reading comprehension in the senior high school.The purpose of this study is to find the relationship between implicit and explicit grammatical knowledge and English reading comprehension ability of senior high school students.In addition,since the vocabulary is important to reading comprehension,this factor will also be considered in the study.

The Cross Sectional Study on the Association between Sexual Awareness and Cognitive Social Capital among High School Students in Ho Chi Minh City, Vietnam

Purpose: We aimed to reveal the association between cognitive social capital and sexual awareness among high school students in Ho Chi Minh City, Vietnam, where adolescent premarital sex is considered to be wide-spreading as consequence of socioeconomic changes, in comparison to our previous study in Hanoi, 2012. Methods: We conducted a questionnaire-based survey and a cross sectional study in late 2014, with 2051 eleventh graders at three high schools in Ho Chi Minh City. Complete data was received from 1935 respondents (94.3%). We assessed basic attributes, sexual knowledge, sexual awareness, sexual experience of peers, cognitive social capital such as a sense of community belonging, and Rosenberg Self-Esteem score. After the independent t-test and multiple logistic regression analyses on sexual awareness were performed assigning trivalent Rosenberg Self-Esteem score, sexual knowledge, and sexual experience of peers as independent variables (model 1), followed by analysis adjusted for cognitive social capital (model 2). This study was approved by Japanese Red Cross Akita College of Nursing (No. 24-003). Results: Of 1935 respondents, 99.9% were 16 or 17 years old and mostly from nuclear families (71.1%). Of all participants, 45.8% in males and 49.4% in females correctly answered on sexual knowledge, 47.6% of males and 28.3% of females accepted premarital sex, 60.0% of male and 65.0% of females knew peers with sexual intercourse experience, and 78.1% of males and 79.1% of females agreed with a sense of community belonging. When multiple logistic regression analyses performed, in model 1, sexual awareness was significantly associated with Rosenberg Self-Esteem score in female. In model 2, above association disappeared but significant association was found between sexual awareness and cognitive social capital in both sexes OR (95% CI), male 1.39 (1.05 - 1.84), female 1.99 (1.49 - 2.65). Discussion: The conservative traditional culture in both Hanoi and Ho Chi Minh City seems to be similar to the concept of cognitive social capital and it is considered to have influenced sexual awareness of high school students in Hanoi and Ho Chi Minh City, Vietnam. Conclusion: Cognitive social capital is significantly associated with sexual awareness among high school students in urban areas of Vietnam.

The mediating role of strengths use between character strengths and mental health in Chinese high school students

The present study aimed to examine the mediating effect of strengths use between character strengths and mental health in high school students. Totally 508 China high school students completed questionnaires measuring character strengths, strengths use and mental health for middle school students＇ inventory. The correlations between character strength, strengths use and mental health were all significantly positive, 0.41 -0.65, P 〈 0.01. Character strengths significantly positively predicted mental health, and standard regression coefficient was 0.65, P 〈 0.01. Strengths use mediated partially the relationship between character strengths and mental health in high school students and the value of mediating effect was 11.3%. Strengths use played a moderated mediating role in the relationship between character strengths and mental health.

The Relationship between Academic Performance, Achievement Motivation and Career Adaptability of Chinese High School Students

Given the importance of career adaptability to personal career and success,there is growing interest in how to cultivate youth's career adaptability in schools.This study explores the predictors of career adaptability and examines the mediating role of academic performance in the relationship between achievement motivation and career adaptability.Using the survey data of 147 Chinese high school students,a series of regression models find that academic motivation and academic performance have significant effects on career adaptability,as well as its four dimensions namely career concern,career control,career curiosity,and career confidence.Structural equation modeling further shows that achievement motivation can not only directly affect career adaptability,but also indirectly affect career adaptability through academic performance after controlling for the effects of gender,location,parent education,and family social and economic status.Research limitations and practical implications are finally discussed.

Coping style and mental health on high school students

Objective: To explore the coping style of high school students and its relationship to mental health. Methods: Make a survey upon 320 students through coping style questionnaire and MSMH. Results: High school students often resort to problem solving and appeal to coping factors. No distinct gender difference is found in coping style. There are different degrees of correlation between coping style and mental health. Remarkable grade difference is shown in the factor of appealing in coping style and the three factors of compulsion, anxiety and mental imbalance in mental health. Conclusion: Relatively mature coping style has come into existence among high school students, but more guidance and assistance are in need in cultivating the coping style and improving the mental health.

Assessment of Environmental Health Knowledge, Attitude and Behavior among High School Students in a USA Southeast Texas School District

This cross-sectional descriptive study assessed general environmental health literacy among students focusing on their knowledge, skills, attitudes and behaviors regarding the environmental health, stewardship, and sustainability, using a questionnaire consisting of 35 core questions from the Centers for Diseases Control (CDCs). Students (N = 185) from three high schools in the district were asked through their class teachers to voluntarily complete the questionnaire. Results indicated that about 41% (n = 77) of the students lacked knowledge regarding potential sources of radiation exposure and 70% (n = 133) lacked knowledge regarding radon gas being the number one risk factor for lung cancer among non-smokers. Additionally, the ANOVA test indicated significant knowledge differences among school location. Students in school #1, located in the most affluent area, had significantly higher knowledge scores (M = 4.39) than school #2 located in a moderately affluent area (M = 3.50). Furthermore, we found significant differences in ethnicity on the environmental health attitude of the high school students. Black students reported lower positive environmental health attitude (M = 29.86) than White students (M = 32.63), Hispanic students (M = 32.33) and Asian students (M = 33.84). These findings demonstrated knowledge deficiency in some key areas in environmental health particularly the environmental diseases and conditions caused by manmade hazards such as pesticides, chemicals, radiation, air, water, and soil pollution. Targeted educational interventions to increase awareness and understanding of health effects, exposure to environmental hazards and carcinogens as well as risks associated to direct exposure as in this study, radon and radiation, should be provided to high school students. Practical education through tours where students can observe directly and participating in laboratory experiments could empower the students to translate this knowledge into positive environmental health behaviors and practices now and in the future.

Examine the Relationship of Emotional Intelligence and Creativity with Academic Achievement of Second Period High School Students

The present study aimed to examine the relationship of emotional intelligence and creativity with academic achievement of second period high school students in Nikshahr. This was a descriptive-correlational study. The population of the current study included all second period high school students in the academic year of 2013-2014. The statistical sample was selected using simple random sampling method. To collect data, Mayer Salovey Caruso Emotional Intelligence Test (1995) as well as Creativity Questionnaire (Sultani) and to compare students’ academic achievements, their GPAs in the academic year of 2013-2014 were used. Obtained data were analyzed using both descriptive (frequency table, frequency, and charts) and inferential statistics (independent t-test and Pearson correlation coefficient). The results indicated that emotional intelligence and academic achievement were significantly correlated. Moreover, there was a significant and positive relationship between creativity and academic achievement. Additionally, no significant difference was found between males and females considering their academic achievement.

Primary Dysmenorrhea;Prevalence, Treatment Practices and Impact among High School Students in 2 Secondary Schools in Bafoussam

Background: Primary dysmenorrhea is defined as pelvic pain during menstrual flow in the absence of a pelvic pathology. It is one of the most common gynaecological complaints worldwide and the most common cause of school and work absenteeism among menstruating females. In adolescent students the impact includes reduced attention in class, inability to study at home, school absenteeism among others. Yet these students have to study at the same pace as their peers, raising the concern of whether the problems caused by primary dysmenorrhea have an effect on academic their academic performance. Aim: Determine the prevalence, treatment practices and impact of primary dysmenorrhea on the studies of post-pubertal high school students in Bafoussam. Method: We conducted a cross-sectional descriptive and analytic study design using a two-stage sampling method;the first stage was by convenience to choose the school, and the second stage was consecutive to recruit the students. Data was collected using a semi-structured pretested self-report and anonymous questionnaire. Analysis was done using software IBM®SPSS statistics version 23 for windows. Categorical variables were summarised in to frequencies and percentages while the comparison of categorical variables was done using a Chi-square test, and a p-value ≤ 0.05 was considered to be statistically significant. Results: our sample size was 898 and the mean age of our respondents (±SD) was 17.6 (±1.6) years. The prevalence of primary dysmenorrhea was 71.9%, with 11.6% mild pain, 52.5% moderate pain and 35.9% severe pain on a visual analogue scale. Over 38% did not attempt pain-relieving measures while others took analgesics, traditional preparations, heat packs among others. Among these students, 39% reported school absenteeism due to pain, other impacts were decreased attention in class, inability to study at home during pain and punishment from school authorities for failing to fulfil certain duties like assignments not done or absenteeism because of pain. Though a greater proportion of students without dysmenorrhea had pass scores than their counterparts, the difference was not statistically significant. Conclusion: Given these findings, school officials may benefit from considering dysmenorrhea in the context of improving their school attendance rates and academic performance of their students.

A Literature Review regarding Cervical Cancer Prevention Targeting Junior and Senior High School Students

Objective: To understand the state of education for the prevention of cervical cancer and trends in research. The subject of cervical cancer prevention will be examined. Method: Articles from the ICHUSHI Web version 5, CiNii, and PubMed databases for the period from 2009-2019 were used. Search terms used were cervical cancer, HPV/human papillomavirus, prevention, public awareness, and education. Results: 17 articles (9 Japanese and 8 English) were analyzed. The majority of students had heard of cervical cancer but did not know of the link between it and HPV. Vaccinated individuals were significantly more likely to have deeper knowledge regarding cervical cancer and HPV. Various factors affect the vaccination rate. These include knowledge of HPV and cervical cancer, age, ethnicity, the organization or location which administers the vaccine, how to breach the subject, finances, and the opinions of friends and family. In particular, consultations with parents lead to mothers recognizing the importance of the vaccine. By way of educational intervention, opinions have grown more positive about advancing awareness, being vaccinated, and having cervical cancer screenings for the future. Conclusion: The prevention of cervical cancer requires support and fostering the judgement based on sufficient awareness and adequate education. What we need is educational intervention rooted firmly in the current societal climate aimed not only at students, but at their parents as well.

A Study on Senior High School Students＇ English Reading Barriers and Strategies

Referring to the questionnaire surveys and literature materials, this paper tries to discuss the causes of high school students＇ English reading barriers and its possible strategies to improve their English reading ability. This paper used a questionnaire survey to collect data with 188 grade one high school students as research subject. The result shows English reading barriers are mainly divided into two parts, language factors and non-language factors. Language factors include vocabulary barriers, grammar barriers, discourse barriers and culture background barriers. Non-language factors mainly include psychological factors, reading habits, reading interest and reading strategies. It is suggested that joint efforts from teachers and students are needed to solve the reading barriers. Teachers should help students increase vocabulary accumulation, strengthen grammar knowledge, develop their discourse comprehension skills and teach culture knowledge in class. Students need to overcome psychological factors, develop good reading habits, do a series of trainings on reading, give immediate feedbacks and sum up reading experiences.

Art Museum Education Combined with Elementary and Junior High School

This thesis makes a discussion of the value of art museum education combined with elementary and junior high school education and explains its cooperation basis and activity manner. Meanwhile, it also gives suggestions related to art museum education combined with elementary and junior high school education in China.

Importance of Early Intervention and Special Educational Support for High School Students with Attention-Deficit/Hyperactivity Disorder

Aim: The present study aimed to investigate problems relating to education, past situations and treatments in high school students with attention-deficit/ hyperactivity disorder (ADHD) and to discuss appropriate considerations. Methods: Participants were 6 students who were diagnosed with ADHD according to Diagnostic and Statistical Manual of Mental Disorders IV, Text Revision (DSM-IV-TR) criteria. Results: In total, 6 cases of high-school students with ADHD showed dominantly inattention features. They had notably not been diagnosed with ADHD or received appropriate special support education until they were of high-school age, although they had clearly shown characteristic features of the disorder from childhood. As a result, they had decreased motivation to study and showed indolence, and suffered from low self-esteem. Conclusion: This case report suggests that early diagnosis of ADHD and early intervention with special support education are of great importance. To support these students, better educational and medical support systems are warranted.

Benefit to Chinese High School Students' Academic Learning Outcome and Evaluation by Comparing Two Different Assessment Systems

More and more researchers are becoming involved through a variety of actions and programs, which divides assessment into different branches(such as formative, summative, normative assessment, etc). In the present paper, I will try to emphasis that collaborative assessment is positive to high school students' learning outcome, and cooperative and competitive assessment should be mixture implemented in Chinese education process rather than only using competitive assessment to evaluate students' achievement. I hope that Chinese students and teachers could teach or test in the less pressure by reforming the educational evaluation system.

An Analysis on English Listening and Speaking Difficulties and Influential Factors for Senior High School Students

Nowadays English is more regarded as a"practical tool of communication"than the"knowledge to be tested".In this way,the ability of English listening and speaking will be more and more valued.But many people claim that Chinese students are learning"mute's English",which means that the average level of English listening and speaking abilities of Chinese students is still a bit low.So it is necessary to study the difficulties of high school students'listening and speaking in English and the influen-tial factors of it.This study is on the base of a research about the difficulties in English listening and speaking in a class of a key se-nior high school in Beijing.And there is a further study about the factors about the difficulties and the influential factors.This study aims to make students'needs for English in new situation be seen and to give a direction to English education.Through the study,findings can be drawn.For the difficulties for senior high school students in improving their abilities of English listening and speaking,the main difficulties are vocabulary,grammar,pronunciation,fears and culture.For the factors influencing their ability of English listening and speaking,the main factors are individual interest and effort and language environment.