Mahdieh Sadat Khoshnazar, Mohammad Javad Tarrahi, Hossein Shahnazi
Impact of virtual education based on health belief model on cervical cancer screening behavior in middle-aged women: A quasi-experimental study
Cancer reports (Hoboken, N.J.)
despite major public health investments past several decades little progress made reducing prevalence obesity among schoolaged children united states 2007 redondo beach unified school district rbusd beach cities health district launched wellness initiative livewell kids included multilevel interventions improve nutrition increase physical activity initiative also included annual measurements height weight among kindergartners first third fifth graders eight elementary schools rbusd assess trends obesity prevalence analyzed height weight data collected 2008 2009 2018 2019 school years fully assess impact initiative conducted leastsquares regression differenceindifferences analysis data california physical fitness testing program measured height weight among fifth graders rbusd three neighboring school districts los angeles county overall among elementary school students rbusd obesity prevalence decreased 139 2008 2009 64 2018 2019 significant declines prevalence observed eight elementary schools across grade levels demographic groups among fifth graders similar decline obesity prevalence observed school districts county overall findings suggest interventions adhere socioecologic model engage students parents school personnel levels also addressing school community environments may reduce obesity prevalence among elementary schoolaged children