Kamala Adhikari, Sharon S Mah, Michelle Patterson, Gary F Teare, Kimberly Manalili
Barriers and facilitators of implementing a multicomponent intervention to improve faecal immunochemical test (FIT) colorectal cancer screening in primary care clinics, Alberta
BMJ open quality
availability healthpromoting interventions hpis may vary across schools serving students different socioeconomic backgrounds objectives describe social inequalities across elementary schools level importance school principals attribute 13 common healthrelated issues among students school ii availability hpis within school addressing eight health topics iii misalignment perceived importance hpi availability data collected telephone interviews school principals convenience sample 171 elementary schools 59 291 schools contacted schools categorized serving advantaged moderately advantaged disadvantaged students principals reported important 13 health issues among students schools provided data hpi availability 8 health issues 4 required school action government mandates higher proportions principals schools serving disadvantaged students 36 171 schools perceived health issues important mean number hpis past year 120 121 117 schools serving advantaged moderately advantaged disadvantaged students respectively availability mental health hpis differed school deprivation 60 43 30 moderately disadvantaged respectively although schools offered oral health hpis dental problems perceived important smoking perceived important smokingrelated hpis relatively rare 9 given rapid evolution public health priorities misalignment perceived importance specific health issues hpi availability elementary schools warrants ongoing reflection