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US nationwide assessment of school health policies and practices using state-level data

Bibliographic Data

ID21323834
AuthorsLeah N Bryan (0000-0003-3070-0203, Centers for Disease Control and Prevention, corresponding author), Nancy D Brener (0000-0003-4858-7886, Centers for Disease Control and Prevention), Nancy Brener (Centers for Disease Control and Prevention), Lawrence Barker (National Center for Chronic Disease Prevention and Health Promotion), Annie Lo (Westat, Inc., Rockville, MD, USA), J Michael Underwood (0000-0002-9583-1442, Centers for Disease Control and Prevention)
Year2021
Volume80
Issue6
Pages724-733
Publication date2021-10-01
Open AccessYes
TypeARTICLE
VenueHealth Education Journal (JOURNAL)
Journal identifiersISSN: 0017-8969 • E-ISSN: 1748-8176
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00178969211008553
OpenAlexW3157298638
LanguageEN
References cited8

Objective: After the discontinuation of School Health Policies and Practices Study (SHPPS) in 2016, the US Centers for Disease Control and Prevention (CDC) began exploring innovative ways to gather school health information using existing surveillance systems. School Health Profiles (Profiles) is a school-based system of surveys that monitors school health policies and practices in states and other jurisdictions. The objective of this study was to assess whether prevalence estimates calculated using nationally representative SHPPS as an established benchmark were similar to estimates using aggregated Profiles data. Method: Nationwide 2014 Profiles estimates were calculated from data across all 50 US states and the District of Columbia and compared to national 2014 SHPPS estimates. Fifty-seven questions were identical between the data sources. Equivalence tests were used to determine similarity between data sources. Results: Overall, the median difference between 2014 SHPPS and 2014 Profiles estimate was one percentage point and distribution-free 95% confidence intervals were (−0.8, 3.1). Of the 57 school health policy and practice indicators examined in this study, 38 (66.7%) were found to be equivalent. Of these equivalent indicators, the median percentage point difference between data sources was 0.8 (−0.8, 2.5). A nonparametric sign test showed that none of the medians of the estimate differences examined were significantly different from zero. Conclusion: This study demonstrates the expanded utility of state-level data to meet public health surveillance needs. This study found that aggregated, state-level Profiles data can be used to calculate nationwide prevalence estimates that are reasonably consistent with results from a nationally representative survey

Confidence interval · Data collection · Disease control · Environmental health · Median · Nonparametric statistics · Point estimation · Public health · Statistics · Demography · Food Security and Health in Diverse Populations · Mathematics · Medicine · Public Health Policies and Education · Smoking Behavior and Cessation

  • A Comparison of National Estimates From the National Health Interview Survey and the Behavioral Risk Factor Surveillance System

    David E Nelson, Eve Powell-Griner et al.•American Journal of Public Health•2003

Highly citedNo

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