Systematic review of reviews of observational studies of school-level effects on sexual health,violence and substance use |
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| Affiliation: | 1. Department of Psychology, University of Geneva, 40, Bd. du Pont-d''Arve, CH-1211 Geneva 4, Switzerland;2. University of Hamburg, Germany;1. Ibis Reproductive Health, Cambridge, MA 02138 USA;2. University of Zimbabwe College of Health Sciences, Harare, Zimbabwe;3. HIV Research Unit, Medical Research Council, Westville, 3630, South Africa;4. University of California, San Francisco, Department of Obstetrics, Gynecology & Reproductive Sciences, San Francisco, CA, USA 94143–0744;1. University College London Institute for Women''s Health and Institute for Global Health;2. The Botswana UPenn Partnership;3. University of the Witwatersrand, Wits Reproductive Health and HIV Institute;4. Albert Einstein College of Medicine;5. Columbia University Medical Center |
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| Abstract: | For three decades there have been reports that the quality of schools affects student health. The literature is diverse and reviews have addressed different aspects of how the school environment may affect health. This paper is the first to synthesise this evidence using a review of reviews focusing on substance-use, violence and sexual-health. Twelve databases were searched. Eleven included reviews were quality-assessed and synthesised narratively. There is strong evidence that schools’ success in engaging students is associated with reduced substance use. There is little evidence that tobacco-control policies and school sexual-health clinics on their own are associated with better outcomes. |
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| Keywords: | Schools Adolescents Systematic review Health promotion Environment |
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