Cargando…
Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China
Background: Evidence of the effectiveness of intervention against extreme heat remains unclear, especially among children, one of the vulnerable populations. This study aimed to evaluate the effectiveness of a primary school-based intervention program against heatwave and climate change in China to...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909389/ https://www.ncbi.nlm.nih.gov/pubmed/35270225 http://dx.doi.org/10.3390/ijerph19052532 |
_version_ | 1784666134659727360 |
---|---|
author | Li, Yonghong Sun, Bo Yang, Changlin Zhuang, Xianghua Huang, Liancheng Wang, Qingqing Bi, Peng Wang, Yan Yao, Xiaoyuan Cheng, Yibin |
author_facet | Li, Yonghong Sun, Bo Yang, Changlin Zhuang, Xianghua Huang, Liancheng Wang, Qingqing Bi, Peng Wang, Yan Yao, Xiaoyuan Cheng, Yibin |
author_sort | Li, Yonghong |
collection | PubMed |
description | Background: Evidence of the effectiveness of intervention against extreme heat remains unclear, especially among children, one of the vulnerable populations. This study aimed to evaluate the effectiveness of a primary school-based intervention program against heatwave and climate change in China to provide evidence for development of policies for adaptation to climate change. Methods: Two primary schools in Dongtai City, Jiangsu Province, China, were randomly selected as intervention and control schools (CTR registration number: ChiCTR2200056005). Health education was conducted at the intervention school to raise students’ awareness and capability to respond to extreme heat during May to September in 2017. Knowledge, attitude, and practice (KAP) of students and their parents at both schools were investigated by questionnaire surveys before and after intervention. The changes in KAP scores after intervention were evaluated using multivariable difference-in-difference (DID) analysis, controlling for age, sex, etc. Results: The scores of knowledge, attitude, and practice of students and their parents increased by 19.9% (95%CI: 16.3%, 23.6%) and 22.5% (95%CI: 17.8%, 27.1%); 9.60% (95%CI: 5.35%, 13.9%) and 7.22% (95%CI: 0.96%, 13.5%); and 9.94% (95%CI: 8.26%, 18.3%) and 5.22% (95%CI: 0.73%, 9.71%), respectively, after intervention. The KAP score changes of boys were slightly higher than those of girls. Older students had higher score changes than younger students. For parents, the higher the education level, the greater the score change, and change in scores was greater in females than in males. All the health education activities in the program were significantly correlated with the changes in KAP scores of primary school students after intervention, especially those curricula with interesting activities and experiential learning approaches. Conclusions: Heat and health education program in primary school was an effective approach to improve cognition and behavior for both students and their parents to better adapt to heatwaves and climate change. The successful experience can be generalized to respond to the increasing extreme weather/climate events in the context of climate change, such as heatwaves, and other emergent occasions or public health education, such as the control and prevention of COVID-19. |
format | Online Article Text |
id | pubmed-8909389 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89093892022-03-11 Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China Li, Yonghong Sun, Bo Yang, Changlin Zhuang, Xianghua Huang, Liancheng Wang, Qingqing Bi, Peng Wang, Yan Yao, Xiaoyuan Cheng, Yibin Int J Environ Res Public Health Article Background: Evidence of the effectiveness of intervention against extreme heat remains unclear, especially among children, one of the vulnerable populations. This study aimed to evaluate the effectiveness of a primary school-based intervention program against heatwave and climate change in China to provide evidence for development of policies for adaptation to climate change. Methods: Two primary schools in Dongtai City, Jiangsu Province, China, were randomly selected as intervention and control schools (CTR registration number: ChiCTR2200056005). Health education was conducted at the intervention school to raise students’ awareness and capability to respond to extreme heat during May to September in 2017. Knowledge, attitude, and practice (KAP) of students and their parents at both schools were investigated by questionnaire surveys before and after intervention. The changes in KAP scores after intervention were evaluated using multivariable difference-in-difference (DID) analysis, controlling for age, sex, etc. Results: The scores of knowledge, attitude, and practice of students and their parents increased by 19.9% (95%CI: 16.3%, 23.6%) and 22.5% (95%CI: 17.8%, 27.1%); 9.60% (95%CI: 5.35%, 13.9%) and 7.22% (95%CI: 0.96%, 13.5%); and 9.94% (95%CI: 8.26%, 18.3%) and 5.22% (95%CI: 0.73%, 9.71%), respectively, after intervention. The KAP score changes of boys were slightly higher than those of girls. Older students had higher score changes than younger students. For parents, the higher the education level, the greater the score change, and change in scores was greater in females than in males. All the health education activities in the program were significantly correlated with the changes in KAP scores of primary school students after intervention, especially those curricula with interesting activities and experiential learning approaches. Conclusions: Heat and health education program in primary school was an effective approach to improve cognition and behavior for both students and their parents to better adapt to heatwaves and climate change. The successful experience can be generalized to respond to the increasing extreme weather/climate events in the context of climate change, such as heatwaves, and other emergent occasions or public health education, such as the control and prevention of COVID-19. MDPI 2022-02-22 /pmc/articles/PMC8909389/ /pubmed/35270225 http://dx.doi.org/10.3390/ijerph19052532 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Li, Yonghong Sun, Bo Yang, Changlin Zhuang, Xianghua Huang, Liancheng Wang, Qingqing Bi, Peng Wang, Yan Yao, Xiaoyuan Cheng, Yibin Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China |
title | Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China |
title_full | Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China |
title_fullStr | Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China |
title_full_unstemmed | Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China |
title_short | Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China |
title_sort | effectiveness evaluation of a primary school-based intervention against heatwaves in china |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909389/ https://www.ncbi.nlm.nih.gov/pubmed/35270225 http://dx.doi.org/10.3390/ijerph19052532 |
work_keys_str_mv | AT liyonghong effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina AT sunbo effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina AT yangchanglin effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina AT zhuangxianghua effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina AT huangliancheng effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina AT wangqingqing effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina AT bipeng effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina AT wangyan effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina AT yaoxiaoyuan effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina AT chengyibin effectivenessevaluationofaprimaryschoolbasedinterventionagainstheatwavesinchina |