7

Educational and
Community-Based Programs

School Setting

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7-1

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High school completion

7-2

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School health education

7-2a

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All components

7-2b

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Unintentional injury

7-2c

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Violence

7-2d

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Suicide

7-2e

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Tobacco use and addiction

7-2f

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Alcohol and other drug use

7-2g

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Unintended pregnancy, HIV/AIDS, and STD infection

7-2h

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Unhealthy dietary patterns

7-2i

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Inadequate physical activity

7-2j

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Environmental health

7-3

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Health-risk behavior information for college and university students

7-4

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School nurse-to-student ratio

7-4a

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All middle, junior high, and senior high schools

7-4b

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Senior high schools

7-4c

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Middle and junior high schools

7-4d

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Elementary schools

Worksite Setting

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7-5

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Worksite health promotion programs

7-5a

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Worksites with fewer than 50 employees

7-5b

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Worksites with 50 or more employees

7-5c

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Worksites with 50 to 99 employees

7-5d

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Worksites with 100 to 249 employees

7-5e

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Worksites with 250 to 749 employees

7-5f

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Worksites with 750 or more employees

7-6

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Participation in employer-sponsored health promotion activities

Health Care Setting

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7-7

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Patient and family education

7-8

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Satisfaction with patient education

7-9

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Health care organization sponsorship of community health promotion activities

Community Setting and Select Populations

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7-10

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Community health promotion programs

7-11

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Culturally appropriate and linguistically competent community health promotion programs

7-11a

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Access to quality health services

7-11b

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Arthritis, osteoporosis, and chronic back conditions

7-11c

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Cancer

7-11d

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Chronic kidney disease

7-11e

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Diabetes

7-11f

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Disability and secondary conditions

7-11g

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Educational and community-based programs

7-11h

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Environmental health

7-11i

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Family planning

7-11j

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Food safety

7-11k

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Medical product safety

7-11l

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Health communication

7-11m

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Heart disease and stroke

7-11n

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HIV

7-11o

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Immunizations and infectious diseases

7-11p

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Injury and violence prevention

7-11q

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Maternal, infant (and child) health

7-11r

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Mental health (and mental disorders)

7-11s

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Nutrition and overweight

7-11t

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Occupational safety and health

7-11u

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Oral health

7-11v

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Physical activity and fitness

7-11w

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Public health infrastructure

7-11x

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Respiratory diseases

7-11y

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Sexually transmitted diseases

7-11z

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Substance abuse (alcohol and other drugs)

7-11aa

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Tobacco use

7-11bb

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Vision and hearing

7-12

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Older adult participation in community health promotion activities

School Setting

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7-1.

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Increase high school completion.

National Data Source

Current Population Survey (CPS), U.S. Department of Commerce, U.S. Bureau of the Census.

State Data Source

Current Population Survey (CPS), U.S. Department of Commerce, U.S. Bureau of the Census.

Healthy People 2000 Objective

8.2 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

85 (1998).

Numerator

Number of persons 18 to 24 years old not currently enrolled in high school who report that they have received a high school diploma or its equivalent.

Denominator

Persons aged 18 to 24 years.

Population Targeted

U.S. civilian, noninstitutionalized population.

Questions Used To Obtain the National Data

From the 1998 Current Population Survey:



Ø       Is (Person) attending or enrolled in regular school?



Ø       What grade or year is (Person) attending?



Ø       Was (Person) attending or enrolled in a regular school or college in October, 199_, that is, October of last year?



Ø       What grade or year was (Person) attending last year?



Ø       What is the highest level of school (Person) has completed or the highest degree...has received?

Expected Periodicity

Annual.

Comments

High school completion is the proportion of persons aged 18 to 24 years not currently enrolled in high school who report that they have received a high school diploma or the equivalent (such as a General Education Development (GED) certificate), regardless of the type of credential.



States are able to report in 3-year averages only. For States with small populations, the 3-year estimates may be unreliable.



See Appendix A for focus area contact information.

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7-2.

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Increase the proportion of middle, junior high, and senior high schools that provide school health education to prevent health problems in the following areas: unintentional injury; violence; suicide; tobacco use and addiction; alcohol and other drug use; unintended pregnancy, HIV/AIDS, and STD infection; unhealthy dietary patterns; inadequate physical activity; and environmental health.

7-2a.      All components

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

28 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on all key behavior and content areas.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

From the 1994 School Health Policies and Programs Study:



Ø       Now I’d like to ask which health education topics are taught in any of the required courses that we’ve listed. Please give me the numbers of the topics your school teaches at some time in required courses.

1.   None of these topics
2.   Alcohol and other drug use prevention
3.   Conflict resolution/violence prevention
4.   Dietary behaviors and nutrition
5.   Environmental health 
6.   HIV prevention
7.   Injury prevention and safety
8.   Physical activity and fitness
9.   Pregnancy prevention
10.  Sexually transmitted disease (STD) prevention
11.  Suicide prevention
12.  Tobacco use prevention
13.  Other (List additional topics here): __________

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having required courses on all the topics listed in the question above.



This objective is adapted from a measure in Healthy People 2000 objective 8.4, which tracked the proportion of elementary and secondary schools that included instruction in six key behavioral areas (unintentional and intentional injury, tobacco use, alcohol and other drug use, sexual behaviors, unhealthy dietary behaviors, physical inactivity) in their health education program. The 2010 measure tracks middle, junior, and senior high schools: it excludes elementary schools. The 2010 measure also includes environmental health.



See Part C for a description of SHPPS and Appendix A for focus area contact information.

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7-2b.      Unintentional injury.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

66 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on injury prevention and safety.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-2a.

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having a required course on injury prevention and safety.



See Comments provided with objective 7-2a for more information.

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7-2c.      Violence.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles, (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

58 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on conflict resolution/violence prevention.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-2a.

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having a required course on conflict resolution/ violence prevention.



See Comments provided with objective 7-2a for more information.

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7-2d.      Suicide.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

58 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on suicide prevention.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-2a.

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having a required course on suicide prevention.



See Comments provided with objective 7-2a for more information.

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7-2e.      Tobacco use and addiction.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

86 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on tobacco use prevention.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-2a.

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having a required course on tobacco use prevention.



See Comments provided with objective 7-2a for more information.

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7-2f.       Alcohol and other drug use.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

90 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on alcohol and other drug use prevention.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-2a.

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having a required course on alcohol and other drug use prevention.



See Comments provided with objective 7-2a for more information.

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7-2g.      Unintended pregnancy, HIV/AIDS, and STD infection.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

65 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on (unintended) pregnancy prevention, HIV (AIDS) prevention, and sexually transmitted disease (STD) prevention.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-2a.

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having a required course on (unintended) pregnancy prevention, HIV (AIDS) prevention, and sexually transmitted disease (STD) prevention.



See Comments provided with objective 7-2a for more information.

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7-2h.      Unhealthy dietary patterns.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs) and 2.19 (Nutrition).

Measure

Percent.

Baseline

84 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on dietary behaviors and nutrition.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-2a.

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having a required course on dietary behaviors and nutrition.



This objective is adapted from measures in Healthy People 2000 objective 8.4, which tracked the proportion of elementary and secondary schools that included instruction in six key behavioral areas (unintentional and intentional injury, tobacco use, alcohol and other drug use, sexual behaviors, unhealthy dietary behaviors, physical inactivity) in their health education program; and Healthy People 2000 objective 2.19, which tracked the proportion of elementary and secondary schools that included instruction in nutrition information. The 2010 measure tracks middle, junior, and senior high schools: it excludes elementary schools. The 2010 measure also includes environmental health.

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7-2i.       Inadequate physical activity.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

78 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on physical activity and fitness.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-2a.

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having a required course on physical activity and fitness.



See Comments provided with objective 7-2a for more information.



See Part C for a description of SHPPS and Appendix A for focus area contact information.

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7-2j.       Environmental health.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

School Health Education Profiles (SHEPS), CDC, NCCDPHP.

Healthy People 2000 Objective

Adapted from 8.4 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

60 (1994).

Numerator

Number of middle, junior, and senior high schools that provide health education on environmental health.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior, and senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-2a.

Expected Periodicity

Periodic.

Comments

A school is considered to provide health education on key risk behavior and content areas if they report having a required course on environmental health.



See Comments provided with objective 7-2a for more information.



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7-3.

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Increase the proportion of college and university students who receive information from their institution on each of the six priority health-risk behavior areas.

National Data Source

National College Health Risk Behavior Survey (NCHRBS), CDC, NCCDPHP.

State Data Source

Not identified.

Healthy People 2000 Objective

8.5 (Educational and Community-Based Programs).

Measure

Percent.

Baseline

6 (1995).

Numerator

Number of undergraduate students who report that they have received information from their college or university on each of the six priority health-risk behavior areas.

Denominator

Number of undergraduate college students in post-secondary institutions.

Population Targeted

Undergraduate college students.

Questions Used To Obtain the National Data

From the 1995 National College Health Risk Behavior Survey:



Ø       On which health topics have you ever received information from your college or university?

1.   Tobacco use prevention
2.   Alcohol and other drug use prevention     
3.   Violence prevention       
4.   Injury prevention and safety
5.   Suicide prevention
6.   Pregnancy prevention
7.   Sexually transmitted disease (STD) prevention
8.   AIDS or HIV infection prevention
9.   Dietary behaviors and nutrition
10.  Physical activity and fitness       

Expected Periodicity

Periodic.

Comments

Students were considered as receiving information on each of the six priority health-risk behavior areas if they responded positively to all of the topics listed in the question above.



The six priority health-risk behaviors are: injuries  (intentional and unintentional), tobacco use, alcohol and illicit drug use, sexual behaviors that cause unintended pregnancies and sexually transmitted diseases, dietary patterns that cause disease, and inadequate physical activity.



Postsecondary institutions include 2- and 4-year community colleges, private colleges, and universities.



See Appendix A for focus area contact information.

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7-4.

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Increase the proportion of the Nation’s elementary, middle, junior high, and senior high schools that have a nurse-to-student ratio of at least 1:750.

7-4a.      All middle, junior high, and senior high schools.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

Not identified.

Healthy People 2000 Objective

Not applicable.

Measure

Percent.

Baseline

28 (1994).

Numerator

Number of middle, junior high, and senior high schools that have a nurse-to-student ratio of at least 1:750.

Denominator

Number of middle, junior, and senior high schools.

Population Targeted

Middle, junior high, and senior high schools.

Questions Used To Obtain the National Data

From the 1994 School Health Policies and Programs Study:



Ø       Are there any RN/LPNs who work in the school?

[If yes:]

o        Please tell me how many RNLPNs work in your school, which days of the week each RN is here, and how many hours each RN/LPN is usually here on those days.



[If an RN/LPN doesn’t have a regular schedule, ask:]

o        How many total hours per week is this RN/LPN usually in your school?

Expected Periodicity

Periodic.

Comments

The nurse-to-student ratio is the number of school nurses divided by the total student enrollment. One school nurse is defined as 30 nurse-hours per week per school.



Total student enrollment of all the schools included in SHPPS is obtained from the Quality Education Data (QED) database. QEDs National Education Database covers all educational institutions in the United States and Canada. See http://www.qeddata.com/ for more information.



See Part C for a description of SHPPS and Appendix A for focus area contact information.

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7-4b.      Senior high schools.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

Not identified.

Healthy People 2000 Objective

Not applicable.

Measure

Percent.

Baseline

26 (1994).

Numerator

Number of senior high schools that have a nurse-to-student ratio of at least 1:750.

Denominator

Number of senior high schools.

Population Targeted

Senior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-4a.

Expected Periodicity

Periodic.

Comments

See Comments provided with 7-4a for more information.



Total student enrollment of the senior high schools included in SHPPS is obtained from the Quality Education Data (QED) database. QEDs National Education Database covers all educational institutions in the United States and Canada. See http://www.qeddata.com/ for more information.

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7-4c.      Middle and junior high schools.

National Data Source

School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

State Data Source

Not identified.

Healthy People 2000 Objective

Not applicable.

Measure

Percent.

Baseline

32 (1994).

Numerator

Number of middle and junior high schools that have a nurse-to-student ratio of at least 1:750.

Denominator

Number of middle and junior high schools.

Population Targeted

Middle and junior high schools.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with 7-4a.

Expected Periodicity

Periodic.

Comments

See Comments provided with 7-4a for more information.



Total student enrollment of the middle and junior high schools included in SHPPS is obtained from the Quality Education Data (QED) database. QEDs National Education Database covers all educational institutions in the United States and Canada. See http://www.qeddata.com/ for more information.

7-4d.      (Developmental) Elementary schools.

Comments

An operational definition could not be specified at the time of publication.



The expected national data source is the School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.



The expected numerator is the number of elementary schools that have a nurse-to-student ratio of at least 1:750.



The expected denominator is the number of elementary schools.