Perceptions of School Climate Shape Adolescent Health Behavior: A Longitudinal Multischool Study

J Sch Health. 2023 Jun;93(6):475-484. doi: 10.1111/josh.13274. Epub 2022 Nov 20.

Abstract

Background: Adolescent behaviors and academic outcomes are thought to be shaped by school climate. We sought to identify longitudinal associations between school climate measures and downstream health and academic outcomes.

Methods: Data from a longitudinal survey of public high school students in Los Angeles were analyzed. Eleventh-grade health and academic outcomes (dependent variables, eg, substance use, delinquency, risky sex, bullying, standardized exams, college matriculation), were modeled as a function of 10th-grade school climate measures (independent variables: institutional environment, student-teacher relationships, disciplinary style), controlling for baseline outcome measures and student/parental covariates.

Results: The 1114 student respondents (87.8% retention), were 46% male, 90% Latinx, 87% born in the United States, and 40% native English speakers. Greater school order and teacher respect for students were associated with lower odds of multiple high risk behaviors including 30-day alcohol use (odds ratio [OR] 0.81; 95% confidence interval [CI] [0.72, 0.92] and OR 0.73; [0.62, 0.85]) and 30-day cannabis use (OR 0.74; [0.59, 0.91] and OR 0.76; [0.63, 0.92]). Neglectful disciplinary style was associated with multiple poor health and academic outcomes while permissive disciplinary style was associated with favorable academic outcomes.

Implications for school health policy, practice, and equity: School health practitioners may prospectively leverage school environment, teacher-student relationships, and disciplinary style to promote health and learning.

Conclusions: Our findings identify specific modifiable aspects of the school environment with critical implications for life course health.

Keywords: adolescent health; bullying; cannabis; educational measurement; longitudinal studies; risk-taking; school climate; substance use.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Adolescent Health*
  • Female
  • Health Promotion
  • Humans
  • Longitudinal Studies
  • Male
  • Schools
  • United States