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The Untapped Power of Schools to Improve the Health of Teens

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Measuring School Connectedness*School connectedness was measured based on responses t<strong>of</strong>ive questions:“How strongly do you agree or disagree with each <strong>of</strong><strong>the</strong> following statements:■ I feel close <strong>to</strong> people at this school.■ I am happy <strong>to</strong> be at this school.■ I feel like I am part <strong>of</strong> this school.■ <strong>The</strong> teachers at this school treat students fairly?■ I feel safe in my school.”Students resonded on a 5-point scale from “strongly agree.”*<strong>The</strong> first three questions were used for <strong>the</strong> Moody and Bearman analysis <strong>of</strong> friendshipgroups. This scale is called “school attachment.” All five questions were used for <strong>the</strong>McNeely, Nonnemaker and Blum analysis. This scale is called “school connectedness.”A PROFILE OF AMERICANMIDDLE AND HIGH SCHOOLS<strong>The</strong> Add <strong>Health</strong> Study includes samples<strong>of</strong> just about every type <strong>of</strong> middleschool and high school across <strong>the</strong> country.Taken <strong>to</strong>ge<strong>the</strong>r, <strong>the</strong> schools in Add <strong>Health</strong>are representative <strong>of</strong> all schools in <strong>the</strong>United States, including public, private andparochial schools.Add health data show that:■ Most schools (83%) are public schools.■ <strong>The</strong> average school size is around 650students; however, <strong>the</strong>re is a big range insize, from 25 students <strong>to</strong> over 5,000.■ <strong>The</strong> average class size is just under 23students, with a range from 10 <strong>to</strong> 39students in a class.■ More than two-fifths (42%) <strong>of</strong> teachershave <strong>the</strong>ir Master’s degree.■ <strong>The</strong> average school has about one ineleven teachers who are in <strong>the</strong>ir firstyear <strong>of</strong> teaching at <strong>the</strong> school.■■■Most students (83%) participate in atleast one extracurricular school activity– ei<strong>the</strong>r during <strong>the</strong> school day or afterschool – but <strong>the</strong> range is huge, from100% participation <strong>to</strong> 41%.Nearly 38% <strong>of</strong> schools give out-<strong>of</strong>schoolsuspension <strong>the</strong> first time astudent is caught smoking.Four percent <strong>of</strong> schools give out-<strong>of</strong>schoolsuspension <strong>the</strong> first time astudent is caught cheating.9


Well-managed classrooms are mostlikely <strong>to</strong> exist when:■ <strong>The</strong> school sets clear expectationsfor individual responsibilityand conflict resolution amongstudents;■ Teachers consistentlyacknowledge all students;■ Students participate in <strong>the</strong>management <strong>of</strong> <strong>the</strong> classroom— <strong>the</strong>y do regular jobs, haveinput on classroom rules andhelp set grading criteria.School CompositionStudents feel more connected <strong>to</strong>school when friendship groups areracially integrated. However, <strong>the</strong>researchers found that when a school isracially integrated, friendship groupswithin a school tend <strong>to</strong> be raciallysegregated.Apparently, students prefer <strong>to</strong> formfriendships with young people <strong>of</strong> <strong>the</strong>irown race. When <strong>the</strong>re are enoughstudents <strong>of</strong> each racial group <strong>to</strong> formfriendships with peers <strong>of</strong> one’s own race,racial groups tend <strong>to</strong> isolate <strong>the</strong>mselvesfrom one ano<strong>the</strong>r along racial boundaries.When this occurs, overall connectednessdeclines (see sidebar Mapping FriendshipGroups).This finding was not true for allschools. <strong>The</strong>re were a few schools withlarge numbers <strong>of</strong> both African Americanand White students and integrated friendshipgroups. But <strong>the</strong>se were <strong>the</strong> exception.Clearly, <strong>the</strong>re is a need <strong>to</strong> go beyondour current integration practices, whichfocus on numeric integration <strong>of</strong> <strong>the</strong>school as a whole and neglect integrationwithin a school. For example, <strong>to</strong> <strong>the</strong>extent that minority students aredisproportionately assigned <strong>to</strong> lowertrackclasses, school policies can unintentionallyexacerbate <strong>the</strong> segregation<strong>of</strong> friendship groups.10


School SizeStudents in smaller schools feel moreconnected <strong>to</strong> school, on average, thanstudents in larger schools. This findingcontributes <strong>to</strong> <strong>the</strong> mounting evidencethat very large schools are not good forengaging kids in school.<strong>The</strong> effect <strong>of</strong> school size onconnectedness is not <strong>the</strong> same as <strong>the</strong>effect <strong>of</strong> school size on academicachievement. <strong>The</strong> optimal school size forincreasing school connectedness is under600 students. In small schools, teachersand school leaders can personallyconnect with most students, animpossible feat in a large school.On <strong>the</strong> o<strong>the</strong>r hand, studies onlearning report that <strong>the</strong> optimal highschool size for high academic achievementis between 600 and 1,200 students.<strong>Schools</strong> <strong>of</strong> this size have <strong>the</strong> capacity <strong>to</strong><strong>of</strong>fer a wide variety <strong>of</strong> courses andcurricula. None<strong>the</strong>less, <strong>the</strong> findingssupport <strong>the</strong> growing evidence that verylarge schools, those over 1,200, are notgood environments for adolescents ei<strong>the</strong>reducationally or socially.Percent <strong>of</strong> students who are Latino.Percent <strong>of</strong> students from two-parent families.Teacher QualificationsPercent <strong>of</strong> teachers in <strong>the</strong>ir first year <strong>of</strong> teaching at <strong>the</strong> school.Percent <strong>of</strong> teachers with a Master’s degree.Discipline PoliciesMeasuring School EnvironmentDemographic CompositionStudents receive out-<strong>of</strong>-school suspension or expulsion <strong>the</strong> firsttime <strong>the</strong>y are caught cheating (yes/no). A scale was createdbased on administra<strong>to</strong>r responses <strong>to</strong> ten questions. “In yourschool, what happens <strong>to</strong> a student who is caught:Possessing alcohol?Drinking alcohol?Possessing an illegal drug?Using an illegal drug?Destroying school property?<strong>The</strong> responses ranges from “1” (no policy) <strong>to</strong> “7” (expulsion).Harsh discipline policies were defined as 6.5 or higher.Structural School CharacteristicsVerbally abusing a teacher?Fighting?Injuring ano<strong>the</strong>r student?Carrying a weapon?Injury <strong>to</strong> a teacher?”School size measured in 100s; class size; public school(yes/no); urban, rural or suburban.Extracurricular Activities/Classroom ManagementPercent <strong>of</strong> students who do not participate in extracurricularactivities, based on a list <strong>of</strong> activities including sports, academicclubs, music, newspaper, and yearbook.Classroom management is <strong>the</strong> school average <strong>of</strong> students’responses <strong>to</strong> four questions. “Since you started school thisyear, how <strong>of</strong>ten have you had trouble:Getting along with teachers? Paying attention in school?Getting your homework done? Getting along with o<strong>the</strong>r students?”Responses ranged from “never” (0) <strong>to</strong> “everyday” (4).11


Class Size and School TypeWhile smaller class size has beenshown <strong>to</strong> improve academic success,class size is not related <strong>to</strong> <strong>the</strong> likelihood<strong>of</strong> students feeling connected <strong>to</strong> school.Similarly, <strong>the</strong> type <strong>of</strong> school—public,private, or parochial—is not associatedwith school connectedness. Whe<strong>the</strong>r aschool is urban, rural or suburban alsodoes not predict <strong>the</strong> level <strong>of</strong>connectedness in <strong>the</strong> school.Discipline PoliciesWhen schools have harsh or punitivediscipline policies, students feel lessconnected <strong>to</strong> school. <strong>The</strong> disciplinepolicy for any particular infraction doesnot influence connectedness; ra<strong>the</strong>r,harsh discipline climate in general iswhat seems <strong>to</strong> be associated with lowerschool connectedness.It is unclear which is <strong>the</strong> cause andwhich is <strong>the</strong> effect. Are more restrictiveschool policies <strong>the</strong> response <strong>to</strong> a highprevalence <strong>of</strong> disconnected students and<strong>the</strong>ir behavioral problems, or dopunitive discipline policies serve <strong>to</strong>alienate students from school?<strong>The</strong> analysis presented here cannotanswer that question.Extracurricular ActivitiesWhen more students participate inextracurricular activities during or afterschool, <strong>the</strong> overall level <strong>of</strong> schoolconnectedness is higher. But, again, itis unclear whe<strong>the</strong>r <strong>the</strong> association iscausal. Do extracurricular activitiespromote school connectedness or is itsimply more likely that kids who arealready connected <strong>to</strong> school willparticipate in more school activities?12


Teacher QualificationsAlthough it is logical <strong>to</strong> assume thatteachers’ education level and years <strong>of</strong>experience would improve <strong>the</strong> likelihood<strong>of</strong> students feeling connected <strong>to</strong> school,Add <strong>Health</strong> data show that nei<strong>the</strong>r is animportant fac<strong>to</strong>r. Nei<strong>the</strong>r <strong>the</strong> percent <strong>of</strong>teachers with a Master’s degree nor <strong>the</strong>percent <strong>of</strong> teachers in <strong>the</strong>ir first year <strong>of</strong>teaching at <strong>the</strong> school is associated withschool connectedness.Adolescents on <strong>the</strong> margins <strong>of</strong> <strong>the</strong>adolescent social structure face greaterhealth risks, independent <strong>of</strong> <strong>the</strong>ir socialbackground or performance in school.Nationally, four percent <strong>of</strong> studentsreported that <strong>the</strong>y had no friends. <strong>The</strong>rewere socially isolated students in everyschool studied.Friendship GroupsSocial relations with o<strong>the</strong>r studentsin school are crucial <strong>to</strong> school connectedness.Specifically, <strong>the</strong> teens most connected<strong>to</strong> school are <strong>the</strong> students who:■ have <strong>the</strong> most friends;■ have friends from lots <strong>of</strong>different social groups.Conversely, <strong>the</strong> teens least connected<strong>to</strong> school are <strong>the</strong> students who:■ identify more friends fromoutside <strong>the</strong> school thanfrom inside;■ are socially isolated—thosewith few, if any friends in<strong>the</strong> school.13


Students were asked <strong>to</strong> identify, by name, <strong>the</strong>ir five closest malefriends and <strong>the</strong>ir five closest female friends. <strong>The</strong>se weretabulated and analyzed by <strong>the</strong> criteria listed below.School Network Density<strong>The</strong> ratio <strong>of</strong> <strong>the</strong> number <strong>of</strong> nominations observed <strong>to</strong> <strong>the</strong>number <strong>of</strong> possible nominations in <strong>the</strong> school.School CentralizationMeasuring Friendship GroupsAre cliques separated or overlapping? If two people are friends,<strong>the</strong>ir friendship distance is one. A friend <strong>of</strong> a friend is two stepsaway, and a friend’s friend’s friend is three. <strong>The</strong> average distancebetween all reachable pairs in <strong>the</strong> school was measured.Highly centralized school social structures are those inwhich cliques are separate (not overlapping).Lesser centralized school social structures have a looselytied web <strong>of</strong> interconnecting relationships.School Network SegregationRegardless <strong>of</strong> any one student’ssocial position in school, she or he willbe affected by <strong>the</strong> overall pattern <strong>of</strong>friendship groups in <strong>the</strong> school. Schoolconnectedness is higher for all studentswhen:■ Social cliques in <strong>the</strong> school areoverlapping and students havesocial ties <strong>to</strong> multiple cliques.■ <strong>The</strong>re are multiple, reciprocatedfriendships (e.g., two studentseach identify <strong>the</strong> o<strong>the</strong>r asfriend).■ <strong>The</strong> most popular students ina school are academicallymotivated and get good grades.■ Friendship groups are integratedby race and gender.Gender — <strong>The</strong> extent <strong>to</strong> which <strong>the</strong> friendships include boysand girls.Race/Ethnicity — <strong>The</strong> extent <strong>to</strong> which <strong>the</strong> friendship groupsin <strong>the</strong> school include Blacks and Whites.Individual Friends Nominated from Outside <strong>of</strong> SchoolStudents were allowed <strong>to</strong> nominate friends both inside and outside<strong>the</strong> school. This variable measures <strong>the</strong> extent <strong>to</strong> which <strong>the</strong>friendship choices <strong>of</strong> students are oriented outside <strong>the</strong> school.Indiviudal Measure <strong>of</strong> Popularity and IsolationStudents who are among <strong>the</strong> <strong>to</strong>p 10% most <strong>of</strong>ten nominatedstudents in <strong>the</strong> school.Students who nei<strong>the</strong>r nominated any friends, nor receivednominations from o<strong>the</strong>rs in <strong>the</strong> school.14


Panel AWhiteel B.BlackMixed/OPanel APanel B●●●WhiteBlackMixed/O<strong>the</strong>rMAPPING FRIENDSHIP GROUPS<strong>The</strong> integration <strong>of</strong> friendship groups across lines <strong>of</strong> race, gender and social status enhances students feeling <strong>of</strong>connectedness <strong>to</strong> school.<strong>The</strong> figures above show how social scientists map social networks. Each circle on <strong>the</strong> maps above represents a student,and each line depicts a friendship selection made. Clusters <strong>of</strong> connected circles are friendship groups; circles on <strong>the</strong>perimeter with no connecting lines reveal socially isolated students.Panel A is a map <strong>of</strong> a large school with relatively equal numbers <strong>of</strong> White students and Black students.<strong>The</strong>re are twolarge friendship groups made up predominantly <strong>of</strong> Black students.<strong>The</strong>re are also two predominantly White friendshipgroups. O<strong>the</strong>r minority students are well represented throughout <strong>the</strong> school’s social network. In this racially integratedschool, Black and White students have formed segregated friendship groups.To a lesser extent friendship groups tend <strong>to</strong> segregate <strong>the</strong>mselves by socioeconomic status and gender as well.<strong>The</strong>result is a lower level <strong>of</strong> connectedness among most students.Panel B depicts a school that is predominantly White. Students <strong>of</strong> color are equally represented in each <strong>of</strong> <strong>the</strong> fivefriendship groups. When friendship groups are integrated in this way, school connectedness tends <strong>to</strong> be higher.In both schools <strong>the</strong>re are students with no friends. Not surprisingly, <strong>the</strong>se students feel <strong>the</strong> least connected <strong>to</strong> school.Many schools have implemented strategies <strong>to</strong> identify <strong>the</strong>se young people and help link <strong>the</strong>m in<strong>to</strong> <strong>the</strong> school’s socialfabric.15


ConclusionFeeling connected <strong>to</strong> school is a significant advantage for adolescents as<strong>the</strong>y transition <strong>to</strong> adulthood.School connectedness protectsadolescents against many healthrisks, including smoking,alcohol, drug use, and earlysexual initiation. School connectednessis also good for academic achievement:whatever curriculum is in place will bemore effective when students feelconnected <strong>to</strong> school.<strong>The</strong> findings presented in thismonograph demonstrate that a fewschool attributes — classroommanagement, school size, andintegration <strong>of</strong> friendship groups acrosslines <strong>of</strong> race, gender, and social status —help explain why kids in some schoolsfeel more connected <strong>to</strong> school than kidsin o<strong>the</strong>r schools. Not only are <strong>the</strong>sefac<strong>to</strong>rs amenable <strong>to</strong> change, but <strong>the</strong>re isevidence that schools have successfullychanged <strong>the</strong>m.Improving academic achievementand test scores is <strong>the</strong> <strong>to</strong>p priority formost schools. Squeezing yet one morething — school connectedness — on<strong>to</strong><strong>the</strong> plate might feel like <strong>to</strong>o big <strong>of</strong> aburden. However, many schooladministra<strong>to</strong>rs and teachers are alreadyproviding <strong>the</strong> kind <strong>of</strong> leadership needed<strong>to</strong> improve school connectedness. <strong>The</strong>evidence provided here indicates that<strong>the</strong>se efforts are worth <strong>the</strong> investmentand may have broader value thanpreviously expected.16


EpilogueThis is <strong>the</strong> third in a series <strong>of</strong> monographsfundedby <strong>the</strong> Robert Wood Johnson Foundation.This series presents newresearch findings from <strong>the</strong>National Longitudinal Study<strong>of</strong> Adolescent <strong>Health</strong> thathave immediate applicability. <strong>The</strong>purpose <strong>of</strong> <strong>the</strong>se monographs is <strong>to</strong>communicate <strong>the</strong>se new findings <strong>to</strong> <strong>the</strong>people who can use this information <strong>to</strong>improve <strong>the</strong> health and well-being <strong>of</strong>adolescents.For School Administa<strong>to</strong>rsTen Strategies That FosterConnection <strong>to</strong> School*1. Brains<strong>to</strong>rm with students, faculty, staff and parentssimple changes that could make school a more pleasantplace <strong>to</strong> be.2. Create policies that are based on student, family andneighborhood srengths and assets.3. Turn mistakes in<strong>to</strong> learning opportunities ra<strong>the</strong>r thanfailures meriting punishment.4. Acknowledge and honor accomplishments and all types<strong>of</strong> competencies (such as helpfulness, good citizenship,most improved performance, volunteerism, participationin decision making, and cessation <strong>of</strong> negative behavior).5. Set high standards and challenge students <strong>to</strong> meet <strong>the</strong>m.6. Reinforce explicit expectations for positive behavior andacademic success.7. Encourage highly interactive teaching strategies.8. Create a welcoming environment for all who come <strong>to</strong><strong>the</strong> school.9. Invite family and community members <strong>to</strong> take activeand regular roles in <strong>the</strong> daily operation <strong>of</strong> <strong>the</strong> school.10. Create a common vision <strong>of</strong> success and keep it visible.* Based on material published in “Protective <strong>Schools</strong>: Linking Drug Abuse Preventionwith Student Success,” by Kris Bosworth, PhD. Smith Initiatives for Prevention andEducation, College <strong>of</strong> Education, <strong>The</strong> University <strong>of</strong> Arizona, P.O. Box 210069,Tucson, AZ 85721-006917


<strong>The</strong> findings presented in thismonograph contribute <strong>to</strong> a growingbody <strong>of</strong> research on how <strong>to</strong> fosterpositive school climate. <strong>The</strong> sidebars TenStrategies That Foster Connection withSchool came from <strong>the</strong> Smith Initiativesfor Prevention and Education at <strong>the</strong>University <strong>of</strong> Arizona. <strong>The</strong>se strategiestypify <strong>the</strong> recommendations <strong>of</strong> manypr<strong>of</strong>essional organizations <strong>of</strong> educa<strong>to</strong>rs.Ten Strategies That FosterConnection <strong>to</strong> School*For Parents1. Be a model <strong>of</strong> respectful, cooperative, positivebehavior in your everyday interactions.2. Participate in school events.3. Show interest. Be involved in your child’s academicactivities.4. Maintain regular contact with your child’s teacher.5. Moni<strong>to</strong>r you child’s homework completion and workwith him or her on homework assignments thatinvolve family participation.6. Be present when things go wrong.7. Meet your child’s friend, and <strong>the</strong>ir parents.8. Ask school leaders what you can do <strong>to</strong> support <strong>the</strong>m.9. Volunteer at school.10. Nominate effective school leaders for local awards.All monographs in this series canbe downloaded from <strong>the</strong> website <strong>of</strong><strong>the</strong> Division <strong>of</strong> General Pediatricsand Adolescent <strong>Health</strong> located at. <strong>The</strong>first monograph, Reducing <strong>the</strong> Risk:Connections That Make a Difference in<strong>the</strong> Lives <strong>of</strong> Youth, presents <strong>the</strong> firstresearch findings from Add <strong>Health</strong>. Itshows, among o<strong>the</strong>r things, thatschool connectedness is associatedwith emotional well-being and lowerparticipation in health risk behaviors.18


<strong>The</strong> second monograph, Protecting<strong>Teens</strong>: Beyond Race, Ethnicity and FamilyStructure, presents research which showsthat race, family income and living in asingle-parent family cannot predict whe<strong>the</strong>ran individual teen is likely <strong>to</strong> participate inrisky health behaviors.For TeachersTen Strategies That FosterConnection <strong>to</strong> School*1. Help students get <strong>to</strong> know each o<strong>the</strong>r’s (and your)strengths.2. Involve students in planning, problem solving, identifyingissues and assessing curriculum in <strong>the</strong> classroom.3. Promote cooperation over competition. Post everyone’sbest work. Offer opportunities for <strong>the</strong> class <strong>to</strong> work<strong>to</strong>ge<strong>the</strong>r <strong>to</strong> help everyone achieve <strong>the</strong>ir level <strong>of</strong> excellence.4. Build a strong relationship with each student.5. Convey attentiveness <strong>to</strong> students and excitement aboutlearning through nonverbal gestures.6. Involve all students in chores and responsibilities in <strong>the</strong>classroom.7. Integrate concepts <strong>of</strong> discipline and respect for classmatesthroughout instruction.8. Give students more say in what <strong>the</strong>y will learn.9. Involve student in developing <strong>the</strong> criteria by which <strong>the</strong>irwork will be assessed and provide guidelines so <strong>the</strong>y clearlyunderstand what’s expected <strong>of</strong> <strong>the</strong>m.10. Use first person plural (we, us, let’s) when presentingclassroom activities.* Based on material published in “Protective<strong>Schools</strong>: Linking Drug Abuse Prevention withStudent Success,” by Kris Bosworth, PhD. SmithInitiatives for Prevention and Education, College <strong>of</strong>Education, <strong>The</strong> University <strong>of</strong> Arizona, P.O. Box210069, Tucson, AZ 85721-006919


This monograph was prepared by Robert William Blum, MD, PhD, Clea McNeely, DrPHand Peggy Mann Rinehart <strong>of</strong> <strong>the</strong> Center for Adolescent <strong>Health</strong> and Development,University <strong>of</strong> Minnesota. It is based on an analysis <strong>of</strong> Add <strong>Health</strong> data and reported in <strong>the</strong>Journal <strong>of</strong> School <strong>Health</strong>, April 2002: McNeely, C.A., Nonnemaker, J.M., Blum, R.W.(2002) Promoting Student Attachment <strong>to</strong> School: Evidence from <strong>the</strong> NationalLongitudinal Study <strong>of</strong> Adolescent <strong>Health</strong>. Journal <strong>of</strong> School <strong>Health</strong>. Vol 72(4).All analyses <strong>of</strong> friendship networks were provided by James Moody, Department <strong>of</strong>Sociology, Ohio State University, and Peter S. Bearman, Department <strong>of</strong> Sociology,Columbia University, in <strong>the</strong>ir unpublished paper, “Shaping School Climate: SchoolContext, Adolescent Social Networks, and Attachment <strong>to</strong> School.”Copies (up <strong>to</strong> 3) <strong>of</strong> this monograph can be obtained by contacting:Center for Adolescent <strong>Health</strong> and DevelopmentDivision <strong>of</strong> General Pediatrics and Adolescent <strong>Health</strong>University <strong>of</strong> Minnesota Gateway200 Oak St. SE, Suite 260Minneapolis, MN 55455-2002E-mail: ahp@umn.eduCitation Information:Blum, R.W., McNeely, C.A., Rinehart, P.M., (2002).Improving <strong>the</strong> odds: <strong>The</strong> untapped power <strong>of</strong> schools <strong>to</strong> improve <strong>the</strong> health <strong>of</strong> teens,Center for Adolescent <strong>Health</strong> and Development, University <strong>of</strong> Minnesota,200 Oak St. SE, Suite 260, Minneapolis, MN.Preparation <strong>of</strong> this report was assisted by a grant from<strong>The</strong> Robert Wood Johnson FoundationPrince<strong>to</strong>n, New JerseyPartial support for <strong>the</strong> research was provided by <strong>The</strong> American Association <strong>of</strong> SchoolAdministra<strong>to</strong>rs through a grant from <strong>the</strong> Division <strong>of</strong> Adolescent and School <strong>Health</strong>,Centers for Disease Control and Prevention and by grant 448-CCU513331 from <strong>the</strong>Centers for Disease Control and Prevention <strong>to</strong> <strong>the</strong> National Teen Pregnancy PreventionResearch Center.Print Production Assistance: Liz Latts, David McNeely, Ka<strong>the</strong>rine Puntillo, Glynis SheaPrinted by University <strong>of</strong> Minnesota Printing Services.20

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