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If 糖心动漫vlog and federal officials are serious about closing academic-achievement gaps, they need to better coordinate efforts to address the health disparities that impede learning for students from disadvantaged groups, according to .
鈥淎t the national level, we鈥檙e on the verge of investing billions in our educational system, and the return on those investments is going to be jeopardized unless these health issues are addressed in a much more cogent way,鈥� said the study鈥檚 author, Charles E. Basch, a professor of health and education at Teachers College, Columbia University.
For his study, Mr. Basch reviewed more than 300 studies in education, psychology, health, and other areas, looking for health disparities that would provide strategic leverage points for improving student learning.
To make the cut, he said, the health problems he chose had to meet three criteria: They had to negatively affect urban students from traditionally disadvantaged minority groups, be linked in some way to poorer educational outcomes for students, and have some evidence of school-based programs and policies that could successfully address them. The six 鈥渆ducationally relevant health disparities鈥� he selected are: vision problems, asthma, teenage pregnancy, aggression and violence, physical inactivity, lack of breakfast, and inattention and hyperactivity.
Federal data show that asthma problems, for example, affect 8.8 percent of white children between the ages of 5 and 14, compared with 21.5 percent of Puerto Rican children and 12.8 percent of African-American children in that age range, and are particularly prevalent in the nation鈥檚 largest cities.
Compared with children without the condition, some studies have also found, children with asthma tend to have more problems with concentration and memory, to have their sleep disrupted, and to miss more days of school. One 2003 estimate, in fact, blamed the disorder for 12.8 million school absences across the country that year.
Vision Problems Cited
Likewise, the report says that vision problems, which affect low-income individuals at twice the rate of others, have been linked to poorer academic achievement. However, a New York City study involving eight elementary schools found that children who failed routine vision screenings were more likely to obtain and wear eyeglasses in school when they took part in a program that provided them with a professional optometric screening and two pairs of eyeglasses鈥攐ne to leave at home and one to keep at school.
鈥淭ypically, what happens is the public-health department does the screenings, parents are expected to follow up, and then the teacher is responsible for ensuring that the child uses the eyeglasses in school, so we need to connect the dots,鈥� Mr. Basch said.
To have an impact on learning, he added, 糖心动漫vlog also need to address multiple problems at the same time. 鈥淪ay a child鈥檚 vision is corrected, but he鈥檚 still ill-nourished and sleep-deprived,鈥� Mr. Basch said.
Better coordination could also make school-based health-related prevention and intervention programs for adolescents more efficient, he added, because many of them target the same topics, such as building social and emotional skills or resisting peer pressure.
Although the report makes dozens of recommendations for 糖心动漫vlog and policymakers at local, state, and federal levels, it calls on the U.S. Department of Education, in particular, to take a leading role. The report says the department should coordinate health services for children across the federal government, develop a strategic national school health plan, require schools to include health goals in mandated school-improvement plans, and create incentives for states to address students鈥� health needs.
Federal Responsse
Matthew Yale, the deputy chief of staff for U.S. Secretary of Education Arne Duncan, said his agency has begun to take some steps in that direction. For instance, it wants to boost funding for President Obama鈥檚 Promise Neighborhoods initiative, which seeks to expand the Harlem Children鈥檚 Zone comprehensive-services model, from $10 million in 2010 to $250 million in 2011.
Also, as part of the upcoming reauthorization of the Elementary and Secondary Education Act, the department wants to create a $410 million 鈥渟afe, healthier schools鈥漡rant program for schools, Mr. Yale said. Schools are also one of the 鈥渇our pillars鈥� of First Lady Michelle Obama鈥檚 campaign against childhood obesity, he added.
鈥淗opefully, we鈥檒l continue to be focused on this issue and will start to chip away at it thoughtfully,鈥� said Mr. Yale, who spoke at on the report at Teachers College.
Another panelist, Howell Wechsler, the director of the division for adolescent and school health at the U.S. Centers for Disease Control and Prevention agreed that more attention is needed on the role of education in improving young people鈥檚 health.
鈥淪omehow in the din and clamor of the school reform efforts of the past few years, too many of us have lost sight of the connection between health and education,鈥� he said.
The study was the second report last week to highlight fragmentation across federal agencies in serving the needs of children and youths. A , an education research and consulting group with offices in Danville, Calif., and Bethesda, Md., inventories federal programs serving children from birth to age 18 across seven federal agencies. It locates a total of 363 such programs, including many that overlap.
At the Teachers College forum, Mr. Yale and Mr. Wechsler said the recent outbreak of the H1N1 virus helped break down some of those boundaries. It required federal agencies to collaborate in writing disease-management guidelines for schools and ensuring that students could get subsidized breakfasts when schools closed.
Both reports come as support for education reform efforts that address the 鈥渨hole child鈥� is growing among some national groups. For example, some experts are calling for a 鈥渂roader, bolder approach to education,鈥� in contrast to more widely used approaches that put the onus for improving academic achievement on schools alone.
