Do crowding-out effects explain the low effect of a health promotion intervention among young people at a vocational school?

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In recent years, school-based interventions have increasingly been used as a strategy to promote good eating habits and physical activity among young people at school. However, little is known about the effect that this kind of public involvement has on the overall behavior of young people. Economists refer to the existence of a crowding-out effect when public sector engagement in influencing behavior is counteracted by behaviors at the individual level. The aim of this study was to investigate the effects of a health promotion intervention program among young people at a vocational school on the overall behavior of the students and consider whether a crowding-out effect existed when it came to health behavior. This study used data from the Gearing up the Body (GUB) intervention that was carried out at the vocational school of Uddannelsescenter Holstebro, Denmark. The study included 130 students from two vocational programs. Answers were collected from survey questions in three waves. Our results showed that intervening in the school setting had the intended impact on physical activity but an unintended impact on eating behavior. In the GUB study, we found signs of countervailing behaviors in and out of school that need to be further explored.

OriginalsprogEngelsk
Artikelnummer11127
TidsskriftInternational Journal of Environmental Research and Public Health
Vol/bind18
Udgave nummer21
Antal sider18
ISSN1661-7827
DOI
StatusUdgivet - 1 nov. 2021

Bibliografisk note

Funding Information:
Acknowledgments: The authors wish to thank the participants of the COST IS1210 Action Training School 3: Assessing appearance dissatisfaction in marginalized and socially disadvantaged groups, 9–11 November 2015, for helpful comments regarding the concepts and ideas of the manuscript. The authors would like to thank several important program stakeholders for their time. The program was supported by the Danish Heart Association, Danish Lung Association, Education Centre UCH Arla, Lantmannen, the Holstebro Municipality, Ministry of Health, and Aalborg University. Associated partners were the 3F Trade Union and the Cancer Society.

Funding Information:
This article was supported by National Funds through Funda??o para a Ci?ncia e a Tecnologia (FCT) within CINTESIS, R&D Unit (reference UIDB/4255/2020). The Gearing up the Body project was financed by the Danish Heart Association and the Danish Meal Partnership (Maaltidspartnerskabet). Acknowledgments: The authors wish to thank the participants of the COST IS1210 Action Training School 3: Assessing appearance dissatisfaction in marginalized and socially disadvantaged groups, 9?11 November 2015, for helpful comments regarding the concepts and ideas of the manuscript. The authors would like to thank several important program stakeholders for their time. The program was supported by the Danish Heart Association, Danish Lung Association, Education Centre UCH Arla, Lantmannen, the Holstebro Municipality, Ministry of Health, and Aalborg University. Associated partners were the 3F Trade Union and the Cancer Society.

Funding Information:
Funding: This article was supported by National Funds through Fundação para a Ciência e a Tecnologia (FCT) within CINTESIS, R&D Unit (reference UIDB/4255/2020). The Gearing up the Body project was financed by the Danish Heart Association and the Danish Meal Partnership (Maaltidspartnerskabet).

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

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