Middle schools experienced a steeper decline in substance use programming compared with high schools.
Analysis included seven cycles of the School Health Profiles, a cross-sectional, biennial national surveillance system of US middle and high schools .
A total of 76,826 schools participated, with 9865-12,387 schools responding annually from 2008 to 2018, achieving 70%-94% response rates per state. Researchers utilized systematic, equal-probability sampling with random starts to produce representative samples for each state, with one lead health educator per school completing self-administered questionnaires.
Data analysis focused on weighted proportions for affirmative responses regarding school programming and teacher professional development in emotional/mental health, suicide prevention, and substance use prevention.According to the researchers, teacher professional development in emotional/mental health increased significantly from 36.1% in 2012 to 67.7% in 2020 (Middle schools experienced a steeper decline in substance use programming compared to high schools, dropping from 92.5% in 2008 to 83.
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