Psychiatric Services
Journal Home Search Current Issue Past Issues Subscribe All APPI Journals Help Contact Us
 
Psychiatr Serv 58:610, May 2007
doi: 10.1176/appi.ps.58.5.610
© 2007 American Psychiatric Association
Quicksearch
Advanced Search
Or Search All APPI Journals
This Article
* Full Text (PDF)
* Alert me when this article is cited
* Alert me if a correction is posted
Services
* Email this article to a Colleague
* Similar articles in this journal
* Similar articles in PubMed
* Alert me to new issues of the journal
* Add to My Articles & Searches
* Download to citation manager
* reprints & permissions
Citing Articles
* Citing Articles via Google Scholar
Google Scholar
* Articles by Ma, S.
* Articles by Sturm, R.
* Search for Related Content
PubMed
* PubMed Citation
* Articles by Ma, S.
* Articles by Sturm, R.
Related Collections
* Child/Adolescent Psychiatry
* Needs Assessment

Column

Datapoints: School Characteristics and Behavior Problems of U.S. Fifth-Graders

Sai Ma, M.P.A., Khoa Truong, M.A. and Roland Sturm, Ph.D.


  Introduction

 
 TOP
 Introduction
 Acknowledgments and disclosures
 
Aside from the family, the school environment is perhaps the most important context in which the developmental process takes place. Early intervention in primary schools is essential to help children learn to cope with emotional problems and make nonviolent choices. Thus it is important to predict schools' potential needs for such interventions.

This report is based on a national survey of 11,283 fifth-graders in 2,390 schools from the Early Childhood Longitudinal Study-Kindergarten in 2003–2004. The report describes associations between teacher-reported externalizing and internalizing behavior problems of children and key school sociodemographic features. Because the initial sampling did not include children who were not in kindergarten to be followed up, the sample we used in this study represents approximately 83% of all fifth-graders nationwide. The externalizing scale includes six behaviors: argues, fights, gets angry, acts impulsively, disturbs ongoing activities, and talks during quiet study time. The internalizing scale includes anxiety, loneliness, low self-esteem, and sadness. We created dichotomous measures for each scale; children at or above the 95 percentile on each scale were classified as having substantial problems.

Figure 1 shows that public schools had significantly higher percentages of students with externalizing (8.1%) and internalizing (6.5%) behavior problems than private schools (4.6% and 3.9%, p<.001, respectively). These statistics were weighted to account for the differential sampling probabilities. Schools in which 50% or more of students were from minority groups had a much higher percentage of externalizing problems (11.4 %, p<.001) than schools with less than 50% (5.7%); however, no difference in internalizing problems was found. Finally, in schools where 50% or more of students were eligible for free lunch, 11.3% of students had external behavior problems, significantly higher than the 6.5% in schools in which less than 50% of students were eligible (p< .001); no difference in internal behavior problems was found.


Figure 1
View larger version (14K):
[in this window]
[in a new window]

 

Figure 1. Percentage of students with externalizing and internalizing behavior problems, by school sociodemographic features



The results of multilevel analysis to assess the nesting effect suggest that both individual- and school-level characteristics contributed to the variation in child behavior problems across schools. Of the total variation—11.5% observed across schools—6.1% was explained by individual-level characteristics and 21.3% was explained by school-level characteristics.

Our report suggests that school sociodemographic characteristics are associated with differential prevalence of behavior problems and that the association is stronger with externalizing behavior problems than with internalizing problems. Therefore, sociodemographic characteristics can help predict the need for corresponding intervention programs and help inform budgetary allocation. The use of school characteristics is an inexpensive and rather straightforward method for needs assessment.

Our study has some limitations. First, we found less significant predictive power when using child self-reported behaviors. Second, further research might aim to distinguish a school effect from a potential neighborhood effect.


  Acknowledgments and disclosures

 
 TOP
 Introduction
 Acknowledgments and disclosures
 
This work was partly funded by grant P50-ES012383 from the National Institute of Environmental Health Sciences.

The authors report no competing interests.


  Footnotes

 
Ms. Ma and Mr. Truong are with the Frederick S. Pardee RAND Graduate School in Santa Monica, California. Dr. Sturm is a senior economist at RAND Corporation. Send correspondence to Ms. Ma at RAND, 1776 Main St., P.O. Box 2138, Santa Monica, CA 90407 (e-mail: saima{at}prgs.edu). Harold Alan Pincus, M.D., Terri L. Tanielian, M.A., and Amy M. Kilbourne, Ph.D., M.P.H., are editors of this column.





This Article
* Full Text (PDF)
* Alert me when this article is cited
* Alert me if a correction is posted
Services
* Email this article to a Colleague
* Similar articles in this journal
* Similar articles in PubMed
* Alert me to new issues of the journal
* Add to My Articles & Searches
* Download to citation manager
* reprints & permissions
Citing Articles
* Citing Articles via Google Scholar
Google Scholar
* Articles by Ma, S.
* Articles by Sturm, R.
* Search for Related Content
PubMed
* PubMed Citation
* Articles by Ma, S.
* Articles by Sturm, R.
Related Collections
* Child/Adolescent Psychiatry
* Needs Assessment


Get information about faster international access.

Privacy Policy

Copyright © 2007 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us

American Psychiatric Publishing, Inc. American Psychiatric Association
1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209-3901 * 800-368-5777 * appi at psych.org