Strategies

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until 8:30 a.m. or later

Use broad media-based efforts to educate large groups of current and potential tobacco users about the dangers of tobacco use

Minimum legal tobacco age (MLTA) laws specify the legal age to purchase or publicly consume tobacco products, including cigarettes, cigars, and e-cigarettes

Increase the lowest hourly, daily, or monthly compensation that employers may legally pay to workers

Combine educational, environmental, and behavioral activities that increase physical activity and improve nutrition (e.g., nutrition education, aerobic/strength training, dietary prescriptions, etc.) in various settings

Offer young children opportunities to eat healthy foods and engage in physical activity by providing fresh fruits and vegetables, incorporating physical activity into daily classroom routines, etc.

Teach positively stated behavior expectations to all students, often reinforced with prizes or privileges and supported with coaching and data

Support programs to provide students with a nutritious breakfast in the cafeteria, from grab and go carts in hallways, or in classrooms

Promote abstinence from sexual activity, generally only with mention of condoms and birth control to highlight failure rates

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians