Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Implementation Status and Related Factors of Health Promoting Schools among Elementary, Middle and High Schools: Based on the WHO Guidelines

초등학교와 중.고등학교 건강증진학교 수행 현황과 관련 요인: WHO 건강증진학교 지표를 중심으로

  • Lee, Eun-Young (Institute for Community Health, Hanyang University) ;
  • Park, Kyung-Ok (Samsung Advanced Technology Training Institute, HRD Center, Samsung Electronics) ;
  • Shin, Young-Jeon (Department of Preventive Medicine, College of Medicine, Hanyang University) ;
  • Choi, Bo-Youl (Department of Preventive Medicine, College of Medicine, Hanyang University)
  • 이은영 (한양대학교 지역사회보건연구소) ;
  • 박경옥 (삼성전자 인재개발센터 첨단기술연수소) ;
  • 신영전 (한양대학교 의과대학 예방의학교실) ;
  • 최보율 (한양대학교 의과대학 예방의학교실)
  • Received : 2012.02.15
  • Accepted : 2012.03.26
  • Published : 2012.03.31
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Abstract

Objectives: The objectives of this study were to assess the implementation status of Health Promoting Schools (HPS) among elementary, middle and high schools and to identify characteristics of the schools that affect the implementation of HPS. Methods: A total of 703 teachers (male 32.2%, females 67.8%) from 70 elementary, middle and high schools in Seoul and Gyeonggi participated in the survey. A 60-item self-evaluation questionnaire was used to assess implementation status of HPS. Results: Implementation of HPS in elementary schools were more favorable than middle and high schools after controling for participants' characteristics, such as age, gender, and their duties at school (<0.001). Being a private school was associated with higher score on implementation of HPS in both elementary (${\beta}$=0.170) and middle/high schools (${\beta}$=0.275). However, being located in rural areas (${\beta}$=-0.409) and having larger number of students (${\beta}$=-0.521) were associated with lower score on implementation of HPS in middle/high schools. Conclusions: Middle and high schools, especially large public and/or rural schools, were less favorable in implementing HPS. Therefore, supporting those schools are necessary and developing evaluation and monitoring system for HPS implementation will contribute to promote students' health.

Keywords

References

  1. Ahn, B.C., & Joung, H.J. (2007). Decomposition of health inequlity in high school students. Journal of Korean Society of School Health, 20(1), 63-75.
  2. Barber, B. K., & Olsen, J. A. (2004). Assessing the transitions to middle and high school. Journal of Adolescent Research, 19(1), 3-30. https://doi.org/10.1177/0743558403258113
  3. Buijs, G., & Bowker, S. (2010). Working with schools. In E. Waters, B. Swinburn, J. Seidell, & R. Uauy (Eds.), Preventing childhood obesity (pp. 263-268). Singapore: Blackwell Publishing.
  4. Byun, S., & Kim, K. (2011). The effectiveness of private schools: Illusion or reality? Korean Journal of Sociology of Education, 21(1), 77-109.
  5. Chen, Y., Yeh, C., Lai, Y., Shyu, M., Huang, K., & Chiou, H. (2009). Significant effects of implementation of health-promoting schools on schoolteachers' nutrition knowledge and dietary intake in Taiwan. Public Health Nutrition, 13(4), 579-588.
  6. Cho, B. J. (2007). A study on the types of school accidents and first aids at elementary, middle, and high schools in a local province. Journal of Korean Society of School Health, 20(1), 45-52.
  7. Cho, J. S., Kim, Y. B., Park, S. W., Jang, C. G., Na, C. N., Moon, S. Y., & Park, J. O. (2009). Development of a model for Korean Health Promoting School. Seoul, Korea: The Korean Society of School Health.
  8. Gittelsohn, J., Merkle, S., Story, M., Stone, E.J., Steckler, A., Noel, J., Davis, S., Martin, C., & Ethelbah, B. (2003). School climate and implementation of the Pathways study. Preventive Medicine, 37, S97-106. https://doi.org/10.1016/j.ypmed.2003.08.010
  9. Hur, S., & Kang, H. (2003). Searching for optimum school size. The Journal of Education, 22, 133-158.
  10. Inman, D. D., van Bakergem, K. M., LaRosa, A. C., & Garr, D.R. (2011). Evidence-based health promotion programs for schools and communities. American Journal of Preventive Medicine, 40(2), 207-219. https://doi.org/10.1016/j.amepre.2010.10.031
  11. Kim Y. I. (1998). A study of the index development and measurement for school health promoting behaviors. Journal of Korean Society of School Health, 11(2), 189-201.
  12. Kim, C. J. (2009, September 15). Health teacher shortage in rural school. Yonhapnews. Retrieved from http://app.yonhapnews.co.kr/
  13. Kim, I. (2009). Mental health of adolescents in a community. Journal of Agricultural Medicine and Community Health, 34(2), 234-243. https://doi.org/10.5393/JAMCH.2009.34.2.234
  14. Kim, Y. (2008). The present status and determinants of private secondary schools' educational competitiveness. Korean Journal of Sociology of Education, 18(4), 75-113.
  15. Korean Center for Disease Control and Prevention. (2011). 2010 Korean youth risk behavior web-based survey statistics. Cheongwon: Korean center for disease control and prevention. Seoul, Korea: Ministry of Education, Science and Technology
  16. Lee, A., Cheng, F. K., & St Leger, L. (2005). Evaluating health-promoting schools in Hong Kong: development of a framework. Health Promotion International, 20(2), 177-186. https://doi.org/10.1093/heapro/dah607
  17. Lee, C. Y., Chung, Y. S., Han, J. H., Lee, C. O., & Kwon, I. S. (2003). Development and performance analysis of elementary school health promotion policy guideline. Journal of Korean Community Nursing, 14(3), 457-467.
  18. Lee, E. Y., Choi, B. Y., Sohn, A. R., & Ahn, D. H. (2009). Evaluation of health promoting school by school characteristics. Korean Journal of Health Education and Promotion, 26(3), 85-96.
  19. Leger, L., Kolbe, L., Lee, A., McCall, D., & Young, I. (2007). School health promotion. In D. McQueen, & C. Jones (Eds.), Global perspectives on health promotion effectiveness (pp. 107-124). New York, NY: Springer.
  20. Ma, S. J., & Choi, K. H. (2010). Factors to vitalize rural schools. Journal of Rural Development, 33(1), 115-139.
  21. McNamara, P. M., & Moynihan, S. (2010). Schools for health in Europe operating grant external evaluation report. Ireland: University of Limerick.
  22. Min, B. K., & Hong, H. J. (2011). A study on the optimal size of school and class for effective curricular implementation. Asian Journal of Education, 12(2), 1-24.
  23. Ministry of Education, Science and Technology (2012). Strategies for students' health promotion of students. Seoul, Korea: Ministry of Education, Science and Technology.
  24. Mukoma, W., & Flisher, A. (2004). Evaluations of health promoting schools: a review of nine studies. Health Promotion International, 19(3), 357-368. https://doi.org/10.1093/heapro/dah309
  25. Park, S. (2009). Health Behaviors among adolescents in the rural area in Korea. Journal of Agricultural Medicine and Community Health, 34(2), 202-213. https://doi.org/10.5393/JAMCH.2009.34.2.202
  26. Sohn, A. R., Kim B. R., Kim, S. H., Shim, Y. J., Ahn, D. H., & Choi, B. Y. (2008). Evaluating health promoting schools based on WHO standards in Yangpyung-gun, Korea. The Journal of Korean Society for School Health Education, 9(1), 1-15.
  27. Stewart-Brown, S. (2006). What is the evidence on school health promotion in improving health or preventing disease and specifically, what is the effectiveness of the health promoting schools approach? Copenhagen, Denmark: WHO Regional Office for Europe.
  28. Whitman, C. V., & Aldinger, C. E. (Eds.) (2009). Case studies in global school health promotion: from research to practice. New York, NY: Springer.
  29. WHO (1996). Regional guidelines: Development of health promoting schools: A framework for action (School health promotion Series 5). Manila, the Philippines: WHO.
  30. Yun, S., Kim, Y., Choi, J., Cho, H., Kim, Y., Park, Y.,... & Ha, Y. (2005). Health education needs of students, parents and teachers and the status of health education in elementary, middle, and high schools. Journal of Korean Society of School Health, 18(1), 1-14.