초등학교와 중고등학교 건강증진학교 수행 현황과 관련 요인: WHO 건강증진학교 지표를 중심으로

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 (β=0.170) and middle/high schools (β=0.275). However, being located in rural areas (β=-0.409) and having larger number of students (β=-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.