Clusters of Health-Promoting Schools in Middle and High Schools Based on the WHO Guidelines

Young Ko; In-Sook Lee

doi:10.12799/jkachn.2013.24.3.282

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Ko and Lee: Clusters of Health-Promoting Schools in Middle and High Schools Based on the WHO Guidelines

Original Article

Journal of Korean Academy of Community Health Nursing 2013; 24(3): 282-291.

Published online: 30 September 2013

DOI: https://doi.org/10.12799/jkachn.2013.24.3.282

Clusters of Health-Promoting Schools in Middle and High Schools Based on the WHO Guidelines

Young Ko¹, In-Sook Lee²

¹College of Nursing, Gachon University, Incheon, Korea.

²College of Nursing, Seoul National University, Seoul, Korea.

Corresponding author: Lee, In-Sook. College of Nursing, Seoul National University, 28 Yeongeon-dong, Jongno-gu, Seoul 110-799, Korea. Tel: +82-2-740-8828, Fax: +82-2-766-1852, lisook@snu.ac.kr

Received 15 January 2013 Accepted 22 August 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to identify the Clusters of health promoting schools in middle and high schools for the Korean Youth Risk Behaviors Web-based Survey.

Methods

The tool of health promoting school was developed based on a framework for action for health promoting schools in World Health Organization and Schools Health Index for middle and high schools in the United States by 2 professionals and 2 health teachers and revised as a result of the preliminary study. Data were collected with a questionnaire from teachers who attended the conference run by Korean Centers for Communicable Disease Control and Prevention in 2009. The data of 363 schools were analyzed using descriptive analysis, t-test, and ANOVA.

Results

As a result of comparing the scores of health promoting schools, three Clusters were identified. The Clusters differed significantly in presence of health teacher, location, and type of schools (p<.05).

Conclusion

These results are a good reference in developing tailored strategies for health promoting schools, which will help improve health-promoting schools.

Keywords: Adolescent, Schools, Health promotion, Health behavior, Cluster analysis

Figures and Tables

Figure 1

Mean score of each item in school health policies, physical and social environment of the school.

Figure 2

Mean score of each item in community links, action competencies for healthy living, and school health care and promotion services.

Table 1

Level of Performance on Items of 6 Elements for Health Promoting Schools

HP=healthy school policies; PE=physical environment of the school; SE=social environment of the school; C=community links; AC=action competencies for healthy living; HS=school health care and promotion services.

Table 2

Characteristics of the Schools and Respondents

Table 3

Comparison of Three Clusters by 6 Elements of Health Promoting School

^†Post-hoc test: Scheffé test, subgroup (a, b, or c); ^‡ANOVA.

Table 4

Results of the Multinomial Logistic Regression Analysis

Notes

This study were supported by a research grant of Korea Centers for Disease Control and Prevention (Serial Number: 2008-E00390-00).

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