Perceived Health Knowledge and Health Education Needs Associated with Child Health Behaviors : A Survey of Some Elementary School Students in Seoul

  • Jung, Sang-Hyuk (Department of Preventive Medicine, Ewha Womans University) ;
  • Park, Kyoung-Ok (Department of Health Education, Ewha Womans University)
  • Published : 2005.09.30


Objectives: This study was conducted to describe child perceived health knowledge, health education needs, and health behaviors by sex as a representative general characteristic and examined their associations for students' better health behavior changes. Methods: The survey participants were 410 fourth to sixth grade students in two elementary schools in Seoul, Korea. A total of 12 classes in two elementary schools were randomly selected and all students of the selected classes participated in the self-administered survey. The questionnaire contained the items of perceived health knowledge, health education needs (health topics which they want to know more), health behavior, and general characteristics. Results: Perceived health knowledge, health education needs, and health behaviors were, generally, better among girls than boys. Sexual differences were not large in perceived health knowledge, health education needs, health behaviors. Perceived health knowledge had significant positive correlation with health behaviors both in boys and girls(p <.01). The correlation between perceived health knowledge and health behaviors(r =.36) was two fold greater than correlation between health education needs and health behaviors(r =.18) among boys; where as the two correlations were similar to each other among girls. The significant factors were perceived health knowledge, sex, grade, and health education needs in order, and the four factors described health behaviors in 21.0%. The higher perceived health knowledge, girls, lower grade, and more health education needs was associated with the better health behaviors. Conclusions: There was significant sexual difference of the relationship between health knowledge, health education needs, and health behaviors among children. Perceived health knowledge was more important factor to improve health behaviors among boys while perceived health knowledge and health education needs had equal importance on health behaviors among girls. Therefore, knowledge building should be an essential part of health education class goals for building better health behaviors.


  1. Birch, D.A. 1994. Teacher training for involving families in school health education. The Education Digest 60(4): 66-69
  2. Butler, J.T. 2004. Principles of health education and health promotion. Wadsworth Publishers, Belmont, CA
  3. CDC. 2004. Improving the Health of Adolescents and Young Adults: A Guide for States and Communities. U.S. Department of Health and Humans Services
  4. Choi, J.Y and Kim, M. 1995. Parental perception and need assessment on health education in elementary, middle, and high schools. Journal of Korean Society for Health Education and Promotion 12(1):47-71
  5. Essen, R.H. 2004. Why teach health education. The Journal of School Health 74(6):197
  6. Farrand, L.L. and Cox, C.L. 1993. Determinants of positive health behavior in middle childhood. Nursing Research. 42(4):208-213
  7. Grunbaum, J.A., Gingis, P., Orpinas, P., Ptey, L.S. and Parcel, G.S. 1995. A comprehensive approach to school health program needs assessments. The Journal of Health Education 65(2): 54-59
  8. Hutchinson, M.R. and Poole, D.L. 1998. Adolescent health and school health: It's time to meet the challenge. Health & Social Work 23(1):3-7
  9. Kahn, L., Brener, N.D. and Allensworth, D.D. 2001. Health education: Results from the school health policies and programs study 2000. The Journal of Health Education 71(4):266-278
  10. Kim, J.W., Nam, C.H. and Kim, S.W. 2001. Health education needs of community residents in rural areas. Journal of Korean Society for Health Education and Promotion 8(2):97-113
  11. Kim, M., Go, S.D. and Kim, Y.B. 1998. Credentialing health education specialists to activate Korean national health promotion programs. Journal of Korean Society for Health Education and Promotion 15(2):67-79
  12. Kim, S. 2001. The effects of regular health education by school nurses on primary school children's health-related knowledge and behavior. Journal of Korean Society of School Health 14(2):161-175
  13. Korea Primary Criminal Justice. 2002. Criminal Records, Seoul, Korea
  14. Korea National Statistical Office. 2004. Youth statistics, Seoul, Korea
  15. Lee, A. 2002. Should school health educators be regarded as professionals and what professional knowledge and skills should they process: the Hong Kong experience. Promotion & Education 9(1):3-8
  16. Lee, M.S. 1999. Health promotion development through rural independent societies. Journal of Korean Society for Health Education and Promotion 16(2): 101-111
  17. Mckenzie, F.D. and Richmond, J.B. 1998. Linking health and learning: An overview of coordinated school health programs. In E. Marx et al. Health is academic: A guide to coordinated school health programs. New York, Columbia College Press
  18. Seffrin, J.R. 1994. America's interest in comprehensive school health education. The Journal of School Health 64(10):397-399
  19. Shin, H.S. and Jung Y. 1998. Predictive factors of health behaviors among school children. Korean Journal of Nursing 28(4):846-855
  20. Shin, J.H., Jung, E.K., Lee, J.A., Oh, S.J. and Kim, S.W. 2002. The factors affecting the visuality of health education materials through print media. Journal of Jeon Nam Medical School 37(2): 109-118
  21. WHO. 1997. The Jakarta declaration on leading health promotion into the 21st century. The 4th International Conference Proceeding on Health Promotion. Jakarta: Indonesia
  22. World Smoking Cessation Committee. 2001. Youth smoking in the world
  23. Yoo, J.S. 2000. Unit and content analysis on health education class in the 6th curricula system for elementary school. Journal of Korean Society of School Health 13(1):63-84
  24. Yoon, Y.O. 1997. Health education need assessment among middle school students in Seoul. Thesis of Ewha Womans University