초록
Objectives: The purpose of this study was to assess input for health promoting schools (HPS), and to evaluate HPS based on WHO's guidelines through school characteristics, and to identify the schools' need among six areas of HPS. Methods: A stratified and random cluster sampling design was used to obtain a cross-sectional sample. A total of 59 elementary, middle and high schools in Seoul and Gyeonggi areas were included, and 333 teachers (males 40.6%, females 59.4%) participated in this survey. A self-reported questionnaire consisted of ten items for input for HPS, 50 items for the evaluation of HPS and three items for the schools' needs among six areas of HPS. Data was analyzed through a t-test, ANOVA, and a Duncan test. Results: The mean score of input for HPS was 48.5 ($\pm$15.3). Elementary schools had higher mean scores of input than middle schools. The mean score of schools with a management committee was higher than those schools without it. The schools which had meetings on health issues had higher mean scores. The mean score for HPS was 76.8 ($\pm$9.4): the area of "School Physical Environment" had the highest score (80.0$\pm$10.9), and the area of "Community Relationships" had the lowest score (67.1$\pm$13.9). Elementary schools had higher mean scores of HPS than middle and high schools. The schools which had less than nine classes and more than 31 classes had higher mean scores. The mean scores of schools with less than 340 students and more than 1201 students had higher. The schools which had meetings on health issues had higher mean scores. The same results were found on six areas of HPS. The teachers responded that the areas of "School Health Policy", "The School Physical Environment", and "Health Service" should be supported among the six areas of HPS. Conclusion: Based on these results, more concerns and support for school health are necessary. Middle schools should give more regard on the development of HPS. For comprehensive school health promotion, all six areas of HPS should be equally supported.
