Lee Albert, Cheng Frances F K, Fung Yanas, St Leger Lawrence
Centre for Health Education and Health Promotion, Chinese University of Hong Kong, 4th Floor, Lek Yuen Health Centre, Shatin, NT, Hong Kong.
J Epidemiol Community Health. 2006 Jun;60(6):530-6. doi: 10.1136/jech.2005.040121.
The Health Promoting School (HPS) is a WHO sponsored framework, compiled to enable education and health sectors to be more effective in school based initiatives.
This study attempted to test the hypothesis that students from schools that had comprehensively embraced the HPS concept as indicated by the Healthy School Award, were better, in terms of health risk behaviour, self reported health status, and academic results, than students from schools that did not reach the standard of the award.
The results presented came from nine schools (four primary and five secondary) applying for accreditation of the Healthy Schools Award after adopting the HPS framework for two years. Regular consultancy support and training were available to all schools. Students had completed before and after surveys to assess their health behaviours, self reported health status, and academic standing before the two year intervention, and at its end. Data from the before and after surveys of the students attending schools that reached certain level of HPS standard as indicated by the award, were compared with students whose schools did not receive the award, and the results showed differences. Some differences were found to be more significant among the primary school students than secondary schools students. This illustrated early intervention for lifestyle changes to be more effective. Students' satisfaction with life also improved if their schools adopted the concept of HPS comprehensively.
The results suggest that comprehensive implementation of HPS would contribute to differences in certain behaviours and self reported health and academic status.
健康促进学校（HPS）是世界卫生组织发起的一个框架，旨在使教育和卫生部门在以学校为基础的倡议中更有成效。
本研究试图检验这一假设，即与未达到健康学校奖标准的学校的学生相比，获得健康学校奖表明全面接受HPS理念的学校的学生在健康风险行为、自我报告的健康状况和学业成绩方面表现更好。
研究结果来自九所学校（四所小学和五所中学），这些学校在采用HPS框架两年后申请健康学校奖认证。所有学校均可获得定期的咨询支持和培训。学生们在两年干预前后分别完成了调查，以评估他们的健康行为、自我报告的健康状况和学业成绩。将达到该奖项所表明的HPS标准一定水平的学校的学生前后调查数据与未获得该奖项的学校的学生进行比较，结果显示存在差异。发现一些差异在小学生中比中学生中更显著。这表明早期进行生活方式改变的干预更有效。如果学校全面采用HPS理念，学生对生活的满意度也会提高。
结果表明，全面实施HPS将有助于在某些行为以及自我报告的健康和学业状况方面产生差异。
