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Purposes： This study was designed to survey current and past health promotion programs in schools and to assess the needs of health promotion programs based upon the opinions of health teachers. Methods： Self-report questionnaire were given to health teachers who attended board meetings in each province or who participated in a qualification training course in Daegu. The questionnaire was developed by authors and revised it based on experts' advice. Results： The most common health promotion programs were sexual education, sexual violence prevention, drug abuse prevention, first aid,dental health. In contrast, many mental health promotion programs, such as suicide prevention, ADHD, and those involving personality disorders were all relatively uncommon. The needs of health promotion programs showed almost same priority with health promotion programs that are being done. Conclusions： The development of effective health promotion programs requires input from students, parents, teachers, experts, and health teachers.

Purposes： This review is designed to assess the current status of health education in Korea, to identify problems within the curriculum, and to suggest ways to improve health education in Korea. Results： Korean schools currently lack a regular standardized health education curriculum. Subjects related to health education are presently taught in other disciplines, such as physical education, home management, biology, and other related subjects. The Korean health education curriculum suffers from many significant problems, including a lack of educational goals for health education, absence of designated time for health education, a lack of continuity between contents, knowledge-oriented health education, and an overall disconnect with the needs of the students. Other problems include an exclusion of health education experts in the development of the curriculum, no designated times for health education within the regular curriculum, and a lack of health teachers in schools. Conclusion： To improve health education in schools, standard health education curriculum should be developed. Health education curriculum needs to be sequential, comprehensive, and skill-based. Health education needsto be a essential subject, health teachers need to be trained, and provided with technical support.

Purpose： The purpose of this study was to estimate obesity rate among mentally disabled children in six public schools in Korea. Furthermore, this study identified several factors that correlated with these children's obesity. The results of this study can help identify mentally disabled children who are at an increased risk for obesity and can be used to promote good health in this population. Methods： 1,102 subjectsfrom six public special schools were classified 4 groups who assessed for BMI for age-gender specific reference chart(1998) based on our previous data. Moreover, 207 parents were surveyed to identify predisposing factors for children's obesity, including characteristics of the children and parents, socioeconomic factors, children's eating habits, and children's exercise habits. Results： The prevalence of obesity among the 1,102 mentally disabled children was 17.3%. There was a statistically significant correlation between obesity and factors, such as age, maternal education, parents' perceptions about their child's obesity, frequency of breakfast, and exercise habits. Each of these factors was determined to have a statistically significant influence on obesity when all other factors were controlled in a multivariate analysis with multiple logistic regression analysis. Conclusions： Parental perceptions had an especially strong impact on the weight of their mentally disabled child. This is presumably due to the great influence that parents have on the lifestyles of their children, including dietary habits and frequency of exercise. Furthermore, the rate of obesity was directly proportional to the age of the child. The results of this study strongly indicate the need for preemptive health education programs that stress weight management for mentally disabled elementary school students.

Purpose： This study evaluated the effectiveness of safety education programs for students in higher grades of elementary school. Methods： This study involved a test group and a control group, each consisting of 214 students in higher grades of elementary school. These students were subjected to before and after simulation tests conducted between September 9 and October 22, 2004. Results： We predict that the test group who received safety education training will possess a greater knowledge about safety and will conduct themselves in a relatively safer manner relative tothe control group that did not receive safety education training. Conclusion： The above results implicate the importance of a continuous and systematic safety education program and demonstrate the ability of such programs to encourage safe conduct among elementary school children

Purpose： This study explores the relationship between the health behavior and knowledge of elementary school students and the socio-economic status of their parents. Methods： A self-administrated questionnaire was provided to 238 students and their parents living within Seoul metropolitan area. The questionnaires were administered during December 2003. The relationship betweensocio-economic status, health behavior (19 items) and health knowledge (15 items) were analyzed using correlation, t-test and one-way ANOVA. Multiple regression analyses were also performed in order to investigate the relationship between health behavior and socio-economic status. Results： The results of multiple regression demonstrated that the health behavior of children living in apartments was 2.29 higher (=2.29) than those not living in apartments. Health behavior scores among students with highly educated mothers were 0.42 higher (=0.42) than those for students with relatively uneducated mothers. These numbers represent statistically significant values. Conclusion： Since health behavior appears to be directly proportional to socio-economic status ofthe parent, active intervention may be required in order to improve the health behavior of children with poorly educated mothers and who live in independent or multi-household houses.

Purpose : This study was designed to apply a "stage of change" exercise intervention program to obese children in elementary school and to examine its effects on their BMI. stage of change. process . and self-efficacy in exercise. Methods : The experimental group included 64 children in the fourth . fifth and sixth grades. from one elementary school. whose BMI was in the H5th percentile or more for their age groups. The control group had 6 1 students from a different one elementary school whose conditions were the same as those of the experimental group. Results: After the stage of change exercise intervention was applied, the BMI of the experimental group decreased by a significant enough degree to conclude that the program was effective in decreasing BMI. After the application of the program. the experimental group experienced a significant increase in their helping relationships. counter-conditioning . reinforcement management and stimulus control compared 10 the control group. After the program. self-efficacy in terms of exercise increased significantly in the experimental group. Conclusion: A stages of change exercise intervention program has been shown to engage individual students and encourage them 10 maintain a higher fitness level that promote s self-efficacy in exercise and therefore moves them towards healthier lifestyles. Moreover. the study proved that a significant reduction of BMI was achieved by the stages of change exercise intervention program.

Purpose： This study reviews the Youth Risk Behavior Surveillance System (YRBSS) in the United States. This review focuses on the purposes, questionnaires, survey methods, and use of survey results. The author also discussesthe establishment and use of Korean Youth Risk Behavior Surveillance System. Results：The YRBSS was developed in 1990 to monitor priority health risk behaviors that contribute to the leading causes of death, disability, and social problems among youth and adults in the United States. The purpose of YRBSS is to determine the prevalence of health risk behaviors, to assess the trend of health risk behavior prevalence, provide comparable data, monitor progress toward achieving the Healthy People 2010. The questionnaires inquire about health-related behaviors, including tobacco use, unhealthydietary behaviors, inadequate physical activity, alcohol and drug use, sexual activity, behaviors that contribute to unintentional injuries and violence. The results of YRBS have been used to estimate the prevalence of risk behaviors among youth, to set goals for school health programs, for training and development of health program personnel, for the development of health education curriculum, to support enactment of health-related regulations, and to support funding for futher research. Conclusions： The YRBSS represents a potentially valuable program that can be applied in Korea. Assessment of risk behaviors among Korean youths will provide invaluable insight for many potential purposes.

Purpose： This study compared lifestyles of middle school students with and without atopic dermatitis in order to obtain the baseline information for health education. Methods： This study involved 256 students from 20 middle schools in Busan who suffered from atopic dermatitis and 231 students from 2 middle schools in Busan who did not have atopic dermatitis. Results： Students with atopic dermatitis had a lower family income (탑=16.99, p<.001) and were more likely to come from a nuclear family (탑=10.28, p<.001) than control students. 98% of the students with atopic dermatitis had several skin symptoms. 78.5% of students with atopic dermatitis reported experiencing difficulties in their daily because of their condition. Students with atopic dermatitis took shorter baths and used soap less frequently than the students in the control group. The students with atopic dermatitis cleaned their houses and bedclothes more often than normal students in an attempt to remove cockroaches and house-dust mites. Students with atopic dermatitis also ate fast and instant foods more often than normal students. Conclusions： Some lifestyle differences exist between students with and without atopic dermatitis. Therefore, education and guidance may be important to promote good health and improve lifestyle quality.

Purposes： This study was to examine the effects of empowerment education programs on empowerment and mental health in high school students. Methods： This study involved a nonequivalent control group pre-test and post-test design. The subjects for this study consisted of 421 high school students who attended two general high schools in Busan. The 211 students in the experimental group received empowerment education training, while the 210 students in the control group did not. The data were collected from March 2, 2004 to July 20, 2004. The empowerment education program consisted of 17 separate 50-minute sessions. The questionnire was developedby authors and revised it based on experts' advice. SPSS 11.0 program was used to analyze the data. Chi-square test and t-test were used to test the homogeneity of general characteristics and dependent variables. Student's t-test was used to evaluate the differences between the experimental group and control group after the treatment. Results： Just as we hypothesized, the experimental group exhibited higher empowerment scores than the control group. For subcategory, Score of self-efficacy and self-esteem increased significantly in the experimental group compared to the control group. However, the score of decision-making ability did not increase significantly. The data failed to support our second hypothesis that the experimental group would have higher mental health scores than the control group. Although the score of self-scale increased significantly in the experimental group compared to the control group, the score of social-support and psychopathology did not. Conclusions： Empowerment education programs are effective for empowerment of high school students. However, such training is effective only for promoting the self scale but not overall mental health. Thus, we suggest the application of the empowerment education program to make high school students aware of their abilities. Furthermore, we suggest the implementation of mental health programs to supplement such empowerment education programs.

Purpose： This study examined the effects of cognitive-behavioral therapy on problem-solving ability and dysfunctional attitudes in undergraduate students. Method： This study was conducted between September 2004 and May 2005. The subjects consisted of 23 undergraduate students. The experimental group (n=13) participated in a cognitive-behavioral therapy that consist of 8 session over an 8-week period. The control group (n=10) participated in a reality therapy that also consisted of 8 sessions over an 8-week period. Problem-solving ability and dysfunctional attitudes were measured for all subjects before and after therapy. These data were analyzed by unpaired t-test and t-test with the SAS program. Results： Following cognitive-behavioral therapy, the experimental group experienced a significant decrease in score of problem-solving ability and in approach-avoidance style (the subscale in the problem-solving ability). There were no changes in these values after the reality therapy in control group. Conclusions： In light of these results, cognitive-behavioral therapy has a positive effect on problem-solving ability in undergraduate students.

Purpose： This study estimated the prevalence of smoking among male and female school employees. This study also correlated key indicators of health with the number of cigarettes consumed per day by the male smokers. The indicators of health included health behavior, blood pressure (mmHg), BMI (kg/m2), diabetes, total cholesterol, GOT, GPT and GTP. Methods： Subjects included 2,640 male and 2,747 female employees working at elementary, middle, and high schools who received a physical check-up at the Seoul School Health Center in 2002. Data was obtained from the physical examinations, questionnaires, and laboratory results. Results： 39.7% of males and 0.4% of females were current smokers. 60% of the male smokers consumed between 10 and 19 cigarettes per day, and39.6% of male smokers had been smoking between 10 and 19 years. Smokers who consumed more than one pack per day had a relatively higher BMI than the non-smokers (24.7 24.1, respectively). However, smokers had lower blood pressure than non-smokers. The mean systolic and diastolic blood pressure of current-smokers were 128.2 and 82.8, respectively, while the values among non-smokers were 129 and 84.5, respectively. The proportion of current smokers with severe obesity (over BMI 30) was 5.0%. This was considerably higher than the 1.3% of severely obese non-smokers. Current-smokers also had mean and abnormal rate of fasting blood glucose, total cholesterol, GOT, GPT, and GTP that were higherthan those of non-smokers. The frequency of red meat consumption, alcohol use, perceived incidents of stress were alsomore frequent in current-smokers than in non-smokers. Exercise frequency was also lower among smokers. In multiple regression after adjusting all possible confounding factors including age, BMI, diet, and drink, the parameter value of fasting blood glucose, cholesterol, GOT, GPT, and GTP increased relative to the level of cigarette consumption. Conclusion： Among school employees, health behavior, and general health status including BMI, total cholesterol, GOT, GPT, GTP, and fasting blood glucose were worse in smokers than in non-smoker.