ArticleInternational journal of environmental research and public health2021
Health Promoting Schools in Germany. Mapping the Implementation of Holistic Strategies to Tackle NCDs and Promote Health.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Adolescents' Knowledge and Attitudes Towards NCDs: the Impact of a Novel Preventive School-Based Approach.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Implementation of the health promoting school program in Poland: results from a national cross-sectional study.BMC public health · 2026Article
- Disparities in practice: implementation of health promotion policies in 2883 Hungarian schools with a focus on small-sized institutions.European journal of public health · 2026Article
- A scoping review of instruments measuring the implementation of the Health-Promoting School approach.Health promotion international · 2026Article
- Visualizing contextual determinants in and across heterogeneous settings: a qualitative study on structured school health promotion implementation.Implementation science communications · 2026Article
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- Association of school leaders' COVID-19 health literacy with the implementation of health promotion in schools in Germany: a cross-sectional study.BMC public health · 2025Article
- Increasing adolescents' physical activity levels through a comprehensive school-based physical activity program: study protocol of the cluster randomized controlled trial Active School.BMC pediatrics · 2024Article
- Concept and methodology of the Health Behaviour in School-aged Children (HBSC) study - Insights into the current 2022 survey and trends in Germany.Journal of health monitoring · 2024Article
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- Role of early childhood educators' demographic characteristics and perceived work environment in implementation of a preschool health promotion intervention.Archives of public health = Archives belges de sante publique · 2023Article
- The importance of school leaders in school health promotion. A European call for systematic integration of health in professional development.Frontiers in public health · 2023Article
- The Importance of School Leaders' Attitudes and Health Literacy to the Implementation of a Health-Promoting Schools Approach.International journal of environmental research and public health · 2022Article
- Evaluation of the Health Promoting Schools (CEPS) Program in the Balearic Islands, Spain.International journal of environmental research and public health · 2022Review
- [School health promotion from Ottawa to today: opportunities and challenges].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Review
- [School health promotion and prevention in Germany. Current issues, implementation, and challenges].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- [School health promotion in pandemic times. Results of the COVID-HL school principal study].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
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Abstract
Noncommunicable diseases (NCDs) and their underlying risk factors are seen as major public health problems that threaten health and welfare systems worldwide. The holistic and resource oriented Health Promoting School (HPS) approach can serve as an appropriate framework for the prevention and control of NCDs. The paper aimed to map the implementation of HPS activities in German schools and to examine associations with potential influencing factors. A series of cross-sectional online studies including five federal states and 5006 school principals (40.2% males, 50.8% females) from primary and secondary public schools was conducted from 2013 to 2018. Principal component analysis (PCA) resulted in two factors of HPS implementation (F1: concrete HPS action, F2: capacity building for HPS). Comparing both factors, a lower implementation level could be identified for HPS capacity building with lowest mean values found for regular teacher training and intersectoral collaboration. Multiple binary regression analyses revealed significant associations between low HPS implementation and male gender (OR: 1.36 to 1.42), younger age (OR: 1.47 to 1.90), secondary school (OR: 1.78 to 3.13) and federal state (Lower Saxony = OR: 1.27 to 1.45; Schleswig-Holstein = OR: 1.95 to 2.46). Moreover, low access to resources, decision-latitude and perceived educational benefits were independently associated with both factors of HPS implementation. Based on the results of this study, there is a need to support schools in their capacity building for health (e.g., regular teacher training, cooperation with local health services). Moreover, considering the core mission of schools, more evidence of the educational impact of health promotion and its translation into the language of education is needed for secondary schools in particular.
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