Predictors of health-promoting behaviors in children from low-income families: An ecological approach.

In this study, we investigated the ecological factors that influence health-promoting behaviors in children from low-income families in South Korea using a descriptive correlational design. The participants included 297 elementary school students who used community childcare centers, 297 caregivers, and 68 teachers at the centers. Data were collected using a structured self-report survey, and were subjected to a multi-level regression analysis. The factors influencing the health-promoting behaviors of children were as follows: self-efficacy and self-regulation as intrapersonal factors; caregivers' parenting behavior and peer relationships as interpersonal factors; and the number of months since the centers' establishment, teachers workloads, and centers' perceived environments as institutional factors. The findings emphasize the need to create a healthy environment to promote the health of children from vulnerable groups, and that community-based participatory research might be an effective strategy to address these environmental problems, and ultimately help reduce health disparities between children.