The main purpose of this paper is to describe the research background, purpose, framework, contents, and methods of the School Health Policies and Programs Study (SHPPS) developed in the United States of America. SHPPS was the study of school health in the USA carried out by the Centers for Disease Control and Prevention (CDC) in 1994 (SHPPS1994) and 2000 (SHPPS2000). The components of SHPPS 1994 were five elements: school health education, physical education, health services, food services, and health policies prohibiting the use of tobacco, alcohol and other drugs, and violence. In SHPPS2000, there were eight components: school health education, physical education and activity, health services, mental health and social services, food services, school policy and environment, faculty and staff health promotion, and family and community involvement. SHPPS1994 and SHPPS2000 assessed the nationwide status of policies and programs for school health in the USA. Specifically, SHPPS 1994 was the first study to examine multiple components of the school health program at the state, district, and school levels from comprehensive and multidimensional standpoints. Today's American youth have faced many public health, educational, and social problems not experienced by previous generations of young people. These problems have included violence, drug abuse, sexually transmitted diseases, unintended pregnancy, school dropout, low literacy, and disrupted family and home situations. The primary cause of these phenomena appears to be unconformity of their health and education systems. However, it may be more appropriate to recognize this as a problem of all segments of society. By understanding the development of SHPPS, it should be possible to promote school health and health education research. Furthermore, SHPPS should stimulate research into how to foster the adoption and maintenance of school health programs that can have a positive impact on the health status of young people in the USA. SHPPS should also provide some important points for the development of evidence-based school health policies and programs or health education in Japan.
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