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From 1995, Asturias participates in the European Network of Schools for Health (SHE); in 2010, the schools in net were 44 (11 of secondary school). This study evaluates the effect of SHE in secondary school students' behaviour. A quasi-experimental study was conducted with four public SHE and four non-SHE-schools; the study population consisted of the first- and fourth-year students. By questionnaire, data on socio-demographics, the school environment, well-being and behaviours were collected. In the intervention group (the SHE-schools), the percentage of students who declared that their school engaged in health activities was significantly higher. Among the first-year students, the percentages of children having breakfast daily, occasionally eating pastries and occasional consumption of soft drinks were significantly higher in the control group; among the fourth-year students, the percentages of children reporting high school satisfaction, good relations with teachers, good academic performance, no alcohol use, never having been drunk and collaboration in housework were significantly higher in the intervention group. Significant gender differences were observed among the first-year students in both groups with boys consuming more hours of electronic entertainment; among the fourth-year students, the perception of school performance was significantly better for girls, while weekly physical activity, daily breakfast and high self-esteem were more prevalent among the boys. The results suggest a positive effect of the SHE programme, because differences among the first-year students favouring the control group were not present among the fourth-year students, while the intervention group showed significantly better results in 6 of 25 compared outcome variables.

Effects of the School for Health network on students' behaviour in Asturias (Spain)