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This study aimed to explore the effect of integrating math into elementary health education on students’ health knowledge development. The study used a quasi-experimental design. A total of 86 third-grade students participated, with 44 students in the experimental group and 42 in the control group. Pre- and post- paper-based questionnaires on health-related knowledge was used to collect the data. Data were analyzed using a 2 (group) × 2 (time) mixed-design analysis of variance (ANOVA) on SPSS software. The results showed a significant effect of Group × Time, F(1, 84) = 147.04, p < .001, η²p = .636, indicating that students in the intervention group showed greater improvement from pre-test to post-test in health knowledge than those in the control group.