Purpose: The study was done to explore the effect of perception of parental rearing attitude and social support on self-efficacy and stress among school-aged children, then to supply information for health promotion of children and to promote multi-cultural communication between Korea and China. Methods: The participants for this study were 180 elementary students each, from Korea and China. Data were analyzed with descriptive statistics, $X^2$test, t-test, correlation analysis and AMOS. Results: Social support had a direct effect on self-efficacy for both Korean and Chinese children. In Korea parental rearing attitude had greater direct effect on stress than social support and self-efficacy. But in China only, parental rearing attitude had direct effect on stress. Conclusion: These findings provide support for perception of parental rearing attitude, social support, and self-efficacy as predictive variables of stress in Korean and Chinese school-aged children.