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Purpose: The purpose of this study was to identify the relationship between family stress and health promoting behavior (HPB) of the dual earner couples. Methods: The subjects were 312 dual earner couples selected from G city by convenient sampling. The data were collected from October 1 to November 10, 2009, and analyzed using frequencies, t-test, ANOVA, Duncan test, and Pearson's correlation coefficient with the SPSS/WIN 17.0. Results: The mean score of family stress and HPB on the subjects were 2.98 and 3.29 respectively. Family stress showed a significant difference according to monthly income. HPB showed a significant difference according to exercise, smoking, and drinking. HPB had a significantly positive correlation with family stress. Conclusion: This study suggested that we should develop programs to increase regular exercise and to quit drinking and smoking for the dual earner couples in occupational health nursing.