TY - JOUR
T1 - Subjective health, symptom load and quality of life of children and adolescents in Europe
AU - Ravens-Sieberer, Ulrike
AU - Torsheim, Torbjorn
AU - Hetland, Jorn
AU - Vollebergh, Wilma
AU - Cavallo, Franco
AU - Jericek, Helena
AU - Alikasifoglu, Mujgan
AU - Välimäa, Raili
AU - Ottova, Veronika
AU - Erhart, Michael
AU - Ravens-Sieberer, Ulrike
AU - Torsheim, Torbjørn
AU - Alexandrova, Bogdana
AU - Brooks, Fiona
AU - Morgan, Antony
AU - Fenton, Cath
AU - Lepp, Kädi
AU - Välimäa, Raili
AU - Vignes, Céline
AU - Sentenac, Mariane
AU - Ottova, Veronika
AU - Schnohr, Christina
AU - Kökönyei, Gyöngyi
AU - Unak, Kjartan
AU - Gobina, Inese
AU - Vollebergh, Wilma
AU - van Dorsselaer, Saskia
AU - Hetland, Jørn
AU - Mazur, Joanna
AU - Gaspar, Tania
AU - Mih, Viorel
AU - Szentagotai, Aurora
AU - Kallay, Eva
AU - Geckova, Andrea
AU - Katreniakova, Zuzana
AU - Jericek, Helena
AU - Stergar, Eva
AU - Pucelj, Vesna
AU - Ramos, Pilar
AU - Danielson, Mia
AU - Eriksson, Lilly
AU - Alikasifoglu, Mujgan
AU - Erginoz, Ethem
AU - HBSC Positive Health Focus Group
PY - 2009/9
Y1 - 2009/9
N2 - Objectives: To examine cross-cultural differences in the prevalence of school children's subjective health types and the pattern of socio-demographic and socio-economic differences. Methods: Within the cross-sectional Health Behaviour in Schoolaged Children 2005/2006 Survey 200,000 school children aged 11, 13 and 15 answered a general health item, the Cantrill life satisfaction ladder and a subjective health complaints checklist. ANOVA and multilevel logistic regression models were conducted. Results: Overall, 44% of the respondents reported multiple recurrent health complaints, only poor to fair general health, low life satisfaction or a combination of these. Older adolescents (OR: 1.1-1.6) and girls (OR: 1.2-1.4) reported more health problems, the gender difference increased with age (OR: 1.3-1.6). Low socio-economic status was also associated with health problems (OR: 1.4-2.3). Sizeable cross-national variation in the prevalence of health types and the impact of the above mentioned factors were observed, yet the main pattern of impact could be confirmed cross-culturally. Conclusions: Increasing social and gender role pressure with growing age, as well as restricted access to material resources and psychosocial strains are discussed as potential explanations for the observed health inequalities.
AB - Objectives: To examine cross-cultural differences in the prevalence of school children's subjective health types and the pattern of socio-demographic and socio-economic differences. Methods: Within the cross-sectional Health Behaviour in Schoolaged Children 2005/2006 Survey 200,000 school children aged 11, 13 and 15 answered a general health item, the Cantrill life satisfaction ladder and a subjective health complaints checklist. ANOVA and multilevel logistic regression models were conducted. Results: Overall, 44% of the respondents reported multiple recurrent health complaints, only poor to fair general health, low life satisfaction or a combination of these. Older adolescents (OR: 1.1-1.6) and girls (OR: 1.2-1.4) reported more health problems, the gender difference increased with age (OR: 1.3-1.6). Low socio-economic status was also associated with health problems (OR: 1.4-2.3). Sizeable cross-national variation in the prevalence of health types and the impact of the above mentioned factors were observed, yet the main pattern of impact could be confirmed cross-culturally. Conclusions: Increasing social and gender role pressure with growing age, as well as restricted access to material resources and psychosocial strains are discussed as potential explanations for the observed health inequalities.
KW - children & adolescents
KW - cross-cultural differences
KW - HBSC study
KW - health types
KW - subjective health
U2 - 10.1007/s00038-009-5406-8
DO - 10.1007/s00038-009-5406-8
M3 - Article
C2 - 19639258
AN - SCOPUS:69249209729
SN - 1661-8556
VL - 54
SP - S151-S159
JO - International Journal of Public Health
JF - International Journal of Public Health
ER -