The importance of the social environment for physically active lifestyle — results from an international study

Physically active lifestyles are regularly associated with improved health and quality of life. Differences in lifestyles in society can partly be understood through the differences in the social and physical environment. This study examines the relationships between reported physical activity, and the extent of perceived support for physical activity in the physical and policy environment (e.g. facilities, programmes and other opportunities), and in the social environment. The data for the study come from a cross-cultural health policy study called MAREPS. In total, 3342 adults, 18 years or older, from six countries (Belgium, Finland, Germany, The Netherlands, Spain, Switzerland) were inte…

Hälsotrender bland elever i svensk- och finskspråkiga grundskolor 1994-2014 : WHO:s skolelevsstudie (HBSC-Study)

WHO:s skolelevsstudie (Health Behavior in School-aged Children (HBSC) Study) är internationellt en av de mest omfattande, långvariga och betydelsefulla undersökningarna om levnadsvanor bland skolungdomar. Undersökningen startade för drygt 30 år sedan och i detta nu deltar över 40 länder i Europa och Nordamerika. Nästa internationella datainsamling, som är den tionde i ordningen, genomförs år 2018. Nytt forskningsmaterial insamlas vart fjärde år. Forskare vid Jyväskylä universitets Forskningscenter för hälsofrämjande (Terveyden edistämisen tutkimuskeskus) ansvarar för WHO:s skolelevsstudie i Finland. För ungefär 20 år sedan började det givande samarbetet mellan Jyväskylä universitet och Samf…

Mental health promotion competencies in the health sector based on a Delphi study

Purpose Effective public mental health policy and practice call for a trained workforce that is competent in mental health promotion and delivering on improved mental health. Systematic information on what competencies are needed for mental health promotion practice in the health sector is lacking. The purpose of this paper is to investigate these competencies for mental health promotion. Design/methodology/approach A Delphi survey was carried out to facilitate a consensus-building process on development of the competencies. Professionals (n=32) working in mental health and mental health promotion took part in the survey. The experts were asked their professional views on the needed compet…

Coaches’ Health Promotion Activity and Substance Use in Youth Sports

There is an increasing amount of evidence suggesting youth sports clubs are an important setting for health promotion. Adolescents in sport club settings can benefit from exposures of positive and negative consequences to health. To better understand the sport club context and coaches’ health promotion activity in substance use prevention, this study compares sport club members with non-members aged between 14–16 years old on their experience and use of alcohol, smoking and snuff and coaches’ health promotion activity on substances. Methods: Adolescents (n = 671) from sports clubs and from matched schools (n = 1442) were recruited in this study. Multiple binary logistic regressions were per…

Use of xylitol chewing gum among Finnish schoolchildren

The preventive, and partly the remineralizing, effect of xylitol was shown in Finland in the Turku Sugar Studies in 1971-73. Since then, several clinical trials in many countries have confirmed these results. In Finland, oral health personnel have recommended daily use of xylitol chewing gum in their dental health education. Moreover, commercial companies have advertised xylitol, emphasizing in particular its caries preventive effects. All Nordic dental associations have given their recommendations for xylitol use. The aim of this study was to describe how this health habit has been adopted by Finnish schoolchildren. The study was part of the comprehensive cross-national survey on Health Be…

Students' Perception of School and Their Smoking and Alcohol Use: A Cross-National Study

The objective of the paper is to study how 15 year old students' perceptions of the psychosocial environment in their schools, defined as student autonomy, teacher support, student support and demands, relate to smoking and alcohol use. Data from 15 year old students in Finland and Norway are included (n=2.816), using structural equation modelling to test theoretical models. The best model fitting the data shows that low student autonomy, low teacher support, student support and inadequate demands are significantly associated with health compromising behaviours directly, and indirectly through students' satisfaction with school. Low student autonomy is the strongest predictor of the four. T…

Critical aspects of student teachers’ conceptions of learning

Abstract The aim of this phenomenographic study was to discover the educationally critical aspects of learning conceptions among health education student teachers (N = 20). The qualitative data consisted of written essays and semi-structured interviews. Six qualitatively distinctive conceptions of learning could be discerned, namely learning as 1) the reproduction of acquired health knowledge, 2) the application of health knowledge, 3) developing personal meanings on health matters, 4) the transformation of individual thinking, 5) personal growth, and 6) collective meaning-making. These qualitatively distinct categories were reflected through three themes, which embodied critical aspects: t…

Achieving health and educational goals through schools—a study of the importance of the school climate and the students' satisfaction with school

Over the past two decades many studies have examined the effectiveness of classroom teaching in influencing present and future health and health behaviours. Few of these studies have examined the importance of the students' satisfaction with school as a variable which explains effect, and in particular what determines their satisfaction with school. Based on data from the 'Health Behaviour in School-aged Children Survey', this paper presents a review of relevant literature and examines how the students' perception of school climate relates to their satisfaction with school. Data from 11-, 13- and 15year-old students in Finland, Latvia, Norway and Slovakia are used. In all countries, the old…

Health promotion profile of youth sports clubs in Finland: club officials' and coaches' perceptions.

SUMMARY The purpose of this article is to examine the current health promotion orientation of youth sports clubs in Finland in view of the standards created previously for the health promoting sports club (HPSC). Ninety-seven youth sports clubs participated, and 273 sports club officials and 240 coaches answered the questionnaires. To describe clubs health promotion orientations, an HPSC index was created. The HPSC index was formulated on sub-indices by factor analysis. The sub-indices were: policy, ideology, practice and environment indexes. The results indicate that youth sports clubs are fairly health promoting in general. On average, the clubs fulfilled 12 standards for HPSC out of 22. …

Self-esteem and intentions mediate perceived fitness with physical activity in Finnish adolescents with long-term illness or disabilities

Background: The International Classification of Functioning, Disability and Health (ICF) is recognised as the common language in disability research. However, personal factors in the ICF are not explicitly coded because of cultural differences that influence physical activity (PA) participation. The ICF suggests using fitness as a personal factor, as well as other psychological assets. Intentions may serve as such psychological assets and studies on the antecedents to intentions which prompts PA behaviours is lacking in adolescent long term illness or disability (LTID) populations. Objective: The purpose of this study was to report how ICF personal factors can influence participation in PA.…

PHYSICAL ACTIVITY PATTERNS OF ADOLESCENTS WITH LONG TERM ILLNESSES OR DISABILITIES IN FINNISH GENERAL EDUCATION

Physical activity (PA) of adolescents with long term illnesses or disabilities (LTID) in general education is examined to provide evidence of PA levels from specific population groups. This study describes the PA levels of adolescents with LTID based on recommendations of daily 60mins of moderate-to-vigorous PA (MVPA) and vigorous leisure time PA (VPA) of at least two times a week for at least one hour per week. Finnish data from the Health Behaviour in School-aged Children (HBSC) study was pooled from 2002 and 2010 surveys. 1126 respondents (14.6%) self-reported as having a LTID and details of main categories of LTID were used to examine PA behaviours. Overall, 15.6% of adolescents with LT…

Minority status and perceived health: a comparative study of Finnish- and Swedish-speaking schoolchildren in Finland

Results of earlier studies suggest that the health of the Swedish-speaking minority in Finland is better than that of the sociodemographically similar Finnish-speaking population. The causes of differences are unknown. The main aim of the study referred was to investigate whether differences in perceived health according to linguistic group were present in a nation-wide representative sample (n=5,230) of schoolchildren aged 11, 13 and 15 years. A further aim was to determine whether differences could be attributed to socioeconomic background, social relationships or health behaviour. The study is part of the international Health Behaviour in School-aged children (HBSC) survey. The perceive…

Piecing the puzzle together: case studies of international research in health-promoting sports clubs.

This paper seeks to review the current international health-promoting sports club (HPSC) research, drawing together findings based on case studies from various countries to illustrate the status of HPSCs. In addition, future challenges for HPSC research and implementation are considered. The review includes six case studies from five countries. In summary, there are two major research themes in this area, namely ‘research into HPSC activity’ and ‘research into HPSC networks’. The first theme investigates the extent to which sports clubs and/or national sports organisations invest in health promotion (HP) – both in policy and practice. The latter theme is driven by an intention to widen the…

How Comprehensive School Students Perceive their Psychosocial School Environment

The aim of this study was to describe students’ perceptions of their psychosocial school environment and to examine the associations between such perceptions and students’ perceived school performance. Our analyses were based on data from the Health Behaviour in School‐Aged Children 2006 study, involving responses by Finnish students from grades 7 and 9. The results indicated that students’ perceptions of their school environment were fairly positive, but that a remarkably large proportion of the students reported negative attitudes towards school. School engagement, school strain, and teacher‐student relations were found to be the most influential predictors in the psychosocial school envi…

Student teachers’ ways of experiencing the teaching of health education

The aim of this phenomenographic study was to identify student teachers’ ways of experiencing the teaching of health education, and to determine the aspects that are educationally critical in gaining a deeper understanding of the teaching. Qualitative data (written essays, semi‐structured interviews) were gathered twice during health education teacher training. Teaching was seen as transferring knowledge and skills, supporting the active processing of knowledge, supporting transformation of conceptions, supporting holistic personal growth and building a learning community with the students. The teaching was reflected through five themes: the nature of the knowledge, the source of the knowle…

Socioeconomic differences in the use of alcohol and drunkenness in adolescents: Trends in the Health Behaviour in School-aged Children study in Finland 1990-2014.

Aims: The aims of this study were to explore time-based trends of socioeconomic differences in alcohol use and drunkenness in Finnish adolescents from 1990 to 2014 and to investigate the significance of two indicators in detecting socioeconomic differences in alcohol use and drunkenness. Methods: Data were retrieved from seven surveys conducted as part of the Health Behaviour in School-aged Children (HBSC) study in Finland from 1990 to 2014. The alcohol use and drunkenness of 15-year-old students, as well as socioeconomic status, including educational aspiration and perceived family wealth, were assessed via a self-report questionnaire. Logistic regression models were used to investigate t…

Sport motivation among young adolescents in Finland, Norway and Sweden

Within a health promotion perspective, nationwide surveys on health behaviour and lifestyle in 11- to 15-year-old schoolchildren were carried out in Finland, Norway and Sweden in 1985–1986. The surveys were part of an international World Health Organization study on health behaviour in school-age children. The findings suggest that social, fun and health motives are perceived as the main motivations for sport participation. Competition and achievements were not rated as important reasons for liking sport, with older pupils seeming to attach more importance to sport being fun. Winning and achieving better skills in sport seem to decrease in importance as pupils grow older. The present findin…

Health Promotion in Sport Coaching: Coaches and Young Male Athletes’ Evaluations on the Health Promotion Activity of Coaches

Sport coaches have paradoxical attitudes towards addressing health promotion as a part of their coaching practice: health is recognized as an important factor, but not greatly invested in. Overall, the extent to which youth sport coaches take health promotion into account has been unclear. Therefore, it is the intention of this study to clarify this situation. The results show that coaches evaluate their own activity on health promotion as being relatively active, whereas young male athletes' evaluations reveal a wide gap in how they perceived the coaches' activity. Young male athletes perceived their coaches as being substantially more passive in comparison to coaches' self-evaluations. T…

Hiipuva liikunta nuoruusiässä : drop off -ilmiön aikatrendejä ja kansainvälistä vertailua WHO-Koululaistutkimuksen (HBSC-Study) aineistoilla 1986-2010

Physical Activity Trends of Finnish Adolescents With Long-Term Illnesses or Disabilities From 2002–2014

Background:Adolescents’ physical activity level is a major source of concern. For adolescents with long-term illnesses or disabilities (LTID), being physically active can prevent secondary conditions. This is one of the first studies reporting trends in physical activity of adolescents with LTID in relation to gender, age, and sports club membership.Methods:Data were collected from the Health Behavior in School-aged Children study in Finland during 2002, 2006, 2010, and 2014. In 13- and 15-year-olds (N = 2206), 17.1% reported having LTID. Daily physical activity recall was the dependent variable. Binary logistic regression analysis was conducted eparately for sports club members (n = 936) a…

Training Volume and Intensity of Physical Activity among Young Athletes: The Health Promoting Sports Club (HPSC) Study

Both training volume and overall physical activity (PA) play a role in young athletes’ sports performance and athletic development. The purpose of this study was to describe the training volume and PA of young athletes in endurance, aesthetics, ball games, and power sports. Questionnaire data (n = 671) were obtained from 15-year-old Finnish athletes on sports participation, along with accelerometer data (n = 350) assessing the amount and intensity of their PA. The athletes’ mean weekly training volume was 11 h 41 min. Objectively assessed PA amounted to 4 h 31 min daily, out of which 1 h 31 min was at a level of moderate-to-vigorous intensity (MVPA). Among 24% of the athletes, the weekly tr…

Overweight Adolescents’ Self-Perceived Weight and Weight Control Behaviour: HBSC Study in Finland 1994–2010

Introduction. Overweight and perception of being overweight, may lead adolescent to lose weight. The aim of the present study was to investigate overweight adolescents’ self-perceived weight, body dissatisfaction, and weight control behaviour during 1994–2010 in Finland.Methods. The country-representative, cross-sectional data of 15-year olds were obtained from the Health Behaviour in School-aged Children (HBSC) study, conducted in 1994 (; males: 48%), 1998 (; 49%), 2002 (; 50%), 2006 (; 47%), and 2010 (; 48%).Results. The majority of overweight boys (62–69%) and girls (89–100%) assessed themselves as too fat, and their body image was lower than in nonoverweight adolescents. The highest pre…

Determinants of health policy impact: comparative results of a European policymaker study.

This article will use a new theoretical framework for the analysis of health policy impact introduced by Rütten et al. (2003). In particular, it will report on a comparative European study of policymakers' perception and evaluation of specific determinants of the policy impact, both in terms of output (implemented measures) and outcome (health behaviour change). Policy determinants investigated are goals, resources, obligations and opportunities as related to the policymaking process.Theory is applied to a comparative analysis of prevention and health promotion policy in Belgium, Finland, Germany. The Netherlands, Spain and Switzerland. The study is MED2-part of a project that has developed…

Empowerment-enabling home and school environments and self-rated health among Finnish adolescents

Perceived health during adolescence has not only immediate consequences for individuals and for society, but also long-term. We need to understand better the health development in this period of the lifespan. Empowerment may be one pathway through which social factors and conditions translate into health effects. This study aimed to examine whether empowerment-enabling home and school environments are associated with self-rated health among adolescents, and whether the associations differ between genders, age or majority/minority language groups. Anonymous questionnaire data from respondents aged 11, 13 and 15 years were obtained from the Health Behaviour in School-aged Children study, cond…

A systematic concept analysis of mental health promotion

Finnish pupils' perceptions of health education as a school subject.

Only a few countries have introduced health education (HE) as a stand-alone school subject. In Finland every pupil in basic education grades 7–9 takes three obligatory courses in HE. This study investigated Finnish pupils’ perceptions of the teaching and learning of HE. It also explored how school- and family-related background variables are associated with these perceptions. Nationally representative data were obtained from a 2010 school-based study on Health Behaviour in School-aged Children (HBSC). A total of 4262 pupils from 7th and 9th grades (13 and 15 years old) responded anonymously to the questionnaire. Logistic regression analysis was performed to identify the associations betwee…

Frequent use of sugar products by schoolchildren in 20 European countries, Israel and Canada in 1993/1994

The aim of this study was to describe the daily use of certain between-meal sugar products (soft drinks and sweets) of schoolchildren in 20 European countries, Israel and Canada as a part of the Cross-National Survey on Health Behaviour in School-Aged Children--a WHO Collaborative Study. The data were collected using standardised anonymous questionnaires in school classrooms during the 1993/1994 school year. In each country nationally or regionally representative samples of about 1,300 schoolchildren (450 in Greenland) were targeted. Use of sugar products was analysed according to sex, age, country, self-reported school performance and self-reported family economy. One third to one half of …

The desired learning outcomes of school-based nutrition/physical activity health education

Purpose – The purpose of this paper is to utilise the collective opinion of a group of Finnish experts to identify the most important learning outcomes of secondary-level school-based health education, in the specific domains of physical activity and nutrition. Design/methodology/approach – The study uses a Delphi survey technique to collect the opinions of a group (panel) of Finnish experts. A list of learning outcomes was compiled via an extensive literature review of documents from all levels of health education (physical activity and nutrition) policy development and implementation. A general inductive analysis method was conducted, resulting in education themes which were then compile…

Daily physical activity in Finnish adolescents with long-term illnesses or disabilities: psychosocial associations with participation in sports club

Background: Physical activity (PA) in adolescence with long term illnesses or disabilities (LTID) is a public health concern. One way of increasing PA is through participation in sports clubs. Since sports clubs are organised and regular, there are expected to be differences in motivation for physical activity between adolescents that are members and non-members. The purpose of this study is to assess the impact of psychosocial factors on sports club membership and daily PA. Methods: Finnish adolescents with self-reported LTID (n=1006) took part in the WHO collaborative Health Behaviour in School-aged Children (HBSC) study in 2002 and 2010. Daily self-reported moderate to vigorous PA (MVPA)…

The health promoting sports club in Finland--a challenge for the settings-based approach.

SUMMARY The purpose of this article is, first, to compile a frame of reference for the health promoting sports club and, second, to develop standards for the concept. This concept is based on the settings-based health promotion approach. Sports clubs are a new setting for health promotion, which until now has been little examined from a settings point of view. Nevertheless, this concept has much potential. For example, sports clubs attract a large number of children and adolescents and their educational nature can be considered to be informal. The present standards were developed using the Delphi method. The researcher, in cooperation with a panel of experts (experts in health promotion, n …

How young Europeans sleep.

This study investigated sleeping habits, difficulties in being able to fall asleep and their connections to self-reported health conditions, as well as other selected health behaviours and use of leisure time, among 11-16 year old Europeans from 11 countries. The study was part of a larger, comparative, WHO coordinated project on the health and life-style of school children (Health Behaviour of School Age Children--A WHO Cross-National Survey, The HBSC Study). In most of the countries, research data were collected from samples representative of the whole country. Using a standardized survey questionnaire, the data were collected anonymously in schools. Altogether 40,202 students responded t…

Health promotion curricula: cross-national comparisons of essential reading.

Associations between Adolescents’ Interpersonal Relationships, School Well-being, and Academic Achievement during Educational Transitions

AbstractA youth’s ability to adapt during educational transitions has long-term, positive impacts on their academic achievement and mental health. Although supportive relationships with parents, peers, and teachers are protective factors associated with successful educational transitions, little is known about the reciprocal link between the quality of these interpersonal relationships and school well-being, with even less known about how these two constructs affect academic achievement. This longitudinal study examined how the quality of interpersonal relationships and school well-being worked together to affect academic achievement during the transition from primary school to lower second…

The cross-national measurement invariance of the health literacy for school-aged children (HLSAC) instrument

Background Health literacy (HL) is an important determinant of health and health behaviours, and there is a need to monitor HL levels among all population groups. It is therefore essential to develop instruments to assess HL during childhood and adolescence. The aim of this study was to examine the cross-national measurement invariance of the instrument Health Literacy for School-aged Children (HLSAC) in four European countries. Methods The data were collected via standardized self-administered anonymous questionnaires within classrooms in Finland, Poland, Slovakia, and Belgium. There were in total 1468 respondents (aged 13, N = 690; aged 15, N = 778). The HLSAC instrument was used to measu…

Test-retest reliability of adolescents' self-reported physical activity item in two consecutive surveys.

Background National monitoring of school-aged physical activity (PA) behaviours is necessary to inform policy makers. The Finnish School-aged Physical Activity (FSPA – LIITU in Finnish) is a physical activity monitoring study, collecting data from young adolescents aged 11 to 15 years through a nationally representative sample. This study included a single self-reported item question on moderate to vigorous intensity physical activity (MVPA) from the preceding seven days. The question is used widely in the WHO Collaborative Cross-National Health Behaviour in School-aged Children (HBSC) study as a measure of meeting international PA recommendations. This study evaluated the test-retest relia…

Physical Activity, Screen Time and Sleep among Youth Participating and Non-Participating in Organized Sports : The Finnish Health Promoting Sports Club (FHPSC) Study

Objectives: The aim of this Health Promoting Sport Club (HPSC) study was to compare physical activity (PA), sleep time and screen time (ST) between sports club participants (n = 1200) and non-participants (n = 913). Design: A cross-sectional survey design was employed to assess PA, sleep and ST of adolescents. Methods: Information on these was collected from 14 to 16 year old adolescents (1200 sport club participants and 913 non-participants) through a standardized questionnaire. Results: Boys were more physically active than girls and met the PA guidelines more often than girls (p < 0.001). The proportion of youth reaching the PA guidelines was significantly higher among youth participants…

The development and alignment of pedagogical conceptions of health education

Abstract This study examined the development and alignment of conceptions of health education as a subject, and of its teaching and learning, among Finnish health education student teachers (n = 20). Longitudinal phenomenographic data (essays, interviews) were collected at two time points during health education studies, and at one time point after the participants had gained 1–3 years of work experience. The proportion of participants expressing the most sophisticated pedagogical conceptions decreased during teacher training, but increased after the gaining of work experience. Moreover, fewer than half of the participants expressed pedagogical conceptions that advanced in broad alignment w…

Terveyskasvatus tutkimus- ja koulutusalana sekä arjen käytäntöinä

Artikkelissa esitellään terveyskasvatuksen yliopistollista asiantuntijakoulutusta, terveyskasvatustutkimuksen osa-alueita ja tutkimuskohteita sekä käytännön terveyskasvatuksen tehtäviä ja päämääriä. Terveyskasvatuksen neljä suurta tehtävää ovat sivistävä tehtävä, virittävä tehtävä, mielenterveystehtävä ja muutosta avustava tehtävä. Terveyskasvatustutkimuksen osa-alueina nähtiin terveyskasvatuksen teoreettinen tutkimus, terveyskäyttäytymistutkimus, terveyskasvatuksen arviointitutkimus sekä terveyskasvatuksen yhteiskunnallinen tutkimus. Terveyskasvatuksen kokonaisvaltaiseksi määritelmänä esitettiin seuraava: ”Terveyskasvatuksen tavoitteena on kasvatuksellisin ja viestinnällisin keinoin tukea …

Perceived sleep quality and its precursors in adolescents

This study investigated perceived sleep quality among 11-, 13and 15-year-old Finnish adolescents (n = 4187). Additionally, associations of selected behavioural, social and psychological factors with subjective sleep quality were examined among 15-year-olds. This study is part of an international, WHO-co-ordinated survey of school children’s health and lifestyle (the HBSC Study). In Finland, research data represented the whole country. The data were collected during March–May 1994. Pupils responded anonymously to a standardized questionnaire during a class period. About every 10th adolescent felt that their sleep quality was at most satisfactory, about 30% of pupils had had difficulties in f…

Intersectoral partnerships and competencies for mental health promotion: a Delphi-based qualitative study in Finland.

Summary The importance of intersectoral collaboration and partnership working in mental health promotion, together with the requisite competencies for effective collaboration, is widely acknowledged. This Delphi-based qualitative study examined how intersectoral collaboration and partnership work are constructed and adopted in mental health promotion practice. Descriptive data from a Delphi panel of mental health promotion practitioners working in the health sector (n = 32) were used as a data source. Thematic analysis was used to analyze the data. Applying the theory of collaborative advantage, eight themes of collaboration advantage and the related competencies were identified: management…

Measuring child and adolescent health literacy: a systematic review of literature

PurposeA systematic review of literature was conducted to compile, analyse and describe the methodology and measurement of childhood/adolescent health literacy.Design/methodology/approachSix online databases (ERIC, PubMed, CINAHL, Biomed Central, Web of Science and Sports Discuss) were systematically searched to identify English language, peer‐reviewed articles, published between 1980 and April 2011, which reported on the measurement of health literacy in a population under the age of 18. The search identified 16 articles to be included in the final review, from which, data were systematically extracted in order to answer four review questions concerning several aspects of the method and ef…

Mental health promotion competencies in the health sector in Finland : a qualitative study of the views of professionals

Aims: In this study, we aimed to investigate what competencies are needed for mental health promotion in health sector practice in Finland. Methods: A qualitative study was carried out to seek the views of mental health professionals regarding mental health promotion-related competencies. The data were collected via two focus groups and a questionnaire survey of professionals working in the health sector in Finland. The focus groups consisted of a total of 13 professionals. Further, 20 questionnaires were received from the questionnaire survey. The data were analysed using the qualitative data analysis software ATLAS.ti Scientific Software Development GmbH, Berlin. A content analysis was c…

Changes from 1986 to 2006 in reasons for liking leisure-time physical activity among adolescents

Reasons for participating in physical activity (PA) may have changed in accordance with the general modernization of society. The aim is to examine changes in self-reported reasons for liking leisure-time physical activity (LTPA) and their association with self-reported LTPA over a 20-year period. Data were collected among nationally representative samples of 13-year-olds in Finland, Norway, and Wales in 1986 and 2006 (N = 9252) as part of the WHO cross-national Health Behaviour in School-aged Children (HBSC) study. Univariate ANOVAs to establish differences according to gender, year, and country were conducted. In all countries, 13-year-olds in 2006 tended to report higher importance in te…

Do adolescents with long-term illnesses and disabilities have increased risks of sports related injuries?

peer-reviewed Background: The aim of this study is to examine the rates of sports related injuries in adolescents based on the severity of their long-term illnesses or disabilities (LTID). Few injury prevention strategies in sports and health promotion have explored disaggregation by disability. Methods: Data obtained from the 2014 Finnish Health Behaviour in School-aged Children survey (n = 3716, mean age = 14.8, SD = 1.03) were grouped into adolescents with and without LTID. A further indicator or severity was determined when adolescents reported their LTID affected their participation (affected LTID). Odds ratio (95% CI) were used to determine the associations between sports related inju…

Daily physical activity in Finnish adolescents with long term illnesses or disabilities: psychosocial associations with participation in sports club

&#x0D; Background:&#x0D; Physical activity (PA) in adolescence with long term illnesses or disabilities (LTID) is a public health concern. One way of increasing PA is through participation in sports clubs. Since sports clubs are organised and regular, there are expected to be differences in motivation for physical activity between adolescents that are members and non-members. The purpose of this study is to assess the impact of psychosocial factors on sports club membership and daily PA.&#x0D; Methods:&#x0D; Finnish adolescents with self-reported LTID (n=1006) took part in the WHO collaborative Health Behaviour in School-aged Children (HBSC) study in 2002 and 2010. Daily self-reported moder…

Socioeconomic differences in adolescents’ smoking: a comparison between Finland and Beijing, China

Background: Various studies have demonstrated the associations between socioeconomic status (SES) and health and health behaviour among adolescents. However, few studies have compared the socioeconomic difference in adolescent smoking between countries with different stage of smoking. The purpose of this study was to examine and compare the relationship between socioeconomic status (SES) and adolescent smoking in Beijing, China and Finland through the Health Behaviour in School-aged Children (HBSC) study. Methods: The data used in this study were derived from the Chinese HBSC linked project survey 2008 in Beijing and the Finnish HBSC survey 2006. The final sample included 2005 Chinese and 1…

Student teachers' ways of experiencing the objective of health education as a school subject: A phenomenographic study

Abstract The aim of this phenomenographic study was to identify student teachers' (N = 20) ways of experiencing health education as a school subject, using semi-structured interviews and essays. The findings indicated that the target phenomenon was discussed through the general objective of the subject in five ways: health education as 1) a context for delivering theoretical knowledge, 2) a channel for providing pupils with practical knowledge and skills to contribute to health-related choices, 3) a means to promote pupils' self-regulative knowledge and independent thinking, 4) a context for personal growth, and 5) a means for developing responsible behavior in society. The hierarchically-o…

A systematic concept analysis of mental health promotion

AbstractThis study explored and clarified the nature and characteristics of the concept of mental health promotion. The study also investigated how these characteristics appear in current policies and strategies. A total of 30 scientific articles and policy documents were identified and analysed using Rodgers’s systematic evolutionary concept analysis method. The analysis provided valuable information on the attributes, related concepts, antecedents, consequences and references of mental health promotion, indicating that the concept is a distinct concept comprising a unique set of attributes and characteristics. A concept mapping of mental health promotion was subsequently developed. The an…

Health promotion activities of sports clubs and coaches, and health and health behaviours in youth participating in sports clubs: the Health Promoting Sports Club study

Introduction: Sports clubs form a potential setting for health promotion, but the research is limited. The aim of the Health Promoting Sports Club (HPSC) study was to elucidate the current health promotion activities of youth sports clubs and coaches, and to investigate the health behaviours and health status of youth participating in sports clubs compared to non-participants. Methods and analysis: The study design employs cross-sectional multilevel and multimethod research with aspirations to a prospective cohort study in the next phase. The setting-based variables at sports clubs and coaching levels, and health behaviour variables at the individual level, are investigated using surveys; a…

Low back and neck and shoulder pain in members and non-members of adolescents' sports clubs : the Finnish Health Promoting Sports Club (FHPSC) study

Background The objective of this study was to investigate the prevalence of self-reported low back pain (LBP) and neck and shoulder pain (NSP), and the related factors in members and non-members of adolescents’ sports clubs. Methods This cross-sectional study was based on surveys of 14–16-year-olds as a part of the Finnish Health Promoting Sports Club (FHPSC) Study. The surveys on self-reported health behaviours, injuries, and musculoskeletal health were conducted among sports club members (n = 962) and non-members (n = 675). Binary logistic regression analysis was applied to study the associations between dependent variables of LBP and NSP, and the independent factors. Results The prevalen…

Subjective health literacy among school-aged children

Purpose The purpose of this paper is to explore Finnish adolescents’ subjective health literacy (HL) in association to school achievement, learning difficulties, educational aspirations, and family affluence. Design/methodology/approach Nationally representative data were collected in Finland as a part of the international Health Behaviour in School-aged Children study. The respondents consisted in total of 3,833 adolescents (7th and 9th graders) from 359 schools. The Health Literacy for School-aged Children instrument was applied to measure adolescents’ subjective HL, while the Family Affluence Scale was used to measure adolescents’ socioeconomic status. Information was gathered on school…

Haemoglobin, iron status and lung function of adolescents participating in organised sports in the Finnish Health Promoting Sports Club Study

ObjectivesTo compare laboratory test results and lung function of adolescent organised sports participants (SP) with non-participants (NP).MethodsIn this cross-sectional study, laboratory tests (haemoglobin, iron status), and flow-volume spirometry were performed on SP youths (199 boys, 203 girls) and their NP peers (62 boys, 114 girls) aged 14–17.ResultsHaemoglobin concentration &lt;120/130 g/L was found in 5.8% of SP and 5.1% NP (OR 1.20, 95% CI 0.54 to 2.68). Ferritin concentration below 15 µg/L was found in 22.7% of both SP and NP girls. Among boys ferritin &lt;30 µg/L was found in 26.5% of SP and 30.2% of NP (OR 0.76, 95% CI 0.40 to 1.47). Among SP iron supplement use was reported by 3…

A review of settings-based health promotion with applications to sports clubs.

Sports clubs have a long and tradit ional history in many countries, ye t they remain underdeveloped and underutilized settings for health promotion. Leisure ti me settings, in general, have been in minor role among settings-based health promotion initiatives. Curre nt health concerns in western countries, such as sedentary lifestyles and obesity, have aroused a need to expand he alth promotion to include also settings with greater potential to reach and engage children and adoles cents in more vigorous activity. To develop these alternative, most often non-institutiona l, settings to the level of the established ones, it is important to review what has been done, what ha s been accepted, a…

Attempts to lose weight among overweight and non-overweight adolescents: a cross-national survey

Abstract Background Despite the global obesity epidemic, few studies have performed cross-national comparisons of adolescents' attempts to lose weight and weight control practices. This study aims to investigate matters mentioned above by weight status in Europe, Israel, and North America. Methods Nationally representative samples of adolescents from over 30 countries completed an anonymous, standardized questionnaire as part of the Health Behaviour in School-aged Children 2001/2002 survey. The prevalence and likelihood of attempts to lose weight were determined. The effect of weight status, self-perception of overweight, age and country of residence upon the likelihood of current attempts …

Forms of Bullying and Associations Between School Perceptions and Being Bullied Among Finnish Secondary School Students Aged 13 and 15

AbstractThe study aimed to examine the extent to which Finnish secondary school students experience bullying, how they are bullied, and whether being bullied is associated with school perceptions. The analyses were based on data from the Finnish part of the international Health Behaviour in School-aged Children (HBSC) study, and were obtained from 4262 students aged 13 and 15. The sample was nationally representative. Logistic regression analysis was performed to identify the associations between school perceptions and being bullied. Younger students reported being bullied more often than older students. Among younger students, boys were more often bullied than girls of the same age. There …

Test-retest reliability of selected items of Health Behaviour in School-aged Children (HBSC) survey questionnaire in Beijing, China

Abstract Background Children's health and health behaviour are essential for their development and it is important to obtain abundant and accurate information to understand young people's health and health behaviour. The Health Behaviour in School-aged Children (HBSC) study is among the first large-scale international surveys on adolescent health through self-report questionnaires. So far, more than 40 countries in Europe and North America have been involved in the HBSC study. The purpose of this study is to assess the test-retest reliability of selected items in the Chinese version of the HBSC survey questionnaire in a sample of adolescents in Beijing, China. Methods A sample of 95 male an…

Socioeconomic inequalities in adolescent smoking across 35 countries: A multilevel analysis of the role of family, school and peers

BACKGROUND: Tobacco-related heath inequalities are a major public health concern, with smoking being more prevalent among lower socioeconomic groups. The aim of this study is to investigate the mechanisms leading to socioeconomic inequalities in smoking among 15-year-old adolescents by examining the mediating role of psychosocial factors in the peer group, family and school environment.METHODS: Data were derived from the international WHO-collaborative 'Health Behaviour in School-aged Children (HBSC)' study 2005/2006, including 52 907 15-year-old students from 35 European and North American countries. Socioeconomic position was measured by the Family Affluence Scale. Multilevel logistic reg…

Associations between Students’ Perceptions of the Psychosocial School Environment and Indicators of Subjective Health in Finnish Comprehensive Schools

The study examined how far students’ perceptions of the psychosocial school environment are associated with self‐rated health, life satisfaction and subjective health complaints. Students’ perceptions were associated with one or more indicators of subjective health. Perceived health was better in direct proportion to positive perceptions. Student relations and school strain were the factors that stood out in both genders, with regard to all the health indicators. School engagement, parental support and educational aspiration were found to be important for overall perceived health of the students. This study indicates the importance of the psychosocial school environment for students’ health…

Reliability and Validity of Family Affluence Scale (FAS II) among Adolescents in Beijing, China

This study comprises two sub-studies. Study I assessed the test-retest reliability of Family Affluence Scale (FAS II) items among 95 students aged 11 and 15 years old in Beijing. Study II investigated the completion rate of traditional indicators (parents’ educational level, perceived family wealth, resident area, and school location) measuring socioeconomic status (SES) compared with FAS II, and examined the internal reliability, external and construct validity of the FAS II items in a population of 5876 schoolchildren aged 11, 13 and 15 years old in Beijing. Our study found that the FAS II items have high completion rates (> 99%) which are better than other SES indicators. Analyses of rel…

Polyphony in the classroom: reporting narrative action research reflexively

In this article we will present a reflexive way of producing a narrative analysis on teaching and learning that involves all participants of the pedagogical process. Our theoretical contribution rests on the concept ‘lived pedagogy’, adapted from Max van Manen's term ‘lived experience’. Like van Manen, we start by asking the key question of phenomenological–hermeneutical research: what is the nature of the phenomenon as meaningfully experienced? For us, the phenomenon is the pedagogical relationship; the interaction between the people involved in the pedagogical process. Thus, we will present how lived pedagogy is researched through the narratives told by the teacher‐researcher, the student…

Objective health literacy skills among ninth graders in Finland : outcomes from a national learning assessment

Background:Health literacy (HL) is an important determinant for maintaining and improving health throughout the lifespan. This underlines the need to monitor HL, including among adolescents, and to understand the factors explaining HL, with a view to decreasing differences in HL. The aim of this study was to objectively measure HL, and the relationship between HL and socio-demographic factors (gender, language of instruction, pupils’ educational aspirations, parents’ educational background and pupils’ school achievement) among pupils ( n = 3652) at the end of basic education in Finland.Methods:A nationally representative assessment, which included 55 items on HL, was conducted as a traditio…

Musculoskeletal examination in young athletes and non-athletes:the Finnish Health Promoting Sports Club (FHPSC) study

ObjectivesTo determine the inter-rater repeatability of a musculoskeletal examination and to compare findings between adolescent athletes and non-athletes in Finland.MethodsIn this cross-sectional study, a musculoskeletal examination assessing posture, mobility and movement control was carried out by a sports and exercise medicine physician on 399 athletes aged 14–17 years and 177 non-athletes. Within 2 weeks another sports and exercise medicine physician repeated the examination for 41 adolescents to test the inter-rater repeatability.ResultsIn total, 10 of the 11 tests performed had at least moderate inter-rater reliability (κ ≥0.4 or percentage agreement &gt;80%). Athletes more often tha…

Perceived tiredness among adolescents and its association with sleep habits and use of psychoactive substances

This study investigated the variation in perceived tiredness among 11, 13 and 15-year-old Finnish adolescents (n = 4187). Additionally interrelationships between sleep habits, use of psychoactive substances (alcohol, tobacco and coffee) and perceived tiredness among 15-year-olds were examined. This study is part of an international, WHO-coordinated survey of school children's health and lifestyle (the HBSC Study). In Finland, research data represented the whole country. The data were collected in March-May 1994. Pupils responded anonymously to a standardized questionnaire during a class period. Subjective tiredness was very common and increased with age among adolescents. Perceived tirednes…

Physical Activity of Children With and Without Long-Term Illness or Disability

Background:We know very little about physical activity in children with long-term illness or disability compared with those children without disabilities. Previous studies indicate low physical activity levels among all adolescents.Methods:The sample consisted of Canadian (n = 2720) and Finnish pupils (n = 3459) approximately 13.5 and 15.5 years of age in general (mainstreamed) education. The study is a part of the Health Behavior in School-aged Children (HBSC) study. Nationally representative data were collected in 2002 using a standardized questionnaire. The moderate-to-vigorous intensity physical activity screening measure was used.Results:Approximately one-fifth of the pupils in both co…

Measuring Health Literacy in Basic Education in Finland : The Development of a Curriculum- and Performance-Based Measurement Instrument

This paper describes the development of an objective curriculum- and performance-based health literacy (HL) measurement instrument to assess Finnish 9th graders’ learning outcomes in the school subject termed Health Education (HE). There were four phases: (i) construction of the theoretical framework for the measurement, (ii) item generation, (iii) the field test (n = 252), and (iv) item analysis and item selection for the main study, in which 3652 ninth grade pupils (aged 15–16) participated. Initially, 303 HL test items were formulated, of which 107 were tested in two different field test versions. Both versions exhibited high reliability as measured by Cronbach’s alpha coefficient. The m…

Socioeconomic inequalities in the impact of tobacco control policies on adolescent smoking. A multilevel study in 29 European countries

Abstract Introduction There are concerns that tobacco control policies may be less effective in reducing smoking among disadvantaged socioeconomic groups and thus may contribute to inequalities in adolescent smoking. This study examines how the association between tobacco control policies and smoking of 15-year-old boys and girls among 29 European countries varies according to socioeconomic group. Methods Data were used from the Health Behaviour in School-aged Children (HBSC) study conducted in 2005/2006 comprising 50,338 adolescents aged 15 years from 29 European countries. Multilevel logistic regression analyses were conducted to assess the association of weekly smoking with components of…

Terveyttä edistävälle urheiluseuralle kansainvälistä näkyvyyttä

Cardiovascular Risk in Young Finns

This report describes the general outline and progress of a multicentre study on risk factors of coronary heart disease and their determinants in children and adolescents. "Cardiovascular Risk in Young Finns" comprises a cross-sectional study of 3 to 18-year old subjects in 1980, and follow-up studies in 1983 and 1986 in various parts of Finland, and in 1989 in one of the study areas (Turku). The number of participants in 1980 was 3596 (83.1%) of those invited. In 1983 and 1986 83.2% and 77.8% of them, respectively, participated. The study programme has comprised questionnaire data on, for example, general health and living conditions, physical activity, eating habits, smoking, and psycholo…

The image of the smoking and non-smoking young person

MORE than 1,600 Finnish secondary school pupils between the ages of 12 and 16 completed a question naire about their image of the smoking and non- smoking adolescent. A smoker was described as nervous, unfriendly, untidy, stupid and a low achiever in sport and academic work, but despite this, was seen as a leader. Non-smokers were seen as calm, strong, fairly modest, friendly, tidy and smart, but not as leaders. Older pupils saw the smoker in a more positive light. Those who smoked saw the non- smoker image as positive, and rated the smoking image more highly than did non smokers.

Oral Hygiene Habits of 11-year-old Schoolchildren in 22 European Countries and Canada in 1993/1994

This study is part of the Cross-National Survey on Health Behaviour in School-aged Children-a WHO Collaborative Study, which started in 1982. The aim of the study was to describe the oral hygiene habits (toothbrushing and flossing) of 11-year-old schoolchildren in 22 European countries (Austria, Belgium, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greenland, Hungary, Israel, Latvia, Lithuania, Northern Ireland, Norway, Poland, Russia, Scotland, the Slovak Republic, Spain, Sweden, and Wales) and Canada. The data were collected from standardized anonymous questionnaires in school classrooms during the 1993-1994 school year. At least 1300 schoolchildren, representing the w…

The importance of policy orientation and environment on physical activity participation--a comparative analysis between Eastern Germany, Western Germany and Finland

SUMMARY Environmental and policy interventions are seen as boosting physical activity because they are designed to influence large groups. However, they have not been much researched and the evidence on their role is still quite limited. The purpose of this study was to investigate differences in and relationships between policy orientation, the objective and perceived physical environment, and physical activity between Finland, Eastern Germany and Western Germany. The data are taken from a public telephone survey carried out as part of the international MAREPS project (Methodology for the Analysis of Rationality and Effectiveness of Prevention and Health Promotion Strategies; Eastern Germa…

Koulukokemusten kansainvälistä vertailua 2010 sekä muutokset Suomessa ja Pohjoismaissa 1994-2010 : WHO-koululaistutkimus (HBSC-study)

Tässä raportissa kuvataan 5., 7. ja 9. luokan oppilaiden koulukokemuksia, kouluviihtyvyyttä ja sosiaalisia suhteita sekä niissä tapahtuneita muutoksia vuodesta 1994 vuoteen 2010 Suomessa. Tutkimustulokset perustuvat WHO-Koululaistutkimuksen suomenkielistä perusopetusta antavista kouluista kerättyihin aineistoihin vuosilta 1994, 1998, 2002, 2006 ja 2010. Raportissa tarkastellaan kaikilla vuosiluokilla koetun koulumenestyksen ja 9. luokan oppilaiden koulutusorientaation yhteyksiä koulukokemuksiin. Lisäksi vertaillaan oppilaiden kokemuksia Pohjoismaissa 1994–2010 koulusta pitämisestä, koulutyöstä kuormittumisesta, oppilaiden välisistä suhteista ja koulukiusaamisesta. Näitä teemoja käsitellään …

Empowerment-enabling home and school environments and self-rated health among Finnish adolescents

SummaryPerceived health during adolescence has not only immediate consequences for individuals and for society, but also long-term. We need to understand better the health development in this period of the lifespan. Empowerment may be one pathway through which social factors and conditions translate into health effects. This study aimed to examine whether empowerment-enabling home and school environments are associated with self-rated health among adolescents, and whether the associations differ between genders, age or majority/minority language groups. Anonymous questionnaire data from respondents aged 11, 13 and 15 years were obtained from the Health Behaviour in School-aged Children stud…

Counselling for physical activity, life-space mobility and falls prevention in old age (COSMOS): protocol of a randomised controlled trial.

IntroductionThe most promising way to promote active life years in old age is to promote regular participation in physical activity (PA). Maintaining lower extremity muscle function with good balance has been associated with fewer falls and the need of help from others. This article describes the design and intervention of a randomised controlled trial (RCT) investigating the effectiveness of a health and PA counselling programme on life-space mobility and falls rates in community-dwelling older adults at the Health Kiosk and/or Service Centre.Methods and analysisCommunity-dwelling men and women (n=450) aged 65 years and over with early phase mobility limitation will be recruited to a 24-mo…

Subjective health literacy : Development of a brief instrument for school-aged children

Aims: The present paper focuses on the measurement of health literacy (HL), which is an important determinant of health and health behaviours. HL starts to develop in childhood and adolescence; hence, there is a need for instruments to monitor HL among younger age groups. These instruments are still rare. The aim of the project reported here was, therefore, to develop a brief, multidimensional, theory-based instrument to measure subjective HL among school-aged children. Methods: The development of the instrument covered four phases: item generation based on a conceptual framework; a pilot study ( n = 405); test–retest ( n = 117); and construction of the instrument ( n = 3853). All the samp…

Is physical activity associated with low-risk health behaviours among 15-year-old adolescents in Finland?

Aims: To investigate the associations between physical activity and the pattern of risk health behaviour consisting of smoking, alcohol consumption, snuff (snus), cannabis, and condom use among 15-year-old adolescents, taking their educational aspirations and family affluence into account. Methods: The data were collected in the Health Behaviour in School-aged Children (HBSC) study in Finland in 2006. Standardised questionnaires were issued at schools to a 15-year-old nationally representative sample, of which 84.5% (1710 pupils) participated. Logistic regression analysis was used to explore the associations between physical activity, pattern of risk health behaviour, family affluence, and…

Pojat nostavat painoja ja tytöt pudottavat niitä: WHO-Koululaistutkimuksen tuloksia

Acute and overuse injuries among sports club members and non-members : the Finnish Health Promoting Sports Club (FHPSC) study

Background Physical activity in adolescence is promoted for its multi-dimensional health benefits. However, too intensive sports participation is associated with an increased injury risk. Our aim was to compare the occurrence of acute and overuse injuries in Finnish sports club members and non-members and to report training and competing habits associated with a higher injury risk in sports club members. Methods In this cross-sectional survey targeted at 14–16-year-old adolescents, a structured questionnaire was completed by 1077 sports club members and 812 non-members. The main outcome measures were self-reported acute and overuse injuries, their location and type. Results At least one acu…

Is educational differentiation associated with smoking and smoking inequalities in adolescence? A multilevel analysis across 27 European and North American countries

This study aims to determine whether educational differentiation (i.e. early and long tracking to different school types) relate to socioeconomic inequalities in adolescent smoking. Data were collected from the WHO-Collaborative 'Health Behaviour in School-aged Children (HBSC)' study 2005/2006, which included 48,025 15-year-old students (Nboys = 23,008, Ngirls = 25,017) from 27 European and North American countries. Socioeconomic position was measured using the HBSC family affluence scale. Educational differentiation was determined by the number of different school types, age of selection, and length of differentiated curriculum at the country-level. We used multilevel logistic regression t…

Health promotion guidance activity of youth sports clubs

– This paper aims to clarify the extent to which youth sports clubs guide their coaches to recognise health promotion as a part of the coaching practice. The guidance activity of clubs is seen parallel to internal organisational communication., – A survey of 93 (from 120, 78 per cent) youth sports clubs in Finland was carried out, and a total of 273 sports club officials acted as respondents. The clubs' guidance activity was examined under three domains: sports performance time, non‐performance sports club time, and health topics., – In general, youth sports clubs were passive on guiding their coaches on health promotion. Guidance activity was evident concerning actual sports performance ti…

Tyttöjen painonpudottaminen, painonhallintakeinot ja liikunta-aktiivisuus

Tutkimuksessa selvitettiin, kuinka yleisesti 13- ja 15-vuotiaat suomalaistytöt ilmoittavat pudottavansa painoaan, millaisena he kokevat painonsa ja millaisia painonhallintakeinoja he ilmoittavat käyttävänsä. Lisäksi tutkittiin, eroavatko aktiivisesti liikkuvat tytöt painoindeksin, painon kokemisen, painonpudottamisen tai painonhallintakeinojen suhteen vähemmän liikuntaa harrastavista. Tutkimuksen aineisto on koottu WHO-Koululaistutkimuksen vuoden 2002 kyselystä, jonka otos edustaa koko Suomen seitsemäs- (N = 853) ja yhdeksäsluokkalaisia (N = 875) tyttöjä. Ylipainoisiksi luokiteltiin tytöt, joiden painoindeksi oli yhtä suuri tai suurempi kuin ikäspesifin painoindeksijakauman 85. persentiilin…

Nuorten ateriarytmi : Kuka syö koulupäivinä säännöllisesti?

Tutkimuksessa selvitettiin aamiaisen, lounaan ja ilta-aterian muodostaman ateriarytmin yleisyyttä 7- ja 9-luokkalaisilla suomalaisnuorilla koulupäivinä. Lisäksi tarkasteltiin elintapojen, koulutusorientaation ja perhetekijöitten yhteyksiä ateriarytmin säännöllisyyteen. Tulokset perustuvat WHO-Koululaistutkimuksen kyselyyn, johon koululaiset (N = 3477) vastasivat vuonna 2002. Aineiston analysoinnissa käytettiin ristiintaulukointeja ja logistisia regressioanalyysejä. Noin 40 prosenttia pojista ja vajaa 30 prosenttia tytöistä söi aamiaisen, lounaan ja ilta-aterian säännöllisesti koulupäivinään. Vähäinen alkoholin käyttö ja aikomus mennä lukioon olivat yhteydessä säännölliseen ateriarytmiin sek…

Attempts to lose weight among overweight and non-overweight adolescents : a cross-national survey

Background: Despite the global obesity epidemic, few studies have performed cross-national comparisons of adolescents' attempts to lose weight and weight control practices. This study aims to investigate matters mentioned above by weight status in Europe, Israel, and North America. Methods: Nationally representative samples of adolescents from over 30 countries completed an anonymous, standardized questionnaire as part of the Health Behaviour in School-aged Children 2001/2002 survey. The prevalence and likelihood of attempts to lose weight were determined. The effect of weight status, self-perception of overweight, age and country of residence upon the likelihood of current attempts to lose…