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Health Behaviour in School-aged Children
(HBSC)A World Health Organization
Collaborative Study
May 2017
Presentation outline
HBSC Background
HBSC Methods
Framework
Findings
Dissemination
HBSC background
Collaborative study with the WHO European Region
Initiated by 4 countries in 1982
42 countries and regions collected data in 2014
Irish data collected in 1998, 2002, 2006, 2010 and 2014
Temporal trends presented for the second time
HBSC objectives
To contribute to theoretical and methodological developments
To compare health of school-aged children in member countries
To monitor health of school-aged children over time
To develop partnerships with relevant external agencies
To establish and strengthen a multi-disciplinary network
To provide an international source of expertise and intelligence
To disseminate findings, contribute to practice and policy
Study growth over time
HBSC Ireland Five cycles of data collection to date 1998 n=8,497; 5th class to 5th year; 10-17 year olds
2002 n=8,424; 5th class to 5th year; 10-17 year olds
2006 n=13,738; 3rd class to 5th year; 9-17 year olds
2010 n=16,060; 3rd class to 5th year; 9-17 year olds
2014 n=13,611; 3rd class to 5th year; 9-17 year olds
Trends 1998 – 2014 5th class to 5th year; 10-17 year olds Items that were used in each cycle 1998-2014 or since 2002
Children’s lives
Contexts:FamilySchoolPeers
Risk behaviours:Drinking, Smoking...
Health enhancing behaviours:Physical activity
Leisure activity...
Health outcomes:Well being
Life satisfaction
Self rated health
…
SESGenderAgeSocial ClassEthnicity
Research protocol developed by the network
Class as the sampling unit
Nationally representative samples
Self-report, self-completion questionnaires
Testing for significance
Same methods used in all five cycles
HBSC methods
Health behaviours Health risk behaviours Positive health behaviours
Health outcomes Physical health outcomes Positive health outcomes
Contexts of children’s lives Family School Peers Local area
2017 Trends Report
Findings
Main trends
The good news
Increases in fruit consumption, tooth brushing, use of seatbelt, excellent health, communication with mother, father and friends of the same sex, liking school and local area has good places to spend free time
Decreases in smoking, drunkenness, cannabis use, bullying others, early initiation of smoking and drinking alcohol
The less good news
Increases feeling pressured by school work, feeling low, headache, dieting and medically attended injury
Decreases in having three or more close friends of the same sex and reporting they could ask for help from a neighbour
No changes in vigorous physical activity, being happy with life, life satisfaction, organising school events, feeling safe in local area.
Current smoking
22.6
18.0
14.412.4
8.3
23.5
18.6
15.312.5
7.4
21.8
17.4
13.5 12.4
9.1
0
10
20
30
40
50
1998 2002 2006 2010 2014
Overall
Girls
Boys
International ranking has improved
from 12th-25th / 26
Early smoking initiation
26.7
18.9
12.4 10.5
61.0
53.8
41.135.4
87.5 86.882.4
77.7
0
20
40
60
80
100
2002 2006 2010 2014
≤11
≤13
≤15
Significant decreases
No international comparisons
Ever been drunk
International ranking isrelatively stable
18th (1998)21st (2002)17th (2006)17th (2010)21st (2014)
33.031.7 30.6 29.7
21.0
28.7 29.4 28.8 28.2
19.1
37.0
33.832.3 31.2
22.8
0
10
20
30
40
50
1998 2002 2006 2010 2014
Overall
Girls
Boys
Bullying others once or more
Significant decrease
International ranking has been stable overall
from 20th-20th of 26
25.1
21.1 21.5
16.5
13.414.2 13.7 14.0
10.38.8
35.4
28.2 28.7
22.4
17.9
0
10
20
30
40
50
1998 2002 2006 2010 2014
Overall
Girls
Boys
Fruit consumption more than daily
Significant increases
International ranking has been stable overall
from 6th - 5th of 26
17.619.9 19.9
23.220.3
23.222.0
25.9
15.116.8
18.020.7
0
10
20
30
40
50
2002 2006 2010 2014
Overall
Girls
Boys
Always use seatbelt
41.0
62.2
80.4 81.7 81.1
47.2
67.1
83.3 84.4 82.2
35.1
57.5
77.5 79.0 80.0
0
20
40
60
80
100
1998 2002 2006 2010 2014
Overall
Girls
Boys
Significantt increases
No international comparisons
Vigourous exercise (4+ times per week)
52.649.2
53.849.7 51.5
42.738.6
43.840.0
43.2
62.059.3
63.659.2 59.9
0
20
40
60
80
100
1998 2002 2006 2010 2014
Overall
Girls
Boys
Inconsistent patterns
1998-2002: decrease2002-2006: increase2006-2010: decrease2010-2014: stable
Ranked 4th overall in 2014
Excellent health
Significant increase
International ranking has remained stable
from 15th to 14th of 26
28.2
34.032.0
34.4
24.8
29.326.9
28.7
31.5
38.436.9
39.9
0
10
20
30
40
50
2002 2006 2010 2014
Overall
Girls
Boys
Happy with life at present
88.1 90.0 91.2 90.8 88.985.9
88.8 89.5 89.485.4
90.2 91.2 92.7 92.1 92.2
0
20
40
60
80
100
1998 2002 2006 2010 2014
Overall
Girls
Boys
Stable pattern
No international comparisons
Felt low weekly over last six months
Significant increases
International ranking has improved
from 21st to 9th of 26
23.025.3
23.2 24.3
28.027.3 28.5 27.6 28.7
35.0
18.9
22.2
18.9 20.1 21.2
0
10
20
30
40
50
1998 2002 2006 2010 2014
Overall
Girls
Boys
Medically attended injuries
Significant increases
International ranking has improved
from 12th - 18th of 26
40.0
47.442.2
37.141.3
31.6
37.733.7
29.734.4
48.1
56.8
50.3
44.248.1
0
20
40
60
80
100
1998 2002 2006 2010 2014
Overall
Girls
Boys
Positive communication with parents
International rankings have improved
Mothers: 23th-15th of 26
Fathers: 25th-14th of 26
73.077.5
81.6 81.6 82.2
47.4
58.1
65.4 66.569.3
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
1998 2002 2006 2010 2014
Mother
Father
4+ evenings out with friends per week
Stable pattern
International rankings have been stable
12th-10th of 26
38.040.4
43.2
38.135.1
32.8 33.6
38.5
33.830.8
43.0
47.0 47.8
42.339.5
0
10
20
30
40
50
1998 2002 2006 2010 2014
Overall
Girls
Boys
Liking school
Significant increases
International rankings have decreased
11th-22nd of 26
68.1 68.3 70.4 72.374.3 74.0 74.9 73.6
62.2 63.066.2
71.1
0
20
40
60
80
100
2002 2006 2010 2014
Overall
Girls
Boys
Pressured by schoolwork
Significant increases
International rankings have increased
11th-3rd of 26
32.934.4
39.2 38.8
42.9
34.7 35.5
40.7 41.5
47.3
31.133.3
37.836.2
38.6
0
10
20
30
40
50
1998 2002 2006 2010 2014
Overall
Girls
Boys
Good places to spend free time in local area
45.1 43.6
50.1
59.7
41.4 40.0
47.1
56.2
48.8 47.1
52.9
63.3
0
20
40
60
80
100
2002 2006 2010 2014
Overall
Girls
Boys
Significant increases
No international comparisons
HBSC Ireland team members Prof. Saoirse Nic Gabhainn Dr. Colette Kelly Dr. Michal Molcho Dr. Eimear Keane Ms. Aoife Gavin Ms Catherine Perry Ms. Mary Callaghan Ms. Lorraine Burke Ms. Larri Walker
Dissemination of Irish data since 1998 87 reports (national and international) 132 journal articles
7 books or book chapters >200 conference presentations
45 short reports
>80 Factsheets 38 other reports
12 interactive data visualisations
64 national factsheets17 international factsheets
For a full list of papers, books, reports, factsheets and presentations from HBSC Ireland 1994-2017 see:www.nuigalway.ie/hbsc
Contact us
HBSC Ireland website: www.nuigalway.ie/hbsc
HBSC International website: www.hbsc.org
Contact HBSC Ireland: [email protected]
Acknowledgements …
Thank you to all children, parents, teachers and school managements who have taken part in HBSC Ireland since 1998
The Department of Health The HBSC National Advisory Committee The Department of Children and Youth Affairs and the Department of Education and Skills Professor Cecily Kelleher, University College Dublin Professor Candace Currie and Dr. Jo Inchley, International Coordinators of HBSC, University of St.
Andrews, Scotland Professor Oddrun Samdal, Data Bank Manager, University of Bergen, Norway All members of the international HBSC network (see hbsc.org) All researchers and students who have worked with us since 1997
Thank you