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 ; 5 th class to 5 th year; 10-17 year olds 2002 n=8,424 ; 5 th class to 5 th year; 10-17 year olds 2006 n =13,738 ; 3 rd class to 5 th year; 9-17 year olds 2010 n =16,060 ; 3 rd class to 5 th year; 9-17 year olds 2014 n =13,611 ; 3 rd class to 5 th year; 9-17 year olds Trends 1998 – 2014 5 th class to 5 th year; 10-17 year olds Items that were used in each cycle 1998-2014 or since 2002
Children’s lives Risk behaviours: Health outcomes: Contexts: SES Drinking, Smoking... Well being Family Gender Health enhancing Life satisfaction Age behaviours: School Social Self rated health Peers Physical activity Class … Ethnicity Leisure activity...
HBSC methods 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
2017 Trends Report 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
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 50 40 30 Overall 23.5 22.6 21.8 Girls 18.6 20 18.0 Boys 17.4 15.3 14.4 13.5 12.4 12.5 12.4 9.1 8.3 10 7.4 0 1998 2002 2006 2010 2014 International ranking has improved from 12 th -25 th / 26
Early smoking initiation 100 87.5 86.8 82.4 77.7 80 61.0 60 53.8 ≤11 ≤13 41.1 40 35.4 ≤15 26.7 18.9 20 12.4 10.5 0 2002 2006 2010 2014 Significant decreases No international comparisons
Ever been drunk 50 40 37.0 33.8 33.0 32.3 31.7 31.2 30.6 29.7 29.4 28.7 28.8 30 28.2 Overall 22.8 Girls 21.0 19.1 20 Boys 10 International ranking is relatively stable 0 1998 2002 2006 2010 2014 18 th (1998) 21 st (2002) 17 th (2006) 17 th (2010) 21 st (2014)
Bullying others once or more 50 40 35.4 28.7 28.2 30 Overall 25.1 22.4 21.5 Girls 21.1 20 17.9 Boys 16.5 14.2 14.0 13.7 13.4 10.3 8.8 10 0 1998 2002 2006 2010 2014 Significant decrease International ranking has been stable overall from 20 th -20 th of 26
Fruit consumption more than daily 50 40 30 25.9 Overall 23.2 23.2 22.0 Girls 20.7 20.3 19.9 19.9 20 18.0 Boys 17.6 16.8 15.1 10 0 2002 2006 2010 2014 Significant increases International ranking has been stable overall from 6 th - 5 th of 26
Always use seatbelt 100 84.4 83.3 82.2 81.7 81.1 80.4 80.0 79.0 77.5 80 67.1 62.2 57.5 60 Overall 47.2 Girls 41.0 40 35.1 Boys 20 0 1998 2002 2006 2010 2014 Significantt increases No international comparisons
Vigourous exercise (4+ times per week) 100 80 63.6 62.0 59.9 59.3 59.2 60 53.8 52.6 51.5 Overall 49.7 49.2 43.8 43.2 Girls 42.7 40.0 38.6 40 Boys 20 0 Inconsistent patterns 1998 2002 2006 2010 2014 1998-2002: decrease 2002-2006: increase 2006-2010: decrease 2010-2014: stable Ranked 4 th overall in 2014
Excellent health 50 39.9 38.4 40 36.9 34.4 34.0 32.0 31.5 29.3 28.7 30 28.2 26.9 Overall 24.8 Girls 20 Boys 10 0 Significant increase 2002 2006 2010 2014 International ranking has remained stable from 15 th to 14 th of 26
Happy with life at present 100 92.7 92.1 92.2 91.2 91.2 90.8 90.2 90.0 89.5 89.4 88.8 88.9 88.1 85.9 85.4 80 60 Overall Girls Boys 40 20 0 1998 2002 2006 2010 2014 Stable pattern No international comparisons
Felt low weekly over last six months 50 40 35.0 28.7 28.5 30 28.0 27.6 27.3 Overall 25.3 24.3 23.2 23.0 22.2 Girls 21.2 20.1 18.9 18.9 20 Boys 10 0 Significant increases 1998 2002 2006 2010 2014 International ranking has improved from 21 st to 9 th of 26
Medically attended injuries 100 80 56.8 60 Overall 50.3 48.1 48.1 47.4 44.2 Girls 42.2 41.3 40.0 37.7 37.1 40 Boys 34.4 33.7 31.6 29.7 20 0 1998 2002 2006 2010 2014 Significant increases International ranking has improved from 12 th - 18 th of 26
Positive communication with parents 90.0 82.2 81.6 81.6 77.5 80.0 73.0 69.3 66.5 70.0 65.4 58.1 60.0 47.4 50.0 Mother 40.0 Father 30.0 20.0 10.0 International rankings 0.0 1998 2002 2006 2010 2014 have improved Mothers: 23 th -15 th of 26 Fathers: 25 th -14 th of 26
4+ evenings out with friends per week 50 47.8 47.0 43.2 43.0 42.3 40.4 39.5 38.5 38.0 38.1 40 35.1 33.8 33.6 32.8 30.8 30 Overall Girls 20 Boys 10 0 1998 2002 2006 2010 2014 Stable pattern International rankings have been stable 12 th -10 th of 26
Liking school 100 80 74.9 74.3 74.0 73.6 72.3 71.1 70.4 68.3 68.1 66.2 63.0 62.2 60 Overall Girls 40 Boys 20 0 2002 2006 2010 2014 Significant increases International rankings have decreased 11 th -22 nd of 26
Pressured by schoolwork 50 47.3 42.9 41.5 40.7 39.2 38.8 38.6 40 37.8 36.2 35.5 34.7 34.4 33.3 32.9 31.1 30 Overall Girls 20 Boys 10 0 1998 2002 2006 2010 2014 Significant increases International rankings have increased 11 th -3 rd of 26
Good places to spend free time in local area 100 80 63.3 59.7 60 56.2 52.9 Overall 50.1 48.8 47.1 47.1 45.1 43.6 Girls 41.4 40.0 40 Boys 20 0 2002 2006 2010 2014 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 factsheets 17 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: hbsc@nuigalway.ie
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
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