TY - GEN A1 - Kaman, Anne A1 - Ottová-Jordan, Veronika A1 - Bilz, Ludwig A1 - Sudeck, Gorden A1 - Moor, Irene A1 - Ravens-Sieberer, Ulrike T1 - Subjective health and well-being of children and adolescents in Germany – Cross-sectional results of the 2017/18 HBSC study T2 - Journal of Health Monitoring N2 - Subjective health is understood as a multidimensional construct that encompasses the physical, mental and social dimensions of a person’s well-being. Promoting the subjective health and well-being of children and adolescents has strong public health relevance because health impairments in childhood and adolescence are often associated with long- term health problems in adulthood. Therefore, it is very important to gain information about potential risk and resource factors involved. This article presents current prevalences for subjective health, life satisfaction and psychosomatic health complaints among children and adolescents in Germany aged 11, 13 and 15 years from the 2017/18 Health Behaviour in School-Aged Children (HBSC) study (N=4,347, 53.0% girls). It also examines the sociodemographic and psychosocial factors that influence subjective well-being. Most children and adolescents provided positive ratings of their health and life satisfaction. Nevertheless, about one third of girls and one fifth of boys were affected by multiple psychosomatic health complaints. Impairments in subjective well-being were particularly evident in girls, older adolescents, young people with low levels of family affluence and those under a lot of pressure at school. In contrast, high family support was associated with better subjective well-being. These results illustrate the need for target group-specific prevention and health promotion measures aimed at improving the subjective health and well-being of children and adolescents. KW - subjective health KW - well-being KW - children and adolecents KW - HBSC study Y1 - 2020 UR - https://www.rki.de/EN/Content/Health_Monitoring/Health_Reporting/GBEDownloadsJ/Focus_en/JoHM_03_2020_HBSC_Subjective_Health.pdf?__blob=publicationFile U6 - https://doi.org/10.25646/6899 SN - 2511-2708 VL - 5 IS - 3 SP - 7 EP - 20 ER - TY - GEN A1 - Moor, Irene A1 - Winter, Kristina A1 - Bilz, Ludwig A1 - Bucksch, Jens A1 - Finne, Emily A1 - John, Nancy A1 - Kolip, Petra A1 - Paulsen, Lisa A1 - Ravens-Sieberer, Ulrike A1 - Schlattmann, Marina A1 - Sudeck, Gorden A1 - Brindley, Catherina A1 - Kaman, Anne A1 - Richter, Matthias T1 - The 2017/18 Health Behaviour in School-aged Children (HBSC) study – Methodology of the World Health Organization’s child and adolescent health study T2 - Journal of Health Monitoring N2 - The Health Behaviour in School-aged Children (HBSC) study is an international research project in collaboration with the World Health Organization (WHO) for over 35 years. HBSC is the largest study on child and adolescent health and one of the most important sources of data for the WHO’s international comparative health monitoring. Every four years, data on the health and health behaviour of students aged 11, 13 and 15, as well as the social contexts and conditions for growing up healthy, are collected. A total of 50 countries belong to the HBSC network, with 45 countries taking part in the 2017/18 survey. Germany has contributed to the HBSC surveys since 1993/94. For the most recent 2017/18 cycle, students at 146 schools in Germany were interviewed (response rate of schools: 15.6%). A net sample of n = 4,347 girls and boys was achieved for Germany (response rate: 52.7%). Participation was voluntary and the survey was conducted in German school years five, seven and nine (corresponding to ages 11, 13 and 15). A weighting procedure was applied to allow for representative findings on the health of children and adolescents in Germany. HBSC offers a valuable contribution to health monitoring and provides numerous starting points to identify needs, risk groups and fields of action to initiate targeted and actual needs-based measures of prevention and health promotion in the school setting. KW - adolescents KW - health behaviour KW - health monitoring KW - health determinants KW - HBSC Y1 - 2020 UR - https://www.rki.de/EN/Content/Health_Monitoring/Health_Reporting/GBEDownloadsJ/ConceptsMethods_en/JoHM_03_2020_HBSC_Methodology.pdf?__blob=publicationFile U6 - https://doi.org/10.25646/6904 SN - 2511-2708 VL - 5 IS - 3 SP - 88 EP - 102 ER - TY - GEN A1 - Fischer, Saskia M. A1 - Dadaczynski, Kevin A1 - Sudeck, Gorden A1 - Rathmann, Katharina A1 - Paakkari, Olli A1 - Paakkari, Leena A1 - Bilz, Ludwig T1 - Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children – German Version T2 - Diagnostica N2 - Health literacy can help explain health inequalities in childhood and adolescence. However, suitable instruments for assessing health literacy in this age group are rare, especially in the German-speaking countries. One economical measure is the 10-item Health Literacy in School-Aged Children (HLSAC) scale, developed and reviewed as part of the WHO Child and Adolescent Health Study (HBSC, Health Behavior in School-Aged Children). In the present study, we tested dimensionality, measurement invariance, and associations with health-related measures of the German version of the scale (HLSAC–German), using data from the 2018 national German HBSC study (N = 4,347 students aged 11, 13, and 15 years). We also tested HLSAC–German with 11-year-olds, representing an expansion of the original scale. Exploratory and confirmatory factor analyses consistently demonstrated the unidimensionality of the scale (α = .88). Complete scalar measurement invariance was found for sex and partial scalar measurement invariance for age groups and school type, allowing for the comparison of means. Associations with indicators of health and health behavior further demonstrate the construct validity of the scale. The analyses show that the scale is suitable for the economic measurement of a general factor of health literacy in 11- as well as in 13- and 15-year-olds. KW - health literacy KW - childhood KW - adolescence KW - measurement invariance KW - validity Y1 - 2022 U6 - https://doi.org/10.1026/0012-1924/a000296 SN - 0012-1924 SN - 2190-622X VL - 68 IS - 4 SP - 184 EP - 196 ER - TY - GEN A1 - Dadaczynski, Kevin A1 - Rathmann, Katharina A1 - Schricker, Julia A1 - Bilz, Ludwig A1 - Sudeck, Gorden A1 - Fischer, Saskia M. A1 - Janiczek, Oliver A1 - Quilling, Eike T1 - Digital health literacy and health behaviors of eighth and ninth graders from Germany T2 - European Journal of Public Health N2 - Background: Due to the high availability and use of digital media, health- related information is increasingly shifting into the digital space. While there are increasing empirical findings on general health literacy (HL), there is a lack of evidence on digital HL in adolescence and its association with health behavior. Methods: A cross-sectional study of 490 secondary school students (grades eight and nine) from the federal state of Hesse was conducted from October 2019 to February 2020. Digital HL was assessed using five subscales of the Digital Health Literacy Instrument (DHLI), while consumption of fruits, vegetables, soft drinks, and weekly physical activity were used as indicators of health behavior. In addition to gender and grade level, subjective social status (SSS) was used as a social characteristic. Univariate, bivariate, and multivariate analyses were performed, with binary-logistic regression adjusted for gender and SSS. Results: Across all items, the percentage of adolescents reporting difficulties in acquiring and dealing with digital health information ranges from 15.3 % to 37.5 %. Stratified by social characteristics, gender and socioeconomic differences were found with girls and respondents reporting a lower SSS more often showing a limited digital HL. Adolescents with moderate and low digital HL report higher levels of low physical activity, non-daily fruit and daily soft drink consumption. Depending on the health behavior, different relationship patterns can be observed for the dimensions of digital HL. Conclusions: The findings suggest a need for interventions to promote digital HL among adolescents, particularly for those of low SSS. In this context, the differential relationship patterns with health behaviors provide an avenue for the development of specific interventions. Y1 - 2022 U6 - https://doi.org/10.1093/eurpub/ckac129.322 SN - 1101-1262 SN - 1464-360X VL - 32 IS - Supplement 3 ER - TY - GEN A1 - Moor, Irene A1 - Herke, Max A1 - Markert, Jenny A1 - Böhm, Marie A1 - Reiß, Franziska A1 - Bilz, Ludwig A1 - Sudeck, Gorden A1 - Winter, Kristina T1 - Trends in health inequalities in childhood and adolescence in Germany: Results of the HBSC study 2009/10 – 2022 T2 - Journal of Health Monitoring N2 - Background: Many studies have identified health inequalities in childhood and adolescence. However, it is unclear how these have developed in recent years, particularly since the COVID-19 pandemic. Methods: Analyses are based on the German data from the international Health Behaviour in School-aged Children (HBSC) study from 2009/10 (n = 5,005), 2013/14 (n = 5,961), 2017/18 (n = 4,347), and 2022 (n = 6,475). A total of 21,788 students aged approximately between 11 and 15 years were included. Socioeconomic status (SES) was assessed using the Family Affluence Scale (FAS). Several health indicators were analysed stratified by gender using bivariate and multivariate analysis methods. Results: In 2022, there are clear socioeconomic inequalities in life satisfaction, self-rated health, fruit and vegetable consumption, and physical activity. These inequalities remained largely constant or increased between 2009/10 and 2022. Between 2017/18 and 2022, no significant changes in inequalities were found. Conclusions: Health inequalities are persistent and reduce the chances of growing up healthy. There is no evidence that inequalities in the analysed outcomes have changed during the pandemic period (between 2017/18 and 2022). Rather, the changes in the health indicators seem to affect all adolescents in a similar way. KW - Socioeconomic status KW - Self-rated health KW - Nutrition KW - Physical activity KW - Life satisfaction KW - Health equity KW - Children KW - Adolescents KW - Schools KW - HBSC KW - Survey KW - Germany Y1 - 2024 UR - https://www.rki.de/EN/Content/Health_Monitoring/Health_Reporting/GBEDownloadsJ/Focus_en/JHealthMonit_2024_01_Health_Inequalities.pdf U6 - https://doi.org/10.25646/11876 SN - 2511-2708 VL - 9 IS - 1 SP - 79 EP - 98 ER - TY - GEN A1 - Winter, Kristina A1 - Moor, Irene A1 - Markert, Jenny A1 - Bilz, Ludwig A1 - Bucksch, Jens A1 - Dadaczynski, Kevin A1 - Fischer, Saskia M. A1 - Helmchen, Ronja M. A1 - Kaman, Anne A1 - Möckel, Juliane A1 - Rathmann, Katharina A1 - Ravens-Sieberer, Ulrike A1 - Reiß, Franziska A1 - Schierl, Theresa A1 - Schütz, Raphael A1 - Sendatzki, Saskia A1 - Stürmer, Elisabeth A1 - Sudeck, Gorden A1 - Richter, Matthias T1 - Concept and methodology of the Health Behaviour in School-aged Children (HBSC) study – Insights into the current 2022 survey and trends in Germany T2 - Journal of Health Monitoring N2 - Background: Health Behaviour in School-aged Children (HBSC) is one of the largest international studies on child and adolescent health and cooperates with the World Health Organization (WHO). In Germany, adolescents aged 11, 13 and 15 are surveyed every four years about their health, health behaviour and social conditions. This article describes the HBSC study and in particular the methodology of the current 2022 survey and prior surveys conducted between 2009/10 and 2017/18. Method: 174 schools with a total of 6,475 students participated in the 2022 survey. The survey was conducted using questionnaires and covered a wide range of topics (including mental health, physical activity, bullying experiences, social determinants of health and experiences related to COVID-19). The 2022 survey was complemented by a school principal survey (N = 160). In addition to the current sample, the samples of the three previous surveys with representative data for Germany are presented: 2009/10 (N = 5,005), 2013/14 (N = 5,961) and 2017/18 (N = 4,347). Discussion: The health of children and adolescents is of great public health importance. The HBSC study makes a substantial contribution by providing internationally comparable results, analysing trends, and providing stakeholders with comprehensive and representative health monitoring data. KW - Children KW - Adolescents KW - Students KW - Health Monitoring KW - HBSC KW - Trends KW - Prevalences KW - Schools KW - Survey KW - Cross-Sectional Study KW - Germany Y1 - 2024 UR - https://www.rki.de/EN/Content/Health_Monitoring/Health_Reporting/GBEDownloadsJ/ConceptsMethods_en/JHealthMonit_2024_01_Concept_Methodology_HBSC.pdf U6 - https://doi.org/10.25646/11878 SN - 2511-2708 VL - 9 IS - 1 SP - 99 EP - 117 ER -