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 - Reiß, Franziska A1 - Behn, Steven A1 - Erhart, Michael A1 - Strelow, Lisa A1 - Kaman, Anne A1 - Ottová-Jordan, Veronika A1 - Bilz, Ludwig A1 - Moor, Irene A1 - Ravens-Sieberer, Ulrike T1 - Subjective health and psychosomatic complaints of children and adolescents in Germany: Results of the HBSC study 2009/10 – 2022 T2 - Journal of Health Monitoring N2 - Background: Subjective health and well-being are important health indicators in childhood and adolescence. This article shows current results and trends over time between 2009/10 and 2022. Methods: The Health Behaviour in School-aged Children (HBSC) study examined subjective health, life satisfaction and psychosomatic complaints of N = 21,788 students aged 11 to 15 years in the school years 2009/10, 2013/14, 2017/18 and in the calendar year 2022. Multivariate regression analyses show the associations between sociodemographic characteristics and well-being in 2022, as well as trends since 2009/10. Results: The majority of children and adolescents indicate a good subjective health and high life satisfaction. About half of the girls and one third of the boys report multiple psychosomatic health complaints, with a clear increase over time. Older adolescents, girls and gender diverse adolescents are at an increased risk of poor well-being. Subjective health and life satisfaction varied between 2009/10 and 2022, with a significant deterioration between 2017/18 and 2022. Conclusions: The high proportion of children and adolescents with psychosomatic complaints, as well as the observed gender and age differences, underline the need for target group-specific prevention, health promotion and continuous health monitoring. KW - Children KW - Adolescents KW - Mental Health KW - Subjective Health KW - Life Satisfaction KW - Psychosomatic Complaints KW - Prevalences 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_Subjective_Health.pdf U6 - https://doi.org/10.25646/11868 SN - 2511-2708 VL - 9 IS - 1 SP - 7 EP - 22 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 - TY - GEN A1 - Reiß, Franziska A1 - Ottová-Jordan, Veronika A1 - Bilz, Ludwig A1 - Moor, Irene A1 - Dadaczynski, Kevin A1 - Helmchen, Ronja M. A1 - Schierl, Theresa A1 - Sendatzki, Saskia A1 - Rathmann, Katharina A1 - Kaman, Anne A1 - Study Group Germany, HBSC A1 - Ravens-Sieberer, Ulrike T1 - Effects of the corona measures on the life of children and adolescents : results of the German HBSC study 2022 T2 - Journal of Health Monitoring N2 - Background: The containment measures of the COVID-19 pandemic have changed many people’s daily lives. The study examines how children and adolescents assess the impact of the coronavirus measures on various areas of life. Methods: Overall, N = 6,475 students (11 –15 years) in Germany took part in the representative ‘Health Behavior in School-aged Children (HBSC)’ study in 2022. Logistic regressions were performed to investigate the relationships between the perceived impact of the coronavirus measures on various areas of their lives by age, gender and family wealth. Results: Two years after the onset of the pandemic, children and adolescents reported both, positive and negative effects of the coronavirus measures. About a half of those surveyed perceived positive effects regarding social relationships. In contrast, approximately one in three respondents reported a deterioration in mental health and school performance. In particular, 11-year-olds, boys and wealthy students reported more often positive effects. Conclusions: The positive effects of the pandemic on the lives of children and adolescents in individual areas and the resilience (resistance) that is emerging here, as well as the results on more negative assessments of adolescents, girls and respondents with lower family wealth, can be used as a starting point for a needs-oriented and target group-specific health promotion in times of crisis. Future research should focus on the pandemic’s long-term effects on young people’s development. KW - HBSC KW - COVID-19 pandemic KW - children KW - adolescents KW - mental health KW - social relationships KW - Germany Y1 - 2025 U6 - https://doi.org/10.25646/13002 SN - 2511-2708 VL - 2025 IS - 10 (1) ER - TY - GEN A1 - Reiß, Franziska A1 - Ottová-Jordan, Veronika A1 - Bilz, Ludwig A1 - Moor, Irene A1 - Dadaczynski, Kevin A1 - Helmchen, Ronja M. A1 - Schierl, Theresa A1 - Sendatzki, Saskia A1 - Rathmann, Katharina A1 - Kaman, Anne A1 - Deutschland, HBSC-Studienverbund A1 - Ravens-Sieberer, Ulrike T1 - Auswirkungen der Corona-Maßnahmen auf das Leben von Kindern und Jugendlichen: Ergebnisse der bundesweiten HBSC-Studie 2022 T2 - Journal of Health Monitoring N2 - Hintergrund: Die Eindämmungsmaßnahmen der COVID-19-Pandemie haben den Alltag vieler Menschen verändert. Untersucht wird, wie Kinder und Jugendliche die Auswirkungen der Corona-Maßnahmen auf verschiedene Lebensbereiche einschätzen. Methode: An der repräsentativen „Health Behaviour in School-aged Children (HBSC)“-Studie haben 2022 bundesweit N = 6.475 Schülerinnen und Schüler (11 –15 Jahre) teilgenommen. Mittels logistischer Regressionen wurden Zusammenhänge zwischen den wahrgenommenen Auswirkungen der Corona-Maßnahmen auf verschiedene Bereiche ihres Lebens und den Faktoren Alter, Geschlecht und familiärer Wohlstand untersucht. Ergebnisse: Zwei Jahre nach Pandemiebeginn berichteten Kinder und Jugendliche sowohl positive als auch negative Auswirkungen der Corona-Maßnahmen. Bei den sozialen Beziehungen nahm etwa die Hälfte der Befragten positive Auswirkungen wahr. Dagegen gab etwa jede bzw. jeder dritte Befragte Verschlechterungen bei der seelischen Gesundheit und den schulischen Leistungen an. Vor allem 11-Jährige, Jungen und Befragte mit hohem familiären Wohlstand berichteten von positiven Auswirkungen. Schlussfolgerungen: Die in Einzelbereichen positiven Auswirkungen der Pandemie auf das Leben von Kindern und Jugendlichen und die sich hier abzeichnende Resilienz (Widerstandskraft) sowie die Ergebnisse zu negativeren Einschätzungen von Jugendlichen, Mädchen und Befragten mit niedrigerem familiären Wohlstand können als Ausgangspunkt für eine bedarfsorientierte und zielgruppenspezifische Gesundheitsförderung in Krisenzeiten genutzt werden. Gegenstand zukünftiger Forschung sollten die Langzeitfolgen der Pandemie auf die Entwicklung junger Menschen sein. KW - HBSC KW - COVID-19-Pandemie KW - Kinder KW - Jugendliche KW - psychische Gesundheit KW - Soziale Beziehungen KW - Deutschland Y1 - 2025 UR - https://www.rki.de/DE/Aktuelles/Publikationen/Journal-of-Health-Monitoring/GBEDownloadsJ/Focus/JHealthMonit_2025_01_HBSC_CORONA.pdf U6 - https://doi.org/10.25646/12954 SN - 2511-2708 VL - 10 IS - 1 ER - TY - GEN A1 - Schütz, Raphael A1 - Reiss, Franziska A1 - Moor, Irene A1 - Kaman, Anne A1 - Bilz, Ludwig T1 - Lonely children and adolescents are less healthy and report less social support : a study on the effect of loneliness on mental health and the moderating role of social support T2 - BMC public health N2 - Background Loneliness among children and adolescents has been increasingly recognized as a public health issue, for example, because of its associations with mental health problems. Nevertheless, there is a lack of evidence regarding the links between loneliness and mental health and the potential buffering role of social support. Thus, this study aims to investigate the prevalence of loneliness among children and adolescents in Germany and its associations with mental health. Furthermore, we analyze whether social support is negatively correlated with loneliness and mental health problems and whether it acts as a moderator of the association between loneliness and mental health issues. Methods This study analyzed data from the Health Behavior in School-aged Children (HBSC) survey in Germany in 2022, which included 6,475 students aged 11, 13, and 15 years (girls: 50,6%, Mage = 13,4, SD = 1,7). Loneliness was measured via the University of California–Los Angeles Scale (UCLA) and a single-item measure. The mental health indicators included subjective health, life satisfaction, and multiple psychosomatic complaints. Social support from family, teachers, and classmates was assessed. Chi-square tests, t tests, logistic regressions, and moderation analyses were conducted. Results A total of 17.2% of the students reported high levels of loneliness. Compared with boys, girls and gender-diverse students reported higher rates of loneliness. High levels of loneliness were strongly linked to poorer subjective health (OR = 5.56, p <.001), lower life satisfaction (OR = 7.32, p <.001), and increased psychosomatic complaints (OR = 7.38, p <.001). High social support from family, teachers, and students was associated with reduced loneliness and better mental health outcomes. Teacher support in grades 7 and 9 buffered the effect of loneliness on multiple psychosomatic complaints. Conclusion The findings highlight that loneliness is a prevalent phenomenon among children and adolescents and is strongly associated with mental health issues. Greater social support is linked to reduced loneliness and better mental health, so targeted interventions to promote social support in schools and families are needed to address loneliness. Future research should explore longitudinal relationships and further elucidate the mechanisms underlying these associations. KW - Loneliness KW - Mental health KW - Social support KW - HBSC KW - Children KW - Adolescents Y1 - 2025 U6 - https://doi.org/10.1186/s12889-025-23247-5 SN - 1471-2458 VL - 25 SP - 1 EP - 21 PB - BioMed Central (BMC) CY - London ER - TY - BOOK A1 - Schütz, Raphael A1 - Bilz, Ludwig A1 - Moor, Irene A1 - Kaman, Anne A1 - Reiß, Franziska A1 - HBSC Study Group Germany, T1 - Einsamkeit bei Kindern und Jugendlichen in Deutschland : schulische und gesundheitsbezogene Zusammenhänge N2 - Hintergrund: Einsamkeit ist bei Kindern und Jugendlichen weit verbreitet und steht mit zahlreichen physischen, psychischen und schulischen Faktoren im Zusammenhang. Für Deutschland liegen dazu jedoch erst wenige empirische Erkenntnisse vor. Ziel dieser Expertise ist es daher, einen Überblick des Forschungsstandes zum Thema zu liefern und mit Hilfe aktueller Daten zu untersuchen, inwieweit Einsamkeit bei Kindern und Jugendlichen mit schulischen Aspekten (Schulform, Schulzufriedenheit, schulischen Belastungen und schulischer Unterstützung) in Verbindung steht. Methodik: Die HBSC-Studie ist eine internationale Forschungskooperation unter Schirmherrschaft der Weltgesundheitsorganisation (WHO) und wird seit über 40 Jahren in einem Vierjahresrhythmus in mittlerweile über 50 Ländern durchgeführt. Deutschland ist seit 1993 Partner des internationalen HBSC-Konsortiums und seit 2009 regelmäßig mit einer bundesweit repräsentativen Stichprobe an den Erhebungen beteiligt. In der aktuellen Befragung in Deutschland wurden erstmals die optionalen Fragen zum Thema Einsamkeit aufgenommen. Somit zielt die vorliegende Expertise darauf ab, aktuelle Daten zur Einsamkeit, zur Gesundheit und zu sozialen Beziehungen sowie soziodemografischen Faktoren von Schülerinnen und Schülern zu analysieren und einem breiten Publikum zur Verfügung zu stellen. Ergebnisse: Gemessen mit der UCLA-Skala sind 11,8 % der Schüler*innen als einsam einzustufen. Hierbei fällt auf, dass Mädchen in höherem Maße einsam sind (14,8 %) als Jungen (7,4 %). Eine mögliche Erklärung für eine stärkere Einsamkeit bei Mädchen kann eine erhöhte Bereitschaft sein, nicht erfüllte emotionale Bedürfnisse zu kommunizieren. Schlussfolgerung: Einsamkeit in der Kindheit und Jugend spielt auch im schulischen Kontext eine wichtige Rolle. Schüler*innen sollten in ihren emotionalen und sozialen Kompetenzen gestärkt werden. Lehrkräfte können zu einem positiven Schulklima und einer sozialen Unterstützung der Lernenden beitragen und so Einsamkeit begegnen. KW - Einsamkeit KW - HBSC KW - Schule KW - Gesundheit Y1 - 2026 UR - https://kompetenznetz-einsamkeit.de/publikationen/kne-expertisen/kne-expertise-16 SN - 978-3-88493-301-5 PB - Institut für Sozialarbeit und Sozialpädagogik e.V. - Kompetenznetz Einsamkeit CY - Berlin ; Frankfurt am Main ER -