TY - GEN A1 - Moor, Irene A1 - Lampert, Thomas A1 - Rathmann, Katharina A1 - Kuntz, Benjamin A1 - Kolip, Petra A1 - Spallek, Jacob A1 - Richter, Matthias T1 - Explaining educational inequalities in adolescent life satisfaction: Do health behaviour and gender matter T2 - International Journal of Public Health Y1 - 2014 SN - 1661-8564 VL - 59 IS - 2 SP - 309 EP - 317 ER - TY - GEN A1 - Moor, Irene A1 - Rathmann, Katharina A1 - Stronks, Karien A1 - Levin, Kate A1 - Spallek, Jacob A1 - Richter, Matthias T1 - Psychosocial and behavioural factors in the explanation of socioeconomic inequalities in adolescent health. A multilevel analysis in 28 European and North American countries T2 - Journal of epidemiology and community health Y1 - 2014 U6 - https://doi.org/10.1136/jech-2014-203933 SN - 1470-2738 VL - 68 IS - 10 SP - 912 EP - 921 ER - TY - GEN A1 - Rathmann, Katharina A1 - Bilz, Ludwig A1 - Hurrelmann, Klaus A1 - Kiess, Wieland A1 - Richter, Matthias T1 - Is being a “small fish in a big pond” bad for students´ psychosomatic health? A multilevel study on the role of class-level school performance T2 - BMC Public Health N2 - Background. Features of schools and classes are closely related to students´ health and wellbeing. However, class composition (e.g. in terms of school performance) has rarely been examined in relation to students´ health and wellbeing. This study focuses on the so called Big-Fish-Little-Pond-Effect (BFLPE), by investigating whether the level of high-performing students in classroom is negatively associated with psychosomatic complaints of students who perceive themselves as poor performers. Methods. Data were derived from the German sample of the WHO-Collaborative “Health Behaviour in School-aged Children (HBSC)” study 2013/2014. The sample included 5226 11-, 13- and 15-year-old students. Individual perceived school performance (PSP) was included (very good/good vs. average/below average PSP) at the individual student-level. At the class-level, school performance in class was generated by aggregating the share (in percentage) of students who report a very good/good PSP to the class-level, indicating the percentage of students with good/very good PSP in classroom. Using multilevel regression models, the association between class-level school performance (in percentage of students with very good/good PSP) and individual psychosomatic complaints were analyzed, stratified by students´ individual PSP. Results. Students who report average/below average PSP showed higher likelihoods of psychosomatic complaints (Odds Ratio: 1.75; 95% Confidence Interval: 1.52–2.03) compared to counterparts with very good/good PSP. The aggregated class-level PSP was not significantly associated with psychosomatic complaints. However, in line with the BFLPE, results further revealed that students with average/below average PSP, who attend classes with a higher percentage of students who report very good/good PSP, had higher likelihoods of psychosomatic complaints (Odds Ratio: 1.91; 95% Confidence Interval: 1.01–4.01) compared to classmates with very good/good PSP. Conclusions. This study revealed that class composition in terms of PSP was differentially associated with students´ psychosomatic complaints, depending on their individual PSP. Findings highlight the vulnerability of students with poor PSP placed in classes with a higher percentage of students with good PSP. Results of this study therefore indicate a need for initiatives for low performing students from teachers and school staff in class. KW - School performance KW - Reference group effects KW - Health complaints KW - BFLPE KW - Multilevel analysis KW - HBSC Y1 - 2018 U6 - https://doi.org/10.1186/s12889-018-5977-5 SN - 1471-2458 VL - 18 ER - TY - GEN A1 - Rathmann, Katharina A1 - Vockert, Theres A1 - Bilz, Ludwig A1 - Gebhardt, Markus A1 - Hurrelmann, Klaus T1 - Self-rated health and wellbeing among school-aged children with and without special educational needs: Differences between mainstream and special schools T2 - Research in Developmental Disabilities N2 - Background. Studies among students with special educational needs (SEN) in separate special schools (SSS) and mainstream schools (MS) are particularly applicable to educational attainment and social participation. However, indicators of health and wellbeing have rarely been considered. Aims. This study investigates two related topics: first, health and wellbeing differences between students with SEN in special schools (SSS) and students without SEN in regular schools, and second, the rarely considered question whether health and wellbeing among students with SEN differ between school settings (i.e. MS vs. SSS). Methods and procedures. Bivariate and multilevel analyses are applied with data from the German National Educational Panel Study (NEPS) with 5267 students (grade 7). Outcomes and results. After having controlled for background characteristics, students in SSS report higher likelihoods of poor self-rated health compared to students in higher track schools. Self-rated health of students with SEN does not significantly differ between MS vs. SSS. For life satisfaction, students with SEN show higher likelihoods of low life satisfaction when attending MS. Conclusions and implications. Teachers in inclusive settings are encouraged to establish class work and teaching that support a real change from class placement to inclusive culture in order to suitably support students with SEN. KW - Self-rated health KW - Life satisfaction KW - Special educational needs KW - Inclusion KW - Multilevel modeling KW - NEPS Y1 - 2018 U6 - https://doi.org/10.1016/j.ridd.2018.04.021 SN - 0891-4222 SN - 1873-3379 VL - 81 SP - 134 EP - 142 ER - TY - GEN A1 - Rathmann, Katharina A1 - Herke, Max A1 - Bilz, Ludwig A1 - Rimpelä, Arja A1 - Hurrelmann, Klaus A1 - Richter, Matthias T1 - Class-level school performance and life satisfaction: Differential sensitivity for low- and high-performing school-aged children T2 - International Journal of Environmental Research and Public Health N2 - This study investigates whether class-level school performance affects students’ life satisfaction and if there are differential effects for high- and low-performing students. Data were derived from the National Educational Panel Study, including n = 5196 students (49.6% girls), nested in 478 classes and 250 secondary schools. School performance in class was measured by aggregating individual grade point average in Mathematics and German. The study could not reveal the “big-fish-little-pond”-effect regarding students’ life satisfaction but found differential effects for high- vs. low performing students. There was no significant association for low-performing students attending classes with higher class-level performance However, low-performing students revealed the lowest life satisfaction. High-performing students placed in classes with higher average performance reported lower life satisfaction compared to high-performing students in classes with lower average performance. This study provides evidence for the impact of the learning environment in class on school-aged children’s life satisfaction, by highlighting the differential sensitivity of high-performing students when placed in classes with higher or lower average performance. KW - school performance KW - social comparision KW - life satisfaction KW - big-fish-little-pond-effect KW - multilevel analysis KW - National Educational Panel Study Y1 - 2018 U6 - https://doi.org/10.3390/ijerph15122750 SN - 1660-4601 SN - 1661-7827 VL - 15 IS - 12 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 - Digitale Gesundheitskompetenz von Schülerinnen und Schülern. Ausprägung und Assoziationen mit dem Bewegungs- und Ernährungsverhalten T2 - Bundesgesundheitsblatt N2 - Hintergrund. Während vermehrt Studienbefunde zur allgemeinen Gesundheitskompetenz (GK) vorliegen, mangelt es an Erkenntnissen zur digitalen GK im Jugendalter und deren Assoziationen mit Indikatoren des Gesundheitsverhaltens. Methodik. Empirische Basis bildet eine von Oktober 2019 bis Februar 2020 im Bundesland Hessen durchgeführte Querschnittstudie mit 490 Schülerinnen und Schülern der Klassenstufe 8 und 9. Die digitale GK wurde mithilfe von 5 Subskalen des Digital Health Literacy Instrument (DHLI) erfasst, während der Verzehr von Obst, Gemüse und Softdrinks sowie die körperliche Aktivität als Indikatoren des Gesundheitsverhaltens herangezogen wurden. Als soziales Merkmal wurde neben dem Geschlecht und der Klassenstufe der subjektive Sozialstatus (SSS) berücksichtigt. Die Datenauswertung erfolgte uni-, bi- und multivariat, wobei binärlogistische Regressionen für das Geschlecht und den SSS adjustiert wurden. Ergebnisse. Über alle Items hinweg berichten 15,3–37,5 % der befragten Jugendlichen Schwierigkeiten bei der Beschaffung von und im Umgang mit digitalen Informationen. Differenziert nach sozialen Merkmalen finden sich für 2 Dimensionen der digitalen GK Unterschiede zuungunsten der Mädchen sowie durchgehend ein sozialer Gradient zuungunsten von Befragten mit niedrigem SSS. Jugendliche mit mittlerer und geringer digitaler GK weisen ein höheres Maß an geringer körperlicher Aktivität, nichttäglichem Obstverzehr und täglichem Konsum von zuckerhaltigen Getränken auf. Diskussion. Die Befunde weisen auf einen Interventionsbedarf zur Förderung der digitalen GK insbesondere bei Jugendlichen mit geringem SSS hin. Die differenziellen Zusammenhangsmuster mit dem Gesundheitsverhalten bieten Ansatzpunkte für die Entwicklung spezifischer Interventionen. Als Lehr- und Lernort stellt die Schule u. a. aufgrund der Passung mit verpflichtenden Strategien der schulischen Medienkompetenzbildung ein geeignetes Setting dar. KW - Gesundheitsinformationen KW - Digital Public Health KW - Jugendgesundheit KW - Obst- und Gemüsekonsum KW - Körperliche Aktivität Y1 - 2022 U6 - https://doi.org/10.1007/s00103-022-03548-5 SN - 1436-9990 ER - TY - GEN A1 - Fischer, Saskia M. A1 - Dadaczynski, Kevin A1 - Sudeck, Gorden A1 - Rathmann, Katharina A1 - Bilz, Ludwig T1 - „Health Literacy in School-Aged Children-German”: Vorstellung eines Messinstruments zur Erhebung der Gesundheitskompetenz im Kindes- und Jugendalter T2 - 52. Kongress der Deutschen Gesellschaft für Psychologie. Programm. N2 - Gesundheitskompetenz ist ein international relevanter Forschungsgegenstand, der bereits im Kindes- und Jugendalter mit dem Gesundheitszustand, der Ausübung gesundheitsbezogenen Risikoverhaltens und gesundheitlicher Ungleichheit zusammenhängt. Dennoch steht die Erforschung der Gesundheitskompetenz in Deutschland insbesondere im Kindes- und Jugendalter im internationalen Vergleich noch weitgehend am Anfang. Ein ökonomisches Instrument zur Erhebung der Gesundheitskompetenz Heranwachsender stellt die 10-Item-Skala „Health Literarcy in School-Aged Children-German“ (HLSAC-German) dar. Dabei handelt es sich um die deutsche Version der Skala HLSAC, welche in der international durchgeführten HBSC-Studie eingesetzt wird. In diesem Beitrag werden die Skala selbst sowie Befunde zur Dimensionalität, zur Messinvarianz in Bezug auf Geschlecht, Alter und Schulform und zu Zusammenhängen zu Indikatoren der Gesundheit und des Gesundheitsverhaltens vorgestellt. Die Überprüfung der Skala erfolgt anhand der Daten der deutschen HBSC-Studie 2018 (N = 4 347 Schülerinnen und Schüler im Alter von 11, 13 und 15 Jahren). Die Überprüfung in der Gruppe der 11-Jährigen stellt dabei eine Erweiterung des Einsatzbereiches der Skala im internationalen Vergleich dar. Explorative und konfirmatorische Faktorenanalysen belegen die Eindimensionalität der Skala. Konfirmatorische Faktorenanalysen in multiplen Gruppen zeigen vollständige skalare Messinvarianz bezüglich des Geschlechts und partielle skalare Messinvarianz bezüglich Altersgruppen und Schulform. Erwartungsgemäß zeigen sich negative Zusammenhänge zu subjektiv eingeschätzten psychischen Gesundheitsproblemen und positive Zusammenhänge zur körperlichen Aktivität. Die Ergebnisse weisen insgesamt auf eine eindimensionale Skala hin, mit welcher Mittelwertsvergleiche zulässig sind. Der Einsatz der Skala in der Gruppe der 11-jährigen ist möglich, wobei punktuelle Schwierigkeiten bei der Beantwortung der Items und eine höhere Non-Response-Quote in dieser Altersgruppe erwartet werden müssen. Y1 - 2022 UR - https://www.uni-hildesheim.de/dgps2022/wp-content/uploads/2022/09/52._DGPs-Kongress_2022_Programm_Stand20220915_kl.pdf SP - 51 CY - Hildesheim 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 - 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 - 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 - Konzept und Methodik der Studie Health Behaviour in Schoolaged Children (HBSC) – Einblicke in den aktuellen Survey 2022 und die Entwicklung in Deutschland T2 - Journal of Health Monitoring N2 - Hintergrund: „Health Behaviour in School-aged Children (HBSC)“ ist eine der größten internationalen Kinder- und Jugendgesundheitsstudien und kooperiert mit der Weltgesundheitsorganisation (WHO). In Deutschland werden im vierjährigen Turnus jeweils Heranwachsende im Alter von 11, 13 und 15 Jahren zur Gesundheit, zum Gesundheitsverhalten und zu sozialen Rahmenbedingungen befragt. Der Beitrag widmet sich der Beschreibung der HBSC-Studie und speziell der Methodik des aktuellen Surveys 2022 sowie der vorherigen Erhebungen von 2009/10 bis 2017/18. Methode: Am Survey 2022 beteiligten sich 174 Schulen mit insgesamt 6.475 Schülerinnen und Schülern. Die Erhebung erfolgte mittels Fragebogen und erfasst ein breites Themenspektrum (u. a. mentale Gesundheit, Bewegungsverhalten, Mobbingerfahrungen, soziale Determinanten der Gesundheit sowie Erfahrungen im Zusammenhang mit COVID-19). Ergänzt wurde die Erhebung 2022 um eine Schulleitungsbefragung (N = 160). Neben der aktuellen Stichprobe werden auch die Stichproben der vorangegangenen drei Surveys mit repräsentativen Angaben für Deutschland vorgestellt: 2009/10 (N = 5.005), 2013/14 (N = 5.961) und 2017/18 (N = 4.347). Diskussion: Die Kinder- und Jugendgesundheit hat eine hohe Public-Health-Relevanz. Dazu leistet die HBSC-Studie einen elementaren Beitrag, denn sie liefert international vergleichbare Ergebnisse, ermöglicht die Analyse von Trendentwicklungen und stellt umfangreiche, repräsentative Daten zum Gesundheitsmonitoring für Stakeholder bereit. Y1 - 2024 U6 - https://doi.org/10.25646/11877 SN - 2511-2708 VL - 9 IS - 1 SP - 108 EP - 127 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 -