TY - JOUR A1 - Richter, Matthias A1 - Rathmann, Katharina A1 - Nic Gabhainn, S. A1 - Zambon, A. A1 - Boyce, W. A1 - Hurrelmann, Klaus T1 - Welfare state regimes, health and health inequalities in adolescence: A multilevel analysis in 32 countries JF - Sociology of Health and Illness N2 - Comparative research on health and health inequalities has recently started to establish a welfare regime perspective. The objective of this study was to determine whether different welfare regimes are associated with health and health inequalities among adolescents. Data were collected from the ‘Health Behaviour in School-aged Children’ study in 2006, including 11- to 15-year-old students from 32 countries (N = 141,091). Prevalence rates and multilevel logistic regression models were calculated for self-rated health (SRH) and health complaints. The results show that between 4 per cent and 7 per cent of the variation in both health outcomes is attributable to differences between countries. Compared to the Scandinavian regime, the Southern regime had lower odds ratios for SRH, while for health complaints the Southern and Eastern regime showed high odds ratios. The association between subjective health and welfare regime was largely unaffected by adjusting for individual socioeconomic position. After adjustment for the welfare regime typology, the country-level variations were reduced to 4.6 per cent for SRH and to 2.9 per cent for health complaints. Regarding cross-level interaction effects between welfare regimes and socioeconomic position, no clear regime-specific pattern was found. Consistent with research on adults this study shows that welfare regimes are important in explaining variations in adolescent health across countries. Y1 - 2012 U6 - https://doi.org/10.1111/j.1467-9566.2011.01433.x SN - 1467-9566 VL - 34 IS - 6 SP - 858 EP - 879 PB - Wiley-Blackwell CY - Hoboken (NJ) [u.a.] ER - TY - JOUR A1 - Hurrelmann, Klaus A1 - Rathmann, Katharina A1 - Ottova, Veronika A1 - de Looze, Margarethe A1 - Levin, Kate A1 - Molcho, Michael A1 - Elgar, Frank A1 - Nic Gabhainn, Saoirse A1 - van Dijk, Jitse P. A1 - Richter, Matthias T1 - Macro-level determinants of young people’s subjective health and health inequalities: A multilevel analysis in 27 welfare states JF - Maturitas N2 - Objectives Cross-national studies have rarely focused on young people. The aim of this study is to investigate whether macro-level determinants are associated with health and socioeconomic inequalities in young people's health. Study design Data were collected from the Health Behaviour in School-aged Children (HBSC) study in 2006, which included 11- to 15-year old adolescents from 27 European and North American countries (n = 134,632). This study includes national income, health expenditure, income inequality, and welfare regime dummy-variables as macro-level determinants, using hierarchical regression modelling. Main outcome measure Psychosomatic health complaints and socioeconomic inequalities in psychosomatic health complaints. Results Adolescents in countries with higher income inequality and with liberal welfare tradition were associated with more health complaints and a stronger relationship between socioeconomic status and macro-level determinants compared to adolescents from countries with lower income inequality or the Social Democratic regime. National income and health expenditure were not related to health complaints. Countries with higher national income, public health expenditure and income inequality showed stronger associations between socioeconomic status and psychosomatic health complaints. Conclusion Results showed that macro-level characteristics are relevant determinants of health and health inequalities in adolescence. KW - Macro-level determinants KW - Adolescents KW - Subjective health KW - Health inequality KW - HBSC Y1 - 2015 U6 - https://doi.org/10.1016/j.maturitas.2015.01.008 SN - 0378-5122 VL - 80 IS - 4 SP - 414 EP - 420 PB - Elsevier CY - Amsterdam [u.a.] ER - TY - JOUR 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 JF - 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; social comparison; life satisfaction; “big-fish-little-pond”-effect; multilevel analysis; National Educational Panel Study; Germany Y1 - 2018 U6 - https://doi.org/10.3390/ijerph15122750 VL - 15 IS - 2 ER - TY - JOUR A1 - Rathmann, Katharina A1 - Herke, Max A1 - Hurrelmann, Klaus A1 - Richter, Matthias T1 - Klassenklima, schulisches Wohlbefinden und Gesundheit von Schülerinnen und Schülern in Deutschland: Ergebnisse des Nationalen Bildungspanels JF - Das Gesundheitswesen N2 - Ziel Ziel des Beitrags ist es, erstmalig mit den Daten des Nationalen Bildungspanels den Zusammenhang zwischen Merkmalen des Klassenklimas und des schulischen Wohlbefindens mit der selbstberichteten Gesundheit und krankheitsbedingten Schulfehltagen von Schülern in deutschen Regelschulen zu untersuchen. Methodik Datenbasis bildet das Nationale Bildungspanel (NEPS). Die Stichprobe umfasst (n=7348) Schüler der siebten Klassen in Regelschulen (Startkohorte 3, Welle 3, 2012). Merkmale des Klassenklimas umfassen Anforderungen, Kontrolle und Lernorientierung im Unterricht, Autonomie und Interaktion der Schüler sowie die Unterrichtsqualität, jeweils auf die Lehrkräfte in Deutsch bezogen. Das schulische Wohlbefinden wird über die Schulzufriedenheit sowie Hilflosigkeit in zentralen Schulfächern erfasst. Es werden sowohl bivariate Analysen als auch logistische Mehrebenenmodelle, unter Kontrolle von Alter, Geschlecht und besuchter Schulform, durchgeführt. Ergebnisse Die Ergebnisse der Mehrebenenmodelle zeigen, dass insbesondere Schüler mit einer höheren Schulzufriedenheit eine bessere Gesundheit und weniger krankheitsbedingte Fehltage berichten. Eine höhere Hilflosigkeit und Lernorientierung sind dagegen negativ mit beiden Zielgrößen assoziiert. Hauptschüler besitzen zudem ein erhöhtes Risiko krankheitsbedingter Fehltage im Vergleich zu Gymnasiasten. Schlussfolgerung Die Ergebnisse unterstreichen, dass insbesondere das schulische Wohlbefinden in Form der Schulzufriedenheit sowie der Hilflosigkeit in zentralen Schulfächern eng mit der subjektiven Gesundheit und krankheitsbedingten Fehltagen assoziiert ist. Maßnahmen zur Gesundheitsförderung sollten daher v. a. auf das schulische Wohlbefinden gerichtet werden sowie Schüler adressieren, die eine andere Schulform als das Gymnasium besuchen. KW - Gesundheit, Fehltage, Wohlbefinden, Schule, Klassenklima, Nationales Bildungspanel (NEPS), self-rated health, school absence, wellbeing, school, class climate, National Educational Panel Study (NEPS) Y1 - 2018 U6 - https://doi.org/10.1055/s-0043-121886 SN - 0941-3790, 1439-4421 VL - 80 IS - 4 SP - 332 EP - 341 ER - TY - BOOK A1 - Hurrelmann, Klaus A1 - Richter, Matthias T1 - Understanding Public Health N2 - This book develops a new model of the genesis of health, on the basis of the interplay between genetic and environmental factors. Hurrelmann and Richter build upon the basic theories of health and the popular model of salutogenesis to offer a comprehensive interdisciplinary theory of health genesis and success: Productive Processing of Reality (PPR). The authors show that health is the lifelong dynamic process of dealing with the internal reality of physical and psychological impulses and the external reality of social and material impulses. To demonstrate this, the book is split into three interconnected parts. Part A analyses the determinants of health, providing an overview of the insights of current research and the impact of socioeconomic influences and gender on health. Part B covers public health, social, learning and coping theories, all of which understand health as an interaction between people and their environment. Part C draws on these four theories to outline PPR, stressing the interrelation between physical and mental constitution and the demands of the social and mental environment, and suggesting strategies for coping with these demands during the life course. Understanding Public Health: Productive Processing of Internal and External Reality will be valuable reading for students and researchers in psychology, sociology, educational science, public health and medical science, and for policymakers in public health. Y1 - 2019 SN - 978-0367360764 PB - Routledge CY - Oxon ER -