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Keywords
- HBSC (3)
- Adolescence (2)
- Health inequalities (2)
- Multilevel analysis (2)
- Subjective health (2)
- Adolescents (1)
- Economic inequalities (1)
- Educational differentiation (1)
- Förderung salutogener Potenziale (1)
- Gesundheit, Fehltage, Wohlbefinden, Schule, Klassenklima, Nationales Bildungspanel (NEPS), self-rated health, school absence, wellbeing, school, class climate, National Educational Panel Study (NEPS) (1)
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.
Gesundheits- und Medizinsoziologie : eine Einführung in sozialwissenschaftliche Gesundheitsforschung
(2013)
In diesem Band werden sozialwissenschaftliche Theorien vorgestellt, die sich mit Gesundheit und Krankheit beschäftigen. Die Theorien konzentrieren sich auf die Wechselbeziehungen zwischen Belastung, Bewältigung und Gesundheit. Aus ihnen lassen sich Strategien ableiten, um das für die Gesundheit relevante Verhalten, die entscheidenden Umweltbedingungen und die Strukturen des Gesundheitssystems zu beeinflussen.
Aim
Comparative research on health and health inequalities has recently begun implementing a welfare regime perspective. The aim of the study was to review the existing evidence for identifying the determinants of health and health inequalities in highly developed welfare states and to develop a theoretical model for future research approaches.
Subject
A welfare state regime typology is applied to comparatively analyse (1) the relationship between the level of economic prosperity in a society and its respective level of overall population health and (2) the nature of the corresponding relationship between economic inequalities and health inequalities in different groups of countries.
Results
Although the Social Democratic welfare states have a relatively equal distribution of material wealth as well as the highest levels of population health, they are not characterised by the smallest levels of health inequality. Rather, with respect to health equality, conservative countries seem to perform better than social democracies. We propose a comprehensive theoretical model that takes into account different factors on the structural (macro), organisational (meso) and individual (micro) level in order to contribute to a better understanding of this important challenge for public health policy and practice.
Conclusion
Future research will require an appropriate theoretical model with the potential to explain health and health inequalities in different types of welfare states. On the basis of this model, future research should test the hypothesis that in highly developed countries not only economic, but also social, cultural and lifestyle factors are important in determining health outcomes in different segments of the population.
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.
This study aims to determine whether educational differentiation (i.e. early and long tracking to different school types) relate to socioeconomic inequalities in adolescent smoking. Data were collected from the WHO-Collaborative 'Health Behaviour in School-aged Children (HBSC)' study 2005/2006, which included 48,025 15-year-old students (Nboys = 23,008, Ngirls = 25,017) from 27 European and North American countries. Socioeconomic position was measured using the HBSC family affluence scale. Educational differentiation was determined by the number of different school types, age of selection, and length of differentiated curriculum at the country-level. We used multilevel logistic regression to assess the association of daily smoking and early smoking initiation predicted by family affluence, educational differentiation, and their interactions. Socioeconomic inequalities in both smoking outcomes were larger in countries that are characterised by a lower degree of educational differentiation (e.g. Canada, Scandinavia and the United Kingdom) than in countries with higher levels of educational differentiation (e.g. Austria, Belgium, Hungary and The Netherlands). This study found that high educational differentiation does not relate to greater relative inequalities in smoking. Features of educational systems are important to consider as they are related to overall prevalence in smoking and smoking inequalities in adolescence.
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.
This paper reviews life course approaches applied in epidemiology, sociology and psychology and proposes a theoretical framework that integrates the concept of socialisation. We argue that the paradigmatic principles of interdisciplinary life course research (human agency, timing in lives, linked lives and historical context) provide a strong basis for a more holistic and theory-driven view of the life course and its interdependent pathways. The ´agency within structure´ paradigm on which these principles are based is an essential part of socialisation theory. We emphasize that socialisation theory has the potential to act as a theoretical link between social science and epidemiology, because it offers a multi-causal framework to illuminate the association between social structure and health across the life course. In order to better understand the development of health and health inequalities in a life course perspective, an interdisciplinary approach is required. The increased attention to socialisation principles might open new dialogue and empirical research perspectives for health sociology and epidemiology. Keywords: ageing, health, life course, social inequalities, socialisation theory
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.
Dieser Beitrag untersucht die Relevanz makro-struktureller Merkmale für die Gesundheit und sozioökonomische Ungleichheit in der Gesundheit von Jugendlichen in hochentwickelten Wohlfahrtsstaaten. Datenbasis ist die internationale "Health Behaviour in School-aged Child-ren (HBSC)"-Studie 2005/06. Sie umfasst 11- bis 15-jährige Jugendliche in 27 europäischen und nordamerikanischen Länder (n=134.632), die in fünf Wohlfahrtsstaatsregimes (sozialde-mokratisch, konservativ, liberal, süd- und osteuropäisch) zusammengefasst wurden. In hierar-chischen Regressionsmodellen wurden für die psychosomatische Beschwerdelast als gesund-heitliche Zielgrößee individuelle (familiärer Wohlstand) und makro-strukturelle Determinanten (Einkommensungleichheit, Ausgaben für das Gesundheitssystem, Regime-Dummies) unter Kontrolle des nationalen Wohlstands analysiert. Im liberalen Regime und damit in Ländern mit hoher Einkommensungleichheit fallen die Beschwerderate und sozioökonomische Un-gleichheiten in der Beschwerdelast am höchsten aus. Der gesellschaftliche Wohlstand und die Ausgaben für das Gesundheitssystem sind dagegen nicht mit den Beschwerden assoziiert