Subjective health, symptom load and quality of life of children and adolescents in Europe
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To examine cross-cultural differences in the prevalence of school children's subjective health types and the pattern of socio-demographic and socio-economic differences.
Within the cross-sectional Health Behaviour in Schoolaged Children 2005/2006 Survey 200,000 school children aged 11, 13 and 15 answered a general health item, the Cantrill life satisfaction ladder and a subjective health complaints checklist. ANOVA and multilevel logistic regression models were conducted.
Overall, 44% of the respondents reported multiple recurrent health complaints, only poor to fair general health, low life satisfaction or a combination of these. Older adolescents (OR: 1.1–1.6) and girls (OR: 1.2–1.4) reported more health problems, the gender difference increased with age (OR: 1.3–1.6). Low socio-economic status was also associated with health problems (OR: 1.4–2.3). Sizeable cross-national variation in the prevalence of health types and the impact of the above mentioned factors were observed, yet the main pattern of impact could be confirmed cross-culturally.
Increasing social and gender role pressure with growing age, as well as restricted access to material resources and psychosocial strains are discussed as potential explanations for the observed health inequalities.
- Subjective health, symptom load and quality of life of children and adolescents in Europe
International Journal of Public Health
Volume 54, Issue 2 Supplement, pp 151-159
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Children & adolescents
- Subjective health
- Health types
- HBSC Study
- Cross-cultural differences
- Author Affiliations
- 1. Center for Obstetrics and Pediatrics, Department of Psychosomatics in Children and Adolescents, University Medical Center Hamburg-Eppendorf, Martinistr. 52, D-20246, Hamburg, Germany
- 2. University of Bergen, Bergen, Norway
- 3. Research Centre for Health Promotion, Bergen, Norway
- 4. Utrecht University, Utrecht, Netherlands
- 5. University of Torino, Torino, Italy
- 6. Centre for Health Promotion, Ljubljana, Slovenia
- 7. Istanbul University, Istanbul, Turkey
- 8. University of Jyväskylä, Jyväskylä, Finland