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HEALTH BEHAVIOUR IN SCHOOL-AGED CHILDREN

WORLD HEALTH ORGANIZATION COLLABORATIVE CROSS-NATIONAL SURVEY

 

Linked Projects

How to become a Linked Project

For information about how to become a Linked Project, please see here.

Jump to:

  • Australia: Australian Child Wellbeing Project
  • Brazil: Mapping adolescent health and well-being in Brazil
  • Chile: Young people's behaviour and lifestyle preferences in Chile
  • China: Health Behaviour in School-aged Children in China
    Health Behaviour in School-aged Children Hong Kong Survey
  • Georgia: Determinants of smoking onset among adolescents in Georgia
  • India: At risk populations of youth in Delhi
  • Kosovo: Health Behaviour in School-aged Children in Kosovo
    Municipality of Gjakova collaboration with Children of Kosovo
  • Kuwait: Health Behaviour in School-aged Children in Kuwait
  • Lebanon: Health Behavior in School aged Children: data from Lebanese regions
  • Taiwan: Adolescent Health and Lifestyle Survey in Kinmen County

 


Australia

Australian Child Wellbeing Project

Contact: Professor Gerry Redmond
Team Members: Kirk Dodd, Dr Myra Hamilton, Dr Bridget Jenkins, Dr Petra Lietz, Dr Laurence Lester, Alice McEntee, Elizabeth O’Grady, Helen Popple, Dr Gerry Redmond, Prof Peter Saunders, Dr Jennifer Skattebol, Mollie Tobin
Email: gerry.redmond@flinders.edu.au
Address: GPO Box 2100, Adelaide, South Australia, Australia 5001
Phone: +61 8 82012699

The Australian Child Wellbeing Project (ACWP) is a new child-centred study in which children’s perspectives are being used to design, conduct and interpret findings from Australia’s first major nationally representative and internationally comparable survey of well-being among children aged 8-14 years.

Little is known about Australian children’s well-being in their middle years, or how well-being varies among different groups of children. This study employs innovative qualitative and quantitative research techniques to elicit children’s own perspectives. Particular attention is given to understanding the perspectives of children in six groups who are often seen as experiencing high levels of disadvantage and/or marginalisation: Indigenous children, culturally and linguistically diverse children, children with disabilities, children in regional and remote Australia, economically disadvantaged children and children in out-of-home care.

The ACWP survey will benchmark child well-being in Australia and provide information that contributes to the development of effective services for children’s healthy developmen in the futuret. It will also, for the first time, feed into a new international study that will establish where Australian children stand in comparison to children in other high income countries.

While ACWP, building from a ‘child perspectives’ approach, aims to measure wel-lbeing in broader areas than health, there is nonetheless good scope to develop synergies between HBSC and ACWP. This will facilitate comparison between Australia and other developed countries in important aspects of child well-being, where comparisons are currently lacking. International comparisons between HBSC and ACWP data may also lend support to drives among researchers and advocates for funding to roll out a ‘full’ HBSC in Australia in 2017-18.

For more information about the Asustralian Child Wellbeing Project click here.

HBSC Contact: Prof. Candace Currie (Scotland)

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Brazil

Mapping adolescent health and well-being in Brazil

Contact: Carmem Beatriz Neufeld (Principal Investigator), MSc, PhD - Head of the Cognitive Behavioral Research and Intervention Laboratory – LaPICC-USP, PhD Professor at the Department of Psychology
Email: cbneufeld@usp.br
Address: Faculty of Philosophy, Sciences and Languages of Ribeirão Preto University of São Paulo
Phone: +55(16)3602-3724/ +55(16) 3602-0197
Website: www.lapicc.com.br

This project intends to start the mapping process on adolescents’ health and well-being issues in Brazil, a key step to the development of interventions and policies that protect and promote the quality of young people's lives. In order to contribute to the local and international knowledge base on these issues, this study aims to map health and well-being indicators and behaviors, besides the related social environments, based on the Health Behaviour in School Children-aged Protocol (HBSC). The sample comprised 1500 public school students between 13 and 15 years old (750 in each age group ) belonging to five different Brazilian cities - in the state of São Paulo, Minas Gerais, Pernambuco, Rondonia, and Rio Grande do Sul. Thus, is also possible to verify similarities and differences between these states. This project aims to start a research line on health and well-being of adolescents in Brazil - an international partnership with Professor Margarida Gaspar de Matos of University of Lisboa - and the adaptation of the HBSC survey to the Brazilian context.

HBSC Contact: Professor Margarida Gaspar de Matos (Portugal)

 

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Chile

Young people's behaviour and lifestyle preferences in Chile

Contact: Dr Laura Lara
Team Members: Veronica Edith Gomez Urrutia, Cristina del Carmen Valenzuela Contreras, Claudio Julio Muñoz Ibarra
Email: llarav@uautonoma.cl
Address: Universidad Autónoma de Chile, 5 Poniente 1670, Talca, Chile
Phone: +56 71 2735770

The project aims to use the HBSC Protocol to conduct a study on several key aspects of Chilean children and adolescent’s health, behaviour and lifestyle preferences.

Existing research suggests that the nation’s youth face more choices and opportunities than previous generations, as a by-product of the country’s process of economic and social modernization. These range from how they build relationships with family and peers, to eating habits and sexual behaviour. In this context, the country needs extensive, reliable and comparable data in order to develop effective services for children and young people’s healthy development.

Using a nationally representative sample of 11-, 13- and 15-year-old adolescents, researchers from the University of Chile seek to obtain comprehensive data on issues related to physical and psychological health. Subject areas include: body image and obesity, school-based violence and bullying, substance use, effective relationships with family and peers, life satisfaction and socio-economic status.

Data of this kind will allow for cross cultural comparisons, which will enrich our understanding of the problems and opportunities affecting Chile’s young people and develop the global research base.

HBSC Contact: Professor Margarida Gaspar de Matos (Portugal)

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China

Health Behaviour in School-aged Children in China

Contact: Prof. Mei Wang
Team Members: Yanfeng ZHANG, Yang LIU, Yan LV, Fubaihui WANG, Xu WEN, Qiang FENG, Mingyi LIU, Jing TIAN, Rui CAI and Huan WANG, Ming ZHANG. Prof. Lasse Kannas (Finland) and Dr. Jorma Tynjälä (Finland)
Emailwangmei@ciss.cn
Address: China Institute of Sport Science, 11 Tiyuguan Road, Beijing 100061 P.R. China
Phone+86-10-87182581

Children's health and health behaviours critically affect their long-term development. In recent years, with the growth of the Chinese economy and changes in people's lifestyles, more and more problems relating to health and health behaviours have emerged among Chinese school-aged children. The idea of conducting the HBSC study in China, a country with nearly 400 million schoolchildren, was initiated by the HBSC Finland research team in collaboration with the China Institute of Sport Science (CISS) in 2007.

The HBSC survey protocol (2001/02) and questionnaire was first translated from English into Chinese. Following this, a pilot study was conducted which indicated that most indicators in the HBSC international questionnaire have a high completion rate and satisfactory test-retest reliabilities for students in Beijing. The HBSC-based behaviour and lifestyle survey for school-aged children was then conducted by CISS in Beijing, strictly adhering to the HBSC research protocol. A total of 5,985 schoolchildren were sampled using multi-stage random cluster sampling methods.

Based on the survey results, CISS researchers analysed a number of different aspects of the health and health behaviours of Chinese schoolchildren. These included physical activity, alcohol use, smoking, sedentary behaviour, academic disengagement and sleep. Based on the results of the survey a report was also published.

As an official Linked Project of the HBSC study, the CISS will continue to promote the work of the HBSC study within China and beyond. In 2016, the HBSC China Linked Project survey was conducted in Haerbin, a north eastern Chinese region with medium socio-economic development status with a sample size of 2358 school-aged children. At present, the project team are planning to conduct the survey in Tibet. In addition, CISS research team has devoted to implement the large scale HBSC Linked Project survey in China together with the HBSC survey 2018.

HBSC Contact: Dr. Jorma Tynjälä (Finland)

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Health Behaviour in School-aged Children Hong Kong Survey

Contact: Annisa Lai LEE
Team Members:
Nicole CHEUNG
Email:
annisalee@cuhk.edu.hk
Address: Hong Kong, 新界沙田大埔道
Phone:
3943-7721
Fax:
2603-5007

This project will adopt the HBSC standardized protocol and conduct a school-based survey through self-completion questionnaires administered in the classrooms. The specific population selected for sampling is young people attending school aged 11, 13, and 15. The recommended sample size for each of the three age groups is set at approximately 1,500 students, totalling 4,500 students for each cycle.

HBSC Contact: Professor Tom ter Bogt (Netherlands)

 

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Georgia

Determinants of smoking onset among adolescents in Georgia

Contact: Nino Mikelaishvili
Team Members: Prof. Dr. med. Jacqueline Müller-Nordhorn, DPH, (Professor of Public Health and spokesperson at the Berlin School of Public Health, Charité) and Prof. Dr. med. Dr. PH Timo Ulrichs (Akkon-Hochschule für Humanwissenschaften)
Email: nino.mikelaishvili@charite.de
Address: Berlin School of Public Health at the Charité, Seestr, 73,D - 13347, Berlin
Phone: +49 30 450 570 872

The prevention of adolescent smoking in an important public health priority. To develop effective prevention programmes for teenagers, it is essential to understand young people’s motivation for starting their tobacco habits.

Knowledge about different associations between potential determinants and smoking initiation is necessary for researchers and policy makers to develop specific tailored tobacco control and prevention programs. The central objective of this study is to examine factors why Georgian adolescents take up smoking. It has been proposed, that the etiology of smoking is best conceptualized as a complex multifactorial process and that no single variable is a sufficient cause of smoking (Turner et al. 2004). So, this study is aimed to examine a broad array of smoking determinants, ranging from individual to situational factors.

The following items of the HBSC survey will be used in the survey instrument, aimed for adolescents from 13 to 15 years of age: Family culture, Fighting and bullying, School setting and Social inequality. With these measures, researchers will try to describe the environment children live and develop in (school and family setting) and identify healthy environments which promote healthy lifestyles.

Data collection will be carried out using a cross sectional design and a modified questionnaire. During the statistical analysis, the weight of potential determinants on studied phenomena will be measured. It is expected, that positive attitudes and beliefs towards smoking, the high level of the exposure to cigarette advertising and peer smoking will be strongly associated with the intention to smoke. The exact size of the survey sample needs to be calculated, so that the survey results are informative, valid and generalizable. Sample sizes may range from 1000 to 2000 adolescents.

HBSC Contact: Professor Matthias Richter (Germany)

 

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India

At risk populations of youth in Delhi

Contact: Manu Raj Mathur
Team Members: Dr. Monika Arora, Prof. Richard Watt, Dr. Georgios Tsakos
Email: manu.mathur@phfi.org
Address: Public Health Foundation of India ISID Campus, Plot No.4, Institutional Vasant Kunj, New Delhi- 110070, India
Phone: + 91 11 49566000 - 61661

The aim of this study is to explore the clustering of four major behavioural risk factors (diet, physical inactivity, tobacco use and alcohol) in youth (15-19 years of age) living in the national capital territory (NCT) of Delhi and to examine the socio-demographic and psychosocial variation in the clustering of these risk factors in order to identify the youth population which is most at risk.

The specific objectives are:

  • To assess the distribution of four major behavioural risk factors (diet, physical inactivity, tobacco use and alcohol) in youth (15-19 years of age) living in the NCT of Delhi.

  • To assess the count of clustering and identify the patterns of clustering of these behavioural risk factors in youth (15-19 years of age) living in NCT of Delhi.

  • To identify the role of socio-demographic (standard of living, education level, sex) and psychosocial (life satisfaction, family support, stress and peer relationships) determinants in the clustering of behavioural risk factors.

HBSC Contact: Professor Candace Currie (Scotland)

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Kosovo

Health Behaviour in School-aged Children in Kosovo
(No longer active)

Contact: Sami Uka
Team members: Skender Syla, Zarife Miftari, Fitim Uka, Naim Telaku, Petrit Beqiri, Naime Brajshori
Email: suk@whopr.org
Address: World Health Organization Pristina Office, Institute of Public Health, University Clinical Centre, St. Nëna Terezë, Rrethi i Spitalit pn, Pristina
Phone: +381 (0) 38 552 340 & 549 216

This linked project investigates the health behaviours of school-aged children living in Kosovo, with the aim of: providing a clear overview of the health and well-being of adolescents throughout the country, improving our understanding of the social competencies which affect health; informing policy-makers of ways to improve the lives of adolescents in Kosovo, and providing a comparison between the health behaviours of adolescents in Kosovo with those in other countries.

The 2010 HBSC survey instrument was used to collect data in 2012 with minor adaptations to the local context. Findings include:

  • The results show: a low rate of smoking amongst Kosovar adolescents, where only 4.7% of them are active smokers.

  • 10% of adolescents consume alcohol and most of them do so rarely.

  • The percentage of adolescents reporting the use of cannabis in the last 30 days is even lower (1.5%).

  • Out of the whole sample, 13.3% of the students reported to have had sex, while 32.8% out of them reported to have had it when they turned 14.

  • Condoms remain the primary method of contraception, while a high percentage (26.5%) have not used any kind of protective measure at all.

  • 22.3% of students declared to do physical exercise every day of the week and only 3.2% stated that they have not been physically active over the last weeks.

This research collaboration is led by the World Health Organization Office in Pristina and the UNFPA in Kosovo - in close collaboration with the Ministry of Health, Ministry of Education Science and Technology and the UNICEF office in Kosovo; with financial support from the Government of Luxemburg.

Publications using HBSC

Health Behaviour in School-aged Children (HBSC) in Kosovo A World Health Organization Collaborative Study. (2014). World Health Organization United Nations Population Fund Offices in Pristina.

HBSC Contact: Professor Candace Currie (Scotland)

 


Municipality of Gjakova collaboration with Children of Kosovo

Contact: Dr. Fiona Klasen
Team Members: Birgit Möller, Ulrike Ravens-Sieberer, Anne Catherine Haller, Helen Bichmann, Urim Deva
Email: f.klasen@uke.de
Address: University Medical Center Hamburg, Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Child Public Health, Martinistr. 52 W29, D-20246 Hamburg, Germany
Phone: +49 40 7410 57378

Children's well-being and health status in the Republic of Kosovo is still widely unknown and little explored. To close this gap, in February 2011, 720 children and adolescents between the ages of 11 and 17 were surveyed in the municipality of Gjakova. This survey focused on health behaviours and was based on an adapted version of the 2009/10 HBSC Protocol. The study was carried out by German researchers from the University Clinic in Hamburg, working in close cooperation with Children for Tomorrow Kosovo, a NGO dealing with mental health in children. The results will be presented to health promoting organizations in Kosovo. This project aims to develop a network of researchers equipped with the skills and experience necessary to carry out the next wave of the HBSC international survey within Kosovo.

HBSC Contact: Dr. Ulrike Ravens-Sieberer (Germany)

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Kuwait

Health Behaviour in School-aged Children in Kuwait

Contact: Dr. Dalia A. Badawi, Director of Health Planning & Development Directorate, Dasman Diabetes Institute
Team Members: Dr. Dalia A. Badawi (PI), Prof. Jaakko Tuomilehto(Co-I), Dr. Yousuf Al-Khamees (Co-I), Ms. Nadeen Ibrahim (Co-I), Mrs. Shenna Behbehani (Co-I), and Mrs. Dana Al-Salem (Co-I) and Dasman Diabetes; Dr. Sisko Honkala (Co-I), University of Helsinki, Finland and Prof. Eino Honkala (Co-I).
Email: dalia.badawi@dasmaninstitute.org
Address: Dasman Diabetes Institute, P.O Box 1180, Dasman 15462, Kuwait.

Kuwait urgently needs comparable data in order to be able to monitor the success of the first 5-year plan for a National Health Promotion (established 2010). School-aged children in Kuwait fare badly in several areas of health and there are growing risks for many public health diseases. National policies and programs are required to prevent diabetes, dental cavities and cardiovascular diseases.

This Linked Project is a research collaboration between the Dasman Diabetes Institute and Kuwait University. In 2002/03, a pilot study - based on the 1997/98 HBSC Protocol - was conducted by Kuwait University among 11- and 13-year-old schoolchildren. A nationally representative study using the HBSC 2009/10 Protocol was carried out in 2015 for 11-, 13- and 15-year-olds. Altogether, 5,285 children (50.5% being boys) filled in the questionnaire. The figures for 11-, 13- and 15-year-olds were: 1,778, 1,607 and 1,899, respectively.

The study is financially supported by the European Commission Framework, Horizon 2020.

HBSC Contacts: Dr. Sisko Honkala (Finland) and Dr. Eino Honkala (Finland)

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Lebanon

Health Behavior in School aged Children: data from Lebanese regions

Contact: Dr. Pascale Salameh
Team Members: Dr. Isabelle Godin and Hayat Gergy-Zghondi (PhD Candidate)
Email: pascale.salameh@lau.edu.lb
Address: Lebanese University (LU)- Faculty of Public Health (FPH)- section II- Master department- Beirut- Fanar- Lebanon

The aim of our work is to describe and analyze the health related behaviors of school children aged 11 years and more in Lebanese Schools. Since no study has ever been undertaken in Lebanon to study all health behaviors concomitantly, this will be an opportunity to study the co-occurrence of these behaviors, their interactions, in addition to the effect of protective factors on these interactions. We expect to publish at least 5 articles from this work, which will serve to inform policy makers and guide intervention towards high risk groups.

The HBSC core questionnaire will be used including a small addition on waterpipe smoking, using similar structures to HBSC’s smoking questions.

Data was collected from 4000 students from a sample of schools in Mouth Lebanon. Future work will include sampling 2000 school in Beirut to carry out further analyses. The analysis will be done based on two plans: 1, A descriptive part using the HBSC model and 2, an analytical part based on pre-established hypotheses for correlates and interactions.

This project involves collaboration with researchers from the Free University of Brussels.

HBSC Contact: Dr. Isabelle Godin (Belgium French)

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Taiwan

The Taiwan Adolescent Health and Well-being Study

Contact: Dr. Yu-Chen Lin
Team Members: Professor Chi-Chiang Young, Professor Yu-Wen Chang, Health Promotion Administration and Department of Mental and Oral Health of Taiwan
Email: yclin@tea.ntue.edu.tw
Address: Department of Education, National Taipei University of Education, 134, Sec.2, Ho-Ping East Road, Taipei Taiwan

The purposes of this project are to explore the association between subjective well-being, mental health and their social determinants among 6th, 8th and 10th grade students in Taiwan, and to develop strategies for promoting youth mental health and well-being.

The research team will conduct a survey using the WHO Health Behaviour in School-Aged Children (HBSC) 2013/2014 questionnaire. Approximately 5535 6th, 8th, and 10th grade students in Taiwan will be sampled using two-stage stratified cluster sample design. Researchers will use the same indicators of subjective well-being as used in UNICEF Report Card 11. Information on socio-demographic variables, social context variables and health-related behavioral variables will be used to explore their association with subjective well-being and mental health.

Recent findings include:

  • Boys have higher subjective well-being than girls and subjective well-being is higher at age 11 than it is at age 13 and 15.

  • Children with higher family affluence also have higher subjective well-being.

  • Daily breakfast consumption, eating fruit daily, and taking vigorous exercise more than once a week increase children’s subjective well-being, while being a victim of bullying reduces subjective well-being.

  • Currently smoking or ever been drunk has no impact on subjective well-being.

HBSC Contact: Professor Candace Currie (Scotland)

 


Adolescent Health and Lifestyle Survey in Kinmen County
(No longer active)

Contact: Dr. Yu-Chen Lin
Email: yclin@tea.ntue.edu.tw
Address: Department of Education, National Taipei University of Education, 134, Sec.2, Ho-Ping East Road, Taipei Taiwan
Phone: +886-02-27321104 Ext.5041

The 2001/02 HBSC Protocol was used to conduct a pilot study 'Adolescent Health and Lifestyle Survey' between April and May 2009. This pilot study modified the WHO HBSC questionnaire to examine a range of health behaviours and health outcomes among Taiwanese adolescents. The sample included a total of 3,560 students from grades 6 to 10 (10 being senior high-school freshmen) in all 27 public schools across the Kinmen County. This research team are planning to apply the HBSC 09/10 protocol to carry out a survey with a nationally representative sample, stratified by region and school type, and using the school as the primary sampling unit. The target age group will be 11-, 13- and 15-year-old students with 1500 respondents in each age group. The research instrument will include the core HBSC questions as well as county-specific questions.

For more info on this project, click here

Publications using HBSC:

Lin, Y.C. Assessing the Use of the Family Affluence Scale as Socioeconomic Indicators for Researching Health Inequalities in Taiwan Adolescents. Social Indicators Research, 102(3): 463-475, DOI: 10.1007/s11205-010-9683-7

HBSC Contact: Professor Candace Currie (Scotland)

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