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Social determinants of health and
 well-being among young people
      HEALTH BEHAVIOUR IN
     SCHOOL AGED CHILDREN
Parental communication is one of the key ways in which the family
can act as a protective health asset, promoting pro-social values
that equip young people to deal with stressful situations or buffer
them against adverse influences.

FAMILY COMMUNICATION
Talk to your mother...
Young people were asked how easy it is for them to talk to their mothers
about “things that really bother you”. The findings presented here show the
proportions who reported finding it “easy” and “very easy”.

Boys                                     Girls
 100                                      100
  90                                       90
  80                                       80
  70                                       70
  60                                       60
  50                                       50
                             Wales                                    Wales
  40                                       40
  30                         England       30                         England
  20                         Scotland      20                         Scotland
  10                                       10
   0                                        0
        11   13   15                              11   13   15
       year year year                            year year year
       olds olds olds                            olds olds olds
How we compare to Europe
15-year-old girls who find it   15-year-old boys who find it
easy to talk to their mothers   easy to talk to their mothers
Talk to your father...
Young people were asked how easy it is for them to talk to their fathers about
“things that really bother you”. The findings presented here show the
proportions who reported finding it “easy” and “very easy”.

Boys                                     Girls
90                                        80
80                                        70
70                                        60
60                                        50
50
                                          40
40                           Wales                                     Wales
30                                        30
                             England                                   England
20                                        20
                             Scotland                                  Scotland
10                                        10
 0                                         0
       11     13     15                          11     13     15
      year   year   year                        year   year   year
      olds   olds   olds                        olds   olds   olds
How we compare to Europe
15-year-old girls who find it   15-year-old boys who find it
easy to talk to their fathers   easy to talk to their fathers
According to previous HBSC findings, the frequency of spending
time out with friends increases gradually with age. This is often
associated with risk behaviours.

PEER RELATIONSHIPS
Be back before curfew...
Young people were asked how many evenings per week they usually spend
out with their friends. The findings presented here show the proportions
who reported spending four or more evenings per week out with friends.

Boys                                   Girls
 50                                    45
 45                                    40
 40                                    35
 35                                    30
 30                                    25
 25
                            England    20                         England
 20
 15                         Scotland   15                         Scotland
 10                         Wales      10                         Wales
  5                                     5
  0                                     0
       11     13     15                       11     13     15
      year   year   year                     year   year   year
      olds   olds   olds                     olds   olds   olds
How we compare to Europe
15-year-old girls who spend four or   15-year-old boys who spend four or
more evenings per week out with       more evenings per week out with
friends                               friends
“Liking school” has consequently been identified as a protective factor
against health-compromising behaviours including bullying, sexual
risk-taking and tobacco, alcohol and drug use. Students who dislike
school or do not feel connected to it are more likely to fail
academically, drop out and have mental health problems.

LIKING SCHOOL
We don’t need no education...
Young people were asked how they feel about school at present. The
findings presented here show the proportion reporting that they like school
a lot.

Boys                                     Girls
 50                                       60
 45
 40                                       50
 35                                       40
 30
 25                                       30
                              Wales                                    Wales
 20
 15                           England     20                           England
 10                           Scotland    10                           Scotland
  5
  0                                        0
       11     13     15                          11     13     15
      year   year   year                        year   year   year
      olds   olds   olds                        olds   olds   olds
How we compare to Europe
15-year-old girls who like school a lot   15-year-old boys who like school a lot
Feeling pressured or stressed by schoolwork may not only negatively
affect students’ learning, but can also influence a wide range of non-
academic outcomes such as health, health behaviour and well-being.
Affected students characteristically engage in more health-
compromising behaviours (such as smoking, drinking alcohol and
drunkenness).

PRESSURED BY
SCHOOLWORK
Under pressure
Young people were asked how pressured they feel by the schoolwork they
have to do. The findings presented here are the proportion who reported
feeling pressured by schoolwork either “a lot” or “some”.

Boys                                   Girls
 60                                     80
                                        70
 50
                                        60
 40                                     50
 30                                     40
                            England                                England
                                        30
 20                         Wales                                  Wales
                                        20
 10                         Scotland                               Scotland
                                        10
  0                                      0
       11     13     15                       11     13     15
      year   year   year                     year   year   year
      olds   olds   olds                     olds   olds   olds
How we compare to Europe
15-year-old girls who like school a lot   15-year-old boys who like school a lot
Low perceived classmate support is related to somatic and
psychological health complaints, such as headache, abdominal pain
and depressed mood, and greater prevalence of smoking and
drinking. High support is associated with high life
satisfaction, increased self-efficacy and increased levels of physical
activity.

CLASSMATE SUPPORT
My friends like me...
Young people were asked to show how much they agreed or disagreed with
the statement “most of the students in my class(es) are kind and helpful”.
The findings presented here show the proportion who agreed or strongly
agreed.
Boys                                    Girls
 80                                     90
 70                                     80
 60                                     70
                                        60
 50
                                        50
 40
                             Wales      40                          Wales
 30                                     30
                             Scotland                               Scotland
 20                                     20
                             England                                England
 10                                     10
  0                                      0
       11     13     15                        11     13     15
      year   year   year                      year   year   year
      olds   olds   olds                      olds   olds   olds
How we compare to Europe
15-year-old girls who agree that their   15-year-old boys who agree that their
classmates are kind and helpful          classmates are kind and helpful
Injuries during adolescence can be seen as a marker for a high-risk
lifestyle that includes multiple risk-taking behaviours and associated
health-related consequences. Studies have reported how injury is
linked with other risk behaviours such as substance use and truancy
and is related to frequent engagement in physical activity.

MEDICALLY ATTENDED
INJURIES
Ouch, that hurt...
Young people were asked how many times during the last 12 months they
had been injured and had to be treated by a doctor or nurse. The findings
presented here depict the proportions who reported having a medically
attended injury at least once.
Boys                                    Girls
 70                                      50
                                         45
 60
                                         40
 50                                      35
 40                                      30
                                         25
 30                          Scotland                                Scotland
                                         20
 20                          England     15                          England
                             Wales       10                          Wales
 10                                       5
  0                                       0
       11     13     15                        11     13     15
      year   year   year                      year   year   year
      olds   olds   olds                      olds   olds   olds
How we compare to Europe
15-year-old girls who report at least one   15-year-old boys who report at least
medically attended injury in the last       one medically attended injury in the
months                                      last months
Skipping breakfast is nevertheless very common among young
people in Europe, Canada and the United States and is associated
with risk behaviours such as smoking, alcohol consumption and
sedentary behaviours.

BREAKFAST CONSUMPTION
Go to work on an egg...
Young people were asked how often they eat breakfast, defined as “more
than a glass of milk or fruit juice”, on school days and at weekends. The
findings presented here are the proportions reporting eating breakfast every
school day.
Boys                                     Girls
 90                                       90
 80                                       80
 70                                       70
 60                                       60
 50                                       50
 40                          Scotland     40                          Scotland
 30                          England      30                          England
 20                          Wales        20                          Wales
 10                                       10
  0                                        0
       11     13     15                         11     13     15
      year   year   year                       year   year   year
      olds   olds   olds                       olds   olds   olds
How we compare to Europe
15-year-old girls who eat breakfast   15-year-old boys who eat breakfast
every school day                      every school day

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HBSC - causes of the causes

  • 1. Social determinants of health and well-being among young people HEALTH BEHAVIOUR IN SCHOOL AGED CHILDREN
  • 2. Parental communication is one of the key ways in which the family can act as a protective health asset, promoting pro-social values that equip young people to deal with stressful situations or buffer them against adverse influences. FAMILY COMMUNICATION
  • 3. Talk to your mother... Young people were asked how easy it is for them to talk to their mothers about “things that really bother you”. The findings presented here show the proportions who reported finding it “easy” and “very easy”. Boys Girls 100 100 90 90 80 80 70 70 60 60 50 50 Wales Wales 40 40 30 England 30 England 20 Scotland 20 Scotland 10 10 0 0 11 13 15 11 13 15 year year year year year year olds olds olds olds olds olds
  • 4. How we compare to Europe 15-year-old girls who find it 15-year-old boys who find it easy to talk to their mothers easy to talk to their mothers
  • 5. Talk to your father... Young people were asked how easy it is for them to talk to their fathers about “things that really bother you”. The findings presented here show the proportions who reported finding it “easy” and “very easy”. Boys Girls 90 80 80 70 70 60 60 50 50 40 40 Wales Wales 30 30 England England 20 20 Scotland Scotland 10 10 0 0 11 13 15 11 13 15 year year year year year year olds olds olds olds olds olds
  • 6. How we compare to Europe 15-year-old girls who find it 15-year-old boys who find it easy to talk to their fathers easy to talk to their fathers
  • 7. According to previous HBSC findings, the frequency of spending time out with friends increases gradually with age. This is often associated with risk behaviours. PEER RELATIONSHIPS
  • 8. Be back before curfew... Young people were asked how many evenings per week they usually spend out with their friends. The findings presented here show the proportions who reported spending four or more evenings per week out with friends. Boys Girls 50 45 45 40 40 35 35 30 30 25 25 England 20 England 20 15 Scotland 15 Scotland 10 Wales 10 Wales 5 5 0 0 11 13 15 11 13 15 year year year year year year olds olds olds olds olds olds
  • 9. How we compare to Europe 15-year-old girls who spend four or 15-year-old boys who spend four or more evenings per week out with more evenings per week out with friends friends
  • 10. “Liking school” has consequently been identified as a protective factor against health-compromising behaviours including bullying, sexual risk-taking and tobacco, alcohol and drug use. Students who dislike school or do not feel connected to it are more likely to fail academically, drop out and have mental health problems. LIKING SCHOOL
  • 11. We don’t need no education... Young people were asked how they feel about school at present. The findings presented here show the proportion reporting that they like school a lot. Boys Girls 50 60 45 40 50 35 40 30 25 30 Wales Wales 20 15 England 20 England 10 Scotland 10 Scotland 5 0 0 11 13 15 11 13 15 year year year year year year olds olds olds olds olds olds
  • 12. How we compare to Europe 15-year-old girls who like school a lot 15-year-old boys who like school a lot
  • 13. Feeling pressured or stressed by schoolwork may not only negatively affect students’ learning, but can also influence a wide range of non- academic outcomes such as health, health behaviour and well-being. Affected students characteristically engage in more health- compromising behaviours (such as smoking, drinking alcohol and drunkenness). PRESSURED BY SCHOOLWORK
  • 14. Under pressure Young people were asked how pressured they feel by the schoolwork they have to do. The findings presented here are the proportion who reported feeling pressured by schoolwork either “a lot” or “some”. Boys Girls 60 80 70 50 60 40 50 30 40 England England 30 20 Wales Wales 20 10 Scotland Scotland 10 0 0 11 13 15 11 13 15 year year year year year year olds olds olds olds olds olds
  • 15. How we compare to Europe 15-year-old girls who like school a lot 15-year-old boys who like school a lot
  • 16. Low perceived classmate support is related to somatic and psychological health complaints, such as headache, abdominal pain and depressed mood, and greater prevalence of smoking and drinking. High support is associated with high life satisfaction, increased self-efficacy and increased levels of physical activity. CLASSMATE SUPPORT
  • 17. My friends like me... Young people were asked to show how much they agreed or disagreed with the statement “most of the students in my class(es) are kind and helpful”. The findings presented here show the proportion who agreed or strongly agreed. Boys Girls 80 90 70 80 60 70 60 50 50 40 Wales 40 Wales 30 30 Scotland Scotland 20 20 England England 10 10 0 0 11 13 15 11 13 15 year year year year year year olds olds olds olds olds olds
  • 18. How we compare to Europe 15-year-old girls who agree that their 15-year-old boys who agree that their classmates are kind and helpful classmates are kind and helpful
  • 19. Injuries during adolescence can be seen as a marker for a high-risk lifestyle that includes multiple risk-taking behaviours and associated health-related consequences. Studies have reported how injury is linked with other risk behaviours such as substance use and truancy and is related to frequent engagement in physical activity. MEDICALLY ATTENDED INJURIES
  • 20. Ouch, that hurt... Young people were asked how many times during the last 12 months they had been injured and had to be treated by a doctor or nurse. The findings presented here depict the proportions who reported having a medically attended injury at least once. Boys Girls 70 50 45 60 40 50 35 40 30 25 30 Scotland Scotland 20 20 England 15 England Wales 10 Wales 10 5 0 0 11 13 15 11 13 15 year year year year year year olds olds olds olds olds olds
  • 21. How we compare to Europe 15-year-old girls who report at least one 15-year-old boys who report at least medically attended injury in the last one medically attended injury in the months last months
  • 22. Skipping breakfast is nevertheless very common among young people in Europe, Canada and the United States and is associated with risk behaviours such as smoking, alcohol consumption and sedentary behaviours. BREAKFAST CONSUMPTION
  • 23. Go to work on an egg... Young people were asked how often they eat breakfast, defined as “more than a glass of milk or fruit juice”, on school days and at weekends. The findings presented here are the proportions reporting eating breakfast every school day. Boys Girls 90 90 80 80 70 70 60 60 50 50 40 Scotland 40 Scotland 30 England 30 England 20 Wales 20 Wales 10 10 0 0 11 13 15 11 13 15 year year year year year year olds olds olds olds olds olds
  • 24. How we compare to Europe 15-year-old girls who eat breakfast 15-year-old boys who eat breakfast every school day every school day